Step One: Initial Application
The first thing to do is to reach out to us! Our dedicated intake consultant will gather the information needed to get you and your family’s journey started. This information will help our clinician staff to best prepare for your initial call to identify the best services available for your child.
Please have the following information available when your intake consultant contacts you:
- Copy of insurance card (front and back)
- Assessment and diagnosis of Autism Spectrum Disorder by a licensed medical professional received within the last 12-24 months
If your child doesn’t have an assessment and diagnosis, not a problem. Your intake consultant will provide you with recommendations of local medical professionals who can provide this service for you.
If the best services are not available for you and your family, we will do our best to direct you to resources that are a better fit for your child’s needs.
Step Two: Verification of Benefits
ABA therapy service benefits are included in many commercial insurance policies. Your intake consultant will work directly with your insurance company to determine if services will be covered.
This process can take 2-5 business days to gather a summary of eligible benefits in which the intake consultant will contact you.
Once determined what benefits are included in your plan, the intake consultant will help you understand the coverage from deductibles, co-pay, out-of-pocket max to give you clearer picture of your finance commitment.
Step Three: Initial Assessment
This is a two steps process. First, our Board Certified Behavioral Analyst (BCBA) will start the process with a request to your insurance provider for initial assessment approval (2-3 business days). Second, once approval has been processed, our BCBA and Registered Behavior Technician (RBT) team will conduct a 2-4 hour initial assessment (in center or home). The purpose of this assessment is for our clinician team to create a customized treatment plan for your child.
This customized treatment plan will include the skills and goals our clinician team will work on with your child, frequency of therapy, and expectation from parents/caregivers.
The treatment plan will be reviewed with the family 5-7 business days after initial assessment.
Step Four: Insurance Authorization
Your intake consultant will submit all the required documentation (medical professional assessment and diagnosis and FOCUS customized treatment plan) to your insurance carrier for authorization to begin treatment.
This authorization process can take up to 2-4 weeks to process the request.
Step Five: Enrollment
Once your insurance carrier has authorized treatment, your child’s journey begins. You will be contacted to determine the best start day for your child.
Your child’s support team will consist of a BCBA (Board Certified Behavior Analyst), RBT (Registered Behavior Technician), and a certified Special Education Curriculum Director. We believe this FOCUS Family Team approach provides the most supportive environment for your child’s greatest success.
We know feedback from you, the parent/caregiver, is important. In the beginning, you will receive weekly updates on your child’s progress. In addition, we commit to giving you written quarterly progress reports, outlining the current status on each goal your child is working on. We believe our commitment to our client’s success is unparalleled.
Welcome to the FOCUS Family – support starts here!