Frequently Asked Questions

If you’re not sure, that’s okay. We’re happy to help guide you. We can schedule a screening or a full evaluation to determine whether services are needed.

• Screenings – A screening is a brief overview used to help determine if your child would benefit from a full assessment. A member of our administrative team can schedule this for you. If you have specific concerns, please include them on your new patient intake form so the therapist can focus on those areas during the screening.
• Evaluation – An evaluation is a comprehensive, formal assessment used to better understand your child’s needs. It provides detailed information about areas of concern and development, along with personalized recommendations to support your child’s growth and future success.

We also encourage you to consult with your child’s doctor so we can coordinate care if therapy services are recommended.

Some insurance payors require a referral/authorization to proceed with an evaluation or treatment. Our administrative staff will keep you updated upon checking benefits. ​

OT/PT/ABA services require a prescription to receive care. A member of our admin staff will request this from the primary care physician you provide us with. ​

ABA therapy also requires a comprehensive evaluation confirming an Autism diagnosis, or a reconfirmation of diagnostic criteria if the initial diagnosis was more than 3 years ago. This evaluation must be completed by a qualified healthcare professional such as a developmental pediatrician, neurologist, psychiatrist, or licensed psychologist.

Our priority is your child, our families, our staff, and everyone who passes in and out of our building. Please review our wellness policy so that you can best determine your course of action. Please leave us a message if it’s after hours to avoid a late cancel or no show fee.

During an initial evaluation, we ask that you stay close by. During treatment sessions, you can either wait in our lobby or step out for a moment! We ask that you return to the clinic 7-10 minutes before your child’s appointment ends, so our clinician can review their session with you.

Our clinicians often see kids back-to-back and do not have the ability to make any schedule changes. Anything schedule-related goes through our administrative staff. If you are unable to stop by the front desk, you can reach them by calling, texting, or emailing them. If it is outside our business hours (Monday through Friday 9:00am-6:00pm & Saturday 8:00am-1:00pm) please be sure to leave them a message, and they will get back to you as soon as they can. Our administrative staff will get your child’s appointment rescheduled. Please keep in mind our Flexibility Model — all our therapists work together to provide the best outcome for your child.

Eligibility criteria in the school setting are based on federal guidelines and also take into account whether an educational need for therapy services is present. In many cases, moderate to severe delays and disorders justify a need for school services, but mild delays and disorders without educational impact do not. Some individuals may not need therapy in the school setting but may still need support in other settings, in which case they might benefit from private therapy through the medical model. Some individuals demonstrate a need for both and benefit from receiving services in both settings. In the educational model, the evaluating and treating clinician works closely with teachers, educational staff and caregivers to create and target goals through an educational lens to support academic performance. In medical settings, the evaluating and treating clinician will be writing a treatment plan based off of needs across home and community environments, with parent input.

We can review outside evaluations that are based on the medical model to see if services are transferrable. A few things to consider would be the date of the evaluation and if the certification dates are still active, the time frame in which the last visit took place with the previous company, if an authorization is in place with another company, if goals are written, or if upon checking benefits insurance recommends that we do our own evaluation.

No, our therapists licenses do not allow them to diagnose for Autism.  We recommend that you consult a developmental pediatrician.

There are a wide variety of policies available for each insurance provider. Some good questions to ask your insurance provider are:

• What are my deductible, out-of-pocket, coinsurance and co-pay amounts that apply?
• Do I have a visit limit for therapy services?
• If my child has an autism diagnosis, does my plan follow the autism mandate?
• Do I need a referral or an authorization?
• Are there any diagnosis exclusions that I should be aware of?

We also recommend that when you speak to a representative you write down their name, the date you spoke to them, and ask them for a reference number. We do the same when we call. Should there be conflicting information, they have the capability to review the call.

No, but if your child is covered on more than one plan the “Birthday Rule” will take effect, it can also help determine which one is primary & which one is secondary.  The Birthday Rule states that primary coverage comes from the plan of the parent whose birthday, month & day, comes first in the year.  The other parent’s health plan then provides secondary coverage.  The birthday rule is part of a longstanding model act from the National Association of Insurance Commissioners, it has been adopted as a uniform, unbiased means of determining primary & secondary coverage.

If your child is on more than one insurance policy, please let the front desk know which one is primary or secondary. You would need to do a coordination of benefits with your insurance carriers by notifying them of additional coverage. Insurance follows specific rules when it comes to multiple policies that provide coverage. This also includes any Medicaid policy where the child may be the policy holder. If a coordination of benefits is not done or we are not aware of additional insurances, this could result in claim denials.  It is imperative you inform us of multiple policies, primary and secondary coverage, & any policy changes as they happen to avoid any balances due to non-payment from insurance.

• Contact Us: To begin, we’d love to get to know you and learn about the services you’re interested in! You will need to complete the New Patient Form. This is all the initial information we need. Once submitted, a member of our admin team will reach out to you to discuss the next steps.
• Insurance Verification: We will verify your insurance benefits and discuss the cost of services with you.​
• Patient Portal: You will receive a link to our patient portal to sign consent forms, provide your medical history, and complete any necessary questionnaires or forms our providers need to prepare for the patient’s evaluation.​
• Request Prescription: We will send your primary care physician a prescription form to sign, as this is required for most services.​
• Schedule: When all paperwork has been received and reviewed, we can get you scheduled. If your insurance requires prior authorization, we’ll obtain that before scheduling.

We evaluate and treat clients who primarily range in age from birth to 30 years. If you have a loved one older than 30, please contact our offices to discuss the particulars of their needs as our therapists are capable of treating individuals of all ages.

Co-treatment occurs when two therapies are provided at the same time. This would be recommended based on your individual child’s needs and goals, if appropriate for your child. Co-treatment allows the therapists to work together on goals and brainstorm strategies together in the moment that will best serve the client. This does minimize your child’s overall time in treatment, but it maximizes the benefits of treatment and allows us to collaborate in real-time, often leading to better treatment outcomes.