Navigating Insurance & Services

1. Understanding your coverage

   1. Review your insurance plan for:

      1. ABA coverage (in-network vs. out-of-network)

      2. Deductibles, copays, and visit limits

      3. Any prior authorization requirements

   2. Ask your insurance company directly:

      1. “Is ABA therapy covered for autism or related diagnoses?”

      2. “What documentation do you need from my child’s provider?”

      3. “Are there any limits on hours or age?”

2. Getting started with services

   1. Common steps:

      1. Diagnostic evaluation (if not already completed)

      2. Referral or prescription for ABA (depending on your plan)

      3. Intake with an ABA provider

      4. Assessment and treatment plan

   2. A good provider will:

      1. Explain each step in plain language

      2. Involve you in setting goals

      3. Respect your family’s culture, schedule, and priorities

3. Advocating for your child

   1. Keep records: evaluations, treatment plans, progress reports, and insurance letters.

   2. Ask questions until things make sense—your understanding matters.

   3. If something doesn’t feel right (goals, schedule, approach), speak up. You are the expert on your child.

4. How Behavior Motivation can help

   1. We can:

      1. Help you understand your benefits and what’s covered

      2. Communicate with your insurance when needed

      3. Offer guidance on paperwork and authorizations

      4. Adjust services as your child’s needs change

         
         

   Our goal is to reduce the administrative stress so you can focus on your child.

ABA should feel like a partnership, not a burden. With clear information, simple tools at home, and support navigating insurance, your family can move from feeling overwhelmed to feeling more confident and hopeful.

If you’d like help understanding ABA, building home routines, or figuring out your insurance options, we’re here to support you.