Pre-Enrollment Information

Required Forms
What forms are needed to start services?

• Client Intake Form
• Parent handbook
• Fee Schedule
• Diagnostic report
• Medical Necessity Letter from a medical provider (recommending ABA)
• Insurance Card (Front and back) (If benefits are available)

Pre-Assessment Documents
What documents are beneficial to review prior to the assessment?

• Teacher reports
• Occupational Therapy report
• Speech report
• Diagnostic report

Insurance Process
What is the general process of seeking approval for insurance for in-network benefits?

• Verification of Benefits
• Assessment authorization
• Request for services
• Treatment Authorization

Network Insurance Carriers
In-Network

• United Behavioral Health
• United Health One
• BCBS HMO/Magellan Health
Pending
• BCBS PPO
• Aetna