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.