Applied Behavior Analysis (ABA) Services

We recognize the importance of finding the most effective support for individuals with autism and other related developmental disabilities. Whether you’re a caregiver, educator, or healthcare professional exploring options for your patients or loved ones, we invite you to embark on a supportive and collaborative relationship with us. Our team of dedicated experts in the field of Applied Behavior Analysis (ABA) are committed to providing comprehensive services tailored to meet the unique needs of each individual and their family. Together, let’s navigate this journey towards transformation and empowerment. 

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What is ABA Therapy?

Applied Behavior Analysis (ABA) is a systematic and scientifically grounded methodology aimed at comprehensively understanding and fostering behavior change. It utilizes principles of learning and behavior to address a wide range of challenges and improve quality of life for individuals. By systematically analyzing behavior and implementing evidence-based interventions, ABA aims to increase desired behaviors while reducing problematic ones. From enhancing social skills to managing daily routines, ABA offers practical strategies tailored to meet the unique needs of everyone. 

Our ABA Programs

In-Clinic-Therapy

Intensive ABA Program 

Offering both half-day and full-day, center-based programs, Monday through Friday

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In-School-Therapy

Afternoon ABA Program 

Offering programs in the afternoons, Monday through Friday

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In-the-Community-Therapy

Parent Education and Consultation

Offering both in-person and telehealth options

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In-Home-Therapy

Functional Behavior Assessment (FBA)

Offering both in-person and telehealth options

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How to Get Started

Diagnostic Evaluation: Your insurance provider requires a copy of your full and complete comprehensive diagnostic evaluation for authorization of services. This evaluation must encompass autism screening tools, provide a clear diagnosis of autism spectrum disorder (F84.0), and been completed and signed by a Licensed Psychologist, Psychiatrist, or Medical Doctor.

Prescription for ABA Services: If your diagnostic evaluation is over 2 years old, your insurance provider may necessitate a prescription for ABA services upon initial authorization requests. This prescription, signed by a Licensed Medical Doctor, must affirm the medical necessity of ABA services and confirm the patient’s autism diagnosis.

Referral for ABA Services: Certain insurance companies require a direct referral by a medical or mental health facility or professional. PsychPlus will adhere to this requirement by submitting the necessary referral during the initial authorization process.

Insurance Cards: To initiate the process of determining ABA coverage, PsychPlus will request copies (front and back) of all insurance cards.

Explore the ABA programs provided by PsychPlus to identify the one that aligns best with your needs. Select your preferred program and utilize the “Contact Us” button. Upon completion and submission of the requested information, expect a PsychPlus Associate to reach out to you within 48 hours to arrange an initial consultation call. During this call, we’ll delve into your concerns, questions, and ensure our services align with your desires for an ABA provider.

We are in-network with most health insurance plans. Register online through our PsychPlus portal and complete our Pre-Visit Information Form. This provides us with your contact information, insurance information, and grants PsychPlus permission to contact your insurance company directly on your behalf and request benefit information, obtain authorizations, and discuss treatment as it relates to ABA services. Once the pre-visit information and ABA benefit details are obtained, PsychPlus will provide you with information about your coverage and associated costs for ABA services. Please note that we highly encourage you to also independently contact your insurance company to confirm your coverage.

Your insurance company will require PsychPlus to complete an initial Functional Behavior Assessment (FBA). Once you have determined that you would like move forward with ABA services, PsychPlus will submit a request for an authorization to complete the FBA. Depending on your insurance company, the process for obtaining this authorization could take up to a few weeks. During this time, you will be required to complete all initial patient paperwork prior to any appointments taking place.

After obtaining the authorization for the Functional Behavior Assessment (FBA), a Board Certified Behavior Analyst (BCBA) will collaborate with you to schedule your FBA appointments. The FBA process typically involves one parent/guardian interview, completion of standardized assessments, one to two behavioral observations, and report writing. Within the FBA report, the BCBA will incorporate their recommendations, discuss the results and recommendations with you, and submit the report to your funding source. This submission is necessary to obtain authorization to begin therapeutic ABA sessions.

The timeline for obtaining an authorization to begin therapeutic ABA services may take up to a few weeks. Once ABA services have been approved and authorized, your Clinical Supervisor will initiate preparations with the clinical team and begin services for you.

PsychPlus has you covered

We offer the highest quality of care by partnering with a number of major insurance providers. For other payment options or assistance, please feel free to reach out to us.

Magellan Health

Frequently asked questions

ABA therapy stands out as the leading choice among evidence-based treatments for autism, having undergone thorough scientific validation affirming its effectiveness, reliability, and positive outcomes. Countless studies have shown its remarkable ability to foster improvements in communication, social skills, and everyday independence, among other vital areas. However, it’s important to recognize that not all ABA programs are created equal, so finding the right fit for your child is key.

ABA therapy is a systematic approach aimed at achieving positive behavior changes in individuals, particularly those with autism spectrum disorder (ASD) or other developmental disabilities. Its primary objectives encompass enhancing social skills, reducing problematic behaviors, fostering adaptive behaviors, promoting independence, and facilitating learning. Through structured interventions, Behavior Technicians work to improve social interactions, communication skills, and everyday life skills while addressing behaviors that may hinder learning and daily functioning. The ultimate goal is to enhance the quality of life for individuals by equipping them with the necessary skills to thrive in various environments, such as home, school, and the community, thereby promoting greater independence and autonomy.

In a typical ABA session, the Behavior Technician starts by building rapport and reviewing goals from the patient’s treatment plan. Preferred activities are carefully chosen to target specific skills such as communication and socialization, with a focus on selecting ones that align with the individual’s interests and preferences. This personalized approach increases motivation and engagement, enhancing learning opportunities. Throughout the session, prompts and reinforcement techniques are used to encourage the individual’s participation and guide them towards demonstrating the desired behaviors.

In addition to skill development, behavior management goals are also integral components embedded within each session. Prioritizing behavior management ensures that the individual’s needs are addressed effectively, laying a solid foundation for further skill acquisition. Before delving into skill-building activities, behaviors that may impede learning or progress are managed first and foremost. The treatment team will employ evidence-based strategies to address challenging behaviors, creating a conducive environment for learning and growth. By addressing behavior management goals alongside skill development, ABA sessions aim to promote positive behavior change while nurturing the individual’s overall development and well-being.

In many cases, ABA therapy is covered by insurance, but coverage can vary depending on factors such as the individual’s insurance plan, provider, and location. Many insurance companies recognize the effectiveness of ABA therapy for individuals with autism spectrum disorder (ASD) and other developmental disabilities and may offer coverage for such services. However, it’s essential for individuals and families to check with their insurance provider to determine their specific coverage details, including any limitations, co-pays, or pre-authorization requirements. Additionally, coverage for ABA therapy may be subject to certain criteria or diagnoses, so it’s important to verify eligibility and ensure that services are provided by qualified providers. Some regions also have laws mandating insurance coverage for ABA therapy for individuals with ASD, but coverage may vary depending on local regulations. Overall, while many insurance plans offer coverage for ABA therapy, it’s crucial to verify coverage details and requirements with the insurance provider directly.

To secure authorization for ABA (Applied Behavior Analysis) services through insurance, it’s crucial to have a formal diagnostic evaluation completed by a Medical Doctor, such as a Developmental Pediatrician or Psychologist. This comprehensive report includes standardized assessments and scoring, conclusively diagnosing autism spectrum disorder (ASD). This diagnostic evaluation serves as the foundation for the authorization process, providing essential documentation of the individual’s diagnosis and outlining the need for ABA therapy. Additionally, some insurance companies require that the patient’s diagnostic evaluation be no more than two years old. In these cases, insurance companies will often require a prescription for ABA services from a medical doctor or completion of an updated diagnostic evaluation. Furthermore, the insurance company might request a referral for ABA services be submitted alongside the request for authorization.

Behavior Technicians, pivotal in delivering ABA therapy, typically undergo specialized training and supervision, particularly if they are seeking certification as a Registered Behavior Technician (RBT). While not all Behavior Technicians may be RBT certified initially, many are obtaining certification through training programs approved by the Behavior Analyst Certification Board (BACB). These individuals undergo rigorous coursework in ABA principles, ethics, and supervision, culminating in a competency assessment to become certified. Under the supervision of a BCBA or BCaBA, Behavior Technicians provide direct support to individuals with autism spectrum disorder (ASD) or other developmental disabilities, implementing behavior intervention plans and ensuring adherence to ethical standards. With a focus on continuing education and professional development, Behavior Technicians play a vital role in the success of ABA therapy programs, contributing to the overall progress and well-being of the individuals they serve.

To initiate ABA services for your child or dependent, parents or caregivers can start by discussing their needs and concerns with one of our PsychPlus ABA specialists. The specialist will help you complete the necessary consent form to verify insurance coverage and ensure ABA benefits and eligibility. Following this, PsychPlus will verify insurance coverage and submit a request for an authorization to complete a Functional Behavior Assessment (FBA). Completion of an FBA is required by all insurance companies prior to starting direct therapy. An FBA is a comprehensive evaluation designed to understand the individual’s behavior patterns, strengths, and challenges. Once authorized, the FBA is conducted by a qualified professional, such as a Board Certified Behavior Analyst (BCBA), who gathers data through observations, interviews, and standardized assessment tools. Based on the findings of the FBA, the BCBA develops a Master Treatment Plan and Behavior Support Plan that is tailored towards the individual’s unique needs and goals. This plan outlines specific objectives, interventions, and strategies for addressing targeted behaviors and skill deficits. PsychPlus with then submit the treatment plan to the insurance, along with any necessary recommendations for services. Upon receiving the authorization from the funding source, the ABA provider can begin direct treatment with the patient.

ABA isn’t just beneficial for individuals on the autism spectrum. Its principles and strategies can be applied to a diverse range of people, regardless of age or skill level, and across various settings – even some forward-thinking companies are incorporating it into their practices for employees! However, it’s worth noting that in most parts of the United States, insurance coverage for ABA therapy usually necessitates a formal autism diagnosis.

ABA therapy is delivered in a structured and individualized manner, with the primary focus on promoting positive behavior change and improving the individual’s overall quality of life. Sessions may take place in various settings, including centers, schools, homes, or community settings, depending on the individual’s needs and preferences. ABA sessions often involve one-on-one interactions between the Behavior Technician and the individual, where the Behavior Technician uses a combination of techniques such as prompting, reinforcement, shaping, and modeling to teach and reinforce desired behaviors.

The frequency and duration of ABA sessions vary depending on factors such as the individual’s needs, goals, and treatment plan. Typically, therapy sessions are scheduled regularly and may range from several hours per week to more intensive programs involving full-day treatment. Additionally, ABA therapy may also involve collaboration with parents, caregivers, teachers, and other relevant individuals in the patient’s life. These stakeholders are often provided with training and support to help reinforce the skills and behaviors targeted in therapy across different settings and contexts.

The duration of ABA (Applied Behavior Analysis) therapy varies depending on several factors, including the individual’s specific needs, goals, and response to treatment. Typically, ABA therapy is provided on an ongoing basis, with treatment plans tailored to each individual’s unique circumstances. Some individuals may engage in ABA therapy for a few months to address specific goals or challenges, while others may participate in more intensive, long-term therapy lasting several years. The frequency and duration of therapy sessions are determined collaboratively between the individual, their family, and the treatment team, with adjustments made as progress is made and goals are achieved. Ultimately, the goal of ABA therapy is to support the individual in reaching their maximum potential and improving their quality of life. 

The cost of ABA services can vary widely depending on various factors such as the provider, location, session frequency, duration, and the individual’s specific needs and goals. Due to its intensive and tailored approach, ABA therapy could come with a significant cost. This may encompass assessment fees, hourly session rates, materials, and additional supports. However, many individuals and families can alleviate these expenses through insurance coverage or financial assistance programs.

Insurance coverage for ABA therapy varies by provider and policy, potentially offering substantial savings on out-of-pocket costs. While coverage extent may differ, some plans provide comprehensive support, while others have certain limitations or restrictions. Moreover, certain states enforce legislation mandating insurance coverage for ABA therapy, particularly for individuals with autism spectrum disorder (ASD), enhancing affordability and accessibility for families.

Exploring diverse funding options is crucial for those considering ABA therapy. Individuals and families are encouraged to investigate insurance coverage and government aid.

The BCBA Supervisor, a crucial figure in ABA treatment, possesses extensive qualifications to ensure effective delivery of services. Typically holding a master’s or doctoral degree in behavior analysis or a related field, they have acquired specialized education and training. Additionally, they hold certification as a Board Certified Behavior Analyst (BCBA) through the Behavior Analyst Certification Board (BACB), which necessitates rigorous coursework, supervised experience, and passing a certification exam. With their expertise and experience, BCBA Supervisors design and oversee individualized treatment plans, conduct assessments, and provide ongoing supervision to ensure the quality and efficacy of ABA interventions.

Parent/caregiver involvement is not only welcomed but highly encouraged in ABA. They play a crucial role in the success of therapy programs by receiving training on ABA principles and techniques to support their child’s progress outside of therapeutic sessions. They may observe and actively participate in therapy sessions, collaborating with their treatment team to set goals, practice skills, and reinforce positive behaviors. Through ongoing communication and collaboration with the treatment team, parents and caregivers help identify opportunities to generalize learned skills to different environments and promote consistency in implementing behavior intervention plans. This active involvement not only enhances the child’s learning and development but also fosters a supportive and collaborative environment for the entire family.

Stay Informed

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Connect with Us Today!

Ready to embark on a transformative journey? Whether you have questions or are eager to begin, use the form below to connect with us. We’re dedicated to guiding you through every stage of your ABA experience.

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