Step 1: Insurance Intake call

Speak with our intake specialist to discuss your child’s needs. Ensure that we can provide the services that your child needs.

Step 2: Enrollment

Complete enrollment form and return it to our office to get started.

Step3: Schedule initial assessment

Once we receive and review the paperwork, we schedule and complete the professional assessment.

Step 4: Insurance Approval

After the initial assessment, we complete the authorization and send it to insurance for approval.

Pre-Authorization for ABA Therapy

Our goal is to make this process as stress-free as possible for you and your family. We will handle most of the work involved, and even fight claim denials on your behalf. Because of the intensive nature and expense of ABA therapy, most insurance plans require pre-authorization for your child’s initial ABA assessment, and another separate pre-authorization for ongoing therapy. The medical necessity documentation for the initial ABA Therapy assessment includes your child’s Comprehensive Diagnostic Evaluation from when the autism diagnosis was made. And, it may also include a referral or prescription for ABA Therapy. The medical necessity documentation necessary for the authorization for ongoing therapy includes the treatment plan that is written by the Board Certified Behavior Analyst (BCBA) after the initial assessment.

The pre-authorization process can be lengthy. Gathering the documentation needed for approval can feel overwhelming. And, writing the initial treatment plan takes time. The speed of the approval process also varies greatly from plan to plan, ranging from a day to several weeks or even months. Butterfly Effect ABA assists and communicates every step of the process. We also handle most of the work for you! We verify benefits, educate families on out-of-pocket costs, submit necessary documentation, and request and monitor authorization requests. We even fight claim denials on your behalf, to make your experience as stress-free as possible.

Please don’t hesitate to reach out if you have any questions about the pre-authorization process or ABA therapy in general.

Final steps

Began therapy with your LBA/BCBA and therapist. Then we began care coordination