Some insurance plans require prior authorization before ABA therapy can start. This process allows the insurance provider to confirm that the recommended services are medically necessary and eligible for coverage.
Typically, the process involves a few steps. Our clinicians first complete a comprehensive assessment of your child’s strengths, needs, and your family’s goals, and then recommend an appropriate level of therapy. We prepare the necessary documentation and submit the authorization request to your insurance provider.
The insurance company reviews the request, which usually takes about 7−14 business days. Once a decision is made, we will notify you right away. If the request is approved, we move forward with starting services. If additional information is needed or the request is denied, we will work with you on the next steps, which may include submitting additional documentation or filing an appeal.
Our goal is to make this process as smooth as possible and ensure your insurance provider has the information needed to understand and support your child’s care.