How Do We Get Started With ABA and Insurance?

Reach out and tell us what you need

Start with your child's age, town, a brief description of what support you are seeking, and the days or times that could work. You can ask questions before committing to services. We will discuss whether in-home care and current availability may fit your family.

Review benefits and requirements

With your insurance details, the provider can check network status and the plan's stated requirements for ABA. Ask about the deductible, coinsurance or copay, authorization requirements, and any limits or exclusions. A benefits check is an estimate, not a guarantee of payment; the insurer processes claims under your specific plan.

Gather the documents the plan requests

Depending on the plan, this may include a diagnostic report, referral or prescription, prior evaluations, and basic intake forms. Requirements can differ even between plans issued by the same insurer. Share documents through the provider's secure intake process rather than a public website form.

Assessment and treatment recommendations

A BCBA learns about your child through conversation, observation, and appropriate assessments. The recommendations should connect to your child's strengths and the routines your family wants help with. Ask how the suggested goals and hours fit your child's day.

Authorization, staffing, and a start date

If prior authorization is required, the provider submits the necessary clinical information and waits for a decision. Approval alone does not set a start date: the team also needs a suitable therapist and schedule. Ask who will update you, what is still pending, and when to expect the next check-in.

• Are you in network with my exact plan?
• What might my family pay after claims process?
• What records do you need from us?
• Does the plan require authorization before assessment or treatment?
• Is a therapist available for the times we need?