Occupational Therapy Clinics in San Antonio, TX

Out-of-pocket pediatric occupational therapy in San Antonio generally runs about $100–$200 per session at private practices, with evaluations costing more. Many providers accept commercial insurance, Texas Medicaid, and CHIP, which can reduce your cost to a copay or to $0 for covered, medically necessary services. Confirm rates directly with the provider.

Does Texas Medicaid or ECI cover occupational therapy in San Antonio?

Yes. Texas Medicaid and CHIP cover medically necessary occupational therapy for eligible children, and STAR Kids managed-care plans coordinate OT for children with disabilities. For children from birth to age three, Texas Early Childhood Intervention (ECI) provides developmental and occupational therapy services on a sliding-fee scale, with the Brighton Center serving Bexar County families. Verify benefits before starting.

For children, occupational therapy helps them build the skills they need for daily life: fine motor and handwriting skills, sensory processing and self-regulation, visual-motor integration, motor planning and coordination, feeding, and self-care tasks like dressing and toileting. OTs often support children with autism, ADHD, sensory processing differences, Down syndrome, cerebral palsy, and developmental delays.

How long are occupational therapy sessions for children?

Most pediatric OT sessions in San Antonio last 30 to 60 minutes, typically once or twice a week. Initial evaluations usually take 60 to 90 minutes. Hospital-affiliated programs like Methodist Children's may require a physician referral and schedule on their own intake timelines.

Yes. Several San Antonio-area OT providers — including High Five Kids Therapy, Circle of Care, Pediatric Therapy Specialists, and the Brighton Center (a Texas ECI provider that treats children in homes, childcare, and community settings) — offer in-home, community, or teletherapy services in addition to clinic-based care.

How do I know if my child needs occupational therapy?

Consider an OT evaluation if your child struggles with handwriting or fine motor tasks, is over- or under-sensitive to sensory input, has trouble with self-care like dressing, eating, or toileting, avoids age-appropriate play, or has difficulty with attention and self-regulation. A pediatrician referral or a direct evaluation can clarify whether OT would help.

It varies by practice rather than by city, so it is worth asking when you call — a clinic with a long wait for weekly therapy will often book an evaluation much sooner, and some hold cancellation slots. Because of that, most families contact more than one practice on this page rather than waiting on the first. If your child is under three, your state's early intervention program runs on its own timeline and is worth starting in parallel.