If you have a child with an Autism diagnosis, Applied Behavior Analysis (ABA) therapy has likely been recommended. Finding an ABA provider can be as easy as a quick google search but finding the right ABA provider for you and your child can be challenging. It’s important to know what to expect so that you can make the right choice for your family. Here is a breakdown of how the process will likely look if you choose to enroll your child in ABA therapy.
Once a company has been chosen and you’ve provided all the necessary medical documentation, the company will submit a request to your insurance (if applicable) to do an initial assessment. A Board-Certified Behavior Analyst (BCBA) will then complete the initial assessment and create a treatment plan with goals for the client. This plan is then sent to the insurance company (if applicable) for approval with the number of hours recommended for treatment. Once approved, treatment can begin. Under the supervision of the BCBA, a behavior technician (BT) will provide one on one therapy, focusing on goals outlined in the treatment plan. The BCBA will provide ongoing training and support to the BT, and monitor client progress, modifying programming as needed. The BCBA is also responsible for providing family treatment guidance and support relating to treatment.
Below is a list of some frequently asked questions. Please feel free to reach out for additional support or resources—we are here to help!
FAQs
Is ABA therapy covered through insurance?
Yes. ABA is considered a medical necessity for anyone with an Autism diagnosis and therefore should be covered by insurance. However, there are often copays and/or associated deductible requirements so it is important to inquire about benefit eligibility prior to beginning with a provider.
What will I need in order to get started?
You will need to provide a picture of the front and back of your insurance card (if you do not have the card, the member ID number and date of birth may be sufficient) and a copy of a full diagnostic report or developmental/neurodevelopmental evaluation in which the Autism diagnosis is confirmed. A copy of the most recent physical paperwork is sometimes required as well.
Is insurance required to receive ABA services?
No. Many companies accept private pay. However, services can be quite costly if paying out of pocket so do your research. Reach out to community resources for information and ask providers about superbill options. Make sure you have a clear breakdown of costs before signing on.
Where will sessions take place in my home?
While ABA therapy can take place virtually anywhere, it is beneficial to have a designated location in your home where the majority of sessions can be held. A space with minimal distractions and controlled access to reinforcers is best (think toys on shelves, snacks in cabinets, tv off, etc.). This will of course look different for every client and family so talk to your team about what would work best.
Does a caregiver need to be present during home sessions?
In most cases, yes. This can vary between companies, but most will require an adult be readily accessible to the client at all times during home sessions. Caregivers are not typically required to actively participate in all sessions, but are asked to be within ear-shot of the client to assist as needed.
Can siblings participate in home sessions?
Yes, but with a caveat. Involving siblings in home-based therapy can be beneficial when working on social skills, communication, and generalization of many skills taught in isolation. However, the therapist working in the home should only be responsible for supervision of the client, and sibling involvement should be discussed prior to session to ensure efficient use of time. Clear communication between the family and providers is vital to ensure a safe and supportive environment for all.