Autism Therapy Services For Your Child

ABA therapy is used to treat a wide range of developmental and behavioral disorders, such as part of autism spectrum disorder treatment, attention deficit hyperactivity disorder (ADHD), Global Developmental Delay, intellectual disability, and other learning and behavioral disorders. ABA principles exist that can be used to either increase appropriate behavior or decrease challenging behaviors.

Requirements vary from state to state and by insurance provider. However, the most requested forms include:

• A referral from a Primary Care Physician indicates the child’s diagnosis code, name of the child, date of birth, and rationale for ABA Therapy.
• A Diagnostic Report.
• An evaluation from a Neurologist or Psychologist which utilizes an acceptable testing battery to confirm the child’s diagnosis. Get detailed information.

CLICK ON YOUR STATE BELOW TO DOWNLOAD A PDF OF THE REQUIREMENTS

FLORIDA | GEORGIA

According to research, children should receive between 10-40 hours a week of ABA therapy for optimal results. Hours are determined on an individual basis based on the child’s needs.

We provide autism services within the natural environment including homes, schools or daycares. In Florida, we cover Miami Dade, Broward County, Lee County, Collier County and Palm Beach County. In Georgia, we currently cover Gwinnett County, Carrolton County and Haralson County.

No, we only provide In-Home and/or community based services.

Yes, it is. We can provide autism services in your child’s school. You will be responsible for managing the necessary permissions at the school so that the therapist can work there if there is a medical necessity and no overlapping services.

Services are typically approved for 3 to 6 months at a time, depending on the insurance provider.

Yes and No. If you plan to utilize insurance to cover the cost of ABA therapy, then YES, you will need a formal diagnosis first. One of the requirements to receive ABA therapy is to have a a diagnosis, however it is not required if the family self-pays for services.

It depends on the insurance you have and your location. ABA Therapy in Florida is mostly covered under the following diagnosis:

• Autism Spectrum Disorder (ASD);
• Attention Deficit Hyperactivity Disorder (ADHD); and
• Global Developmental Delay.

While in Georgia, some insurances only cover ABA Therapy under the Autism Spectrum Disorder diagnosis.

We work with major insurances such as Florida Medicaid, Care Source, Magellan Health, Peach State Health Plan, Tricare, Sunshine Health, Anthem, Aetna, Amerigroup Real Solution, and Blue Cross Blue Shield to provide autism therapy services.

ABA therapy is a specialized approach that helps individuals, particularly those with autism, develop and improve socially significant behaviors by breaking down complex skills, using positive reinforcement, and working directly with a therapist.

During an initial Behavioral Assessment, a Board-Certified Behavior Analyst (BCBA) will assess the patient and conduct observations in the natural environment where the problem behaviors are taking place. The BCBA will identify what the functions of the behaviors are and provide a treatment plan addressing them and recommending interventions and/or replacement skills.

On the other hand, a licensed psychologist conducts a psychological evaluation to assess a child’s cognitive, emotional, and behavioral functioning, providing a comprehensive understanding of their strengths and challenges.

A certified, licensed psychologist can diagnose and confirm a diagnosis of ASD, ADHD, Global Developmental Delay, or/any other mental health-related diagnosis and, after that, provide recommendations for ABA therapy services.

ABA therapy focuses on behavior change and skill development, while a psychologist evaluation aims to assess overall functioning and provide recommendations for interventions and support.