To secure insurance approval for ABA therapy, we gather a specific set of clinical and administrative documents to demonstrate medical necessity. Our white-glove service team manages the submission process for you to ensure a seamless transition to care.

The essential documents required include:

• Diagnostic Report: A formal evaluation confirming an autism diagnosis (such as an ADOS-2) from a licensed professional, such as a developmental pediatrician or child psychologist. This report should typically be dated within the last year.
• Physician’s Referral: A written prescription or referral for ABA therapy from your child’s primary care physician or diagnosing provider.
• Current Insurance Card: Clear images of both the front and back of your active insurance card to verify benefits and identify member IDs.
• Clinical Assessment & Treatment Plan: A comprehensive assessment conducted by a BCBA that includes adaptive behavior scores, measurable goals, a supervision schedule, and a clear justification of medical necessity.
• Intake and Consent Forms: Our practice-specific documents, which we provide for you to complete during the onboarding process.

Because autism insurance mandate laws in North Carolina, Utah, and Colorado vary, some insurers may require additional items, such as a specific Letter of Medical Necessity. We will clarify your ABA therapy cost with insurance by obtaining a detailed benefits summary once these documents are in place.

Insurance coverage varies by plan — verify benefits with your insurer before starting services. Results may vary and individual outcomes are not guaranteed. Consult your licensed BCBA or healthcare professional for individualized assessment and recommendations.

• ABA Therapy Prior Authorization: Complete Guide for Parents