INSURANCE

The basic process for insurance authorization is as follows:

• Family submits current insurance card, proof of diagnosis within 6 months, and physician recommendation for ABA services to RCS.
• RCS submits information to insurance company for initial assessment authorization.
• Insurer authorizes or rejects submission.
• If authorized, RCS completes an initial assessment which includes direct observation and assessment and parent interview.
• RCS writes a treatment plan which includes proposed objectives and recommended number of hours.
• Treatment plan is submitted to insurance. Insurance authorizes or rejects request for services.
• Once services are authorized, a service re-authorization request, including an updated treatment plan, can be submitted to insurance prior to the authorization end date.
• Insurance authorizes or rejects continued services.