P: 904-605-0614
After initial contact, our team will contact your insurance to verify ABA is a covered service under your plan. This may take 2-3 business days.
Once ABA benefit has been confirmed, a member of our team will reach out to you to discuss coverage for services. Our team will need a referral from your child's doctor/PCP for ABA therapy services, as well as a copy of the diagnostic paperwork provided from the ASD diagnosing physician.
The behavior analyst will call to coordinate a day/time for your family to either come to our clinic or to visit your home to conduct the initial assessment. On average, the assessment lasts 2 hours, however it could vary depending on learner. The Behavior Analyst will conduct an assessment of your child's strengths and deficits as well as identify family priorities. We may also test a variety of skills as well as observe any behaviors the learner may exhibit.
The behavior analyst will take the assessment results and formulate a multi-page treatment plan. This plan will include a history of the child, graphed assessment results, all goals to be addressed during the authorization period as well as recommended therapy hours. The team will submit an authorization to request hours for service based on these results for the next 6 months. This can take 5-7 business days.
Once the authorization has been approved, services can begin. On average, insurance companies take 3-5 business days to review/approve treatment plans.
After the approved 6 month period, our team will request a re-assessment. Once the re-assessment has been approved by insurance, the behavior analyst will conduct a re-assessment and submit results with requested on-going hours to the insurance company. When these services have been approved, services are continued for the next 6 months.
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