Pricing + Insurance

Navigating insurance can be complex. We are happy to obtain your benefit information and discuss available payment options with you.

We are current IN network with the following insurance carriers:

  • Tricare

  • Humana

  • BCBS TX (Commercial Plans)

  • BCBS Federal

  • Magellan

  • Ascension/Seton

  • United Health Care/UMR

  • Aetna

  • Cigna

  • Cash Pay Options

  • Optum

  • Grants

  • Scott and White

At this time, the only diagnosis recognized for the coverage of ABA therapy is Autism Spectrum Disorder F84.0.

To obtain authorization for services, we will need you to provide a formal diagnosis report from a developmental physician, psychologist, or psychiatrist using one of these assessment tools:

  • Autism Diagnostic Observation Schedule (ADOS-2)

  • Autism Diagnostic Interview (ADI)

  • Childhood Autism Rating Scale (CARS)

The diagnosis report also needs the following information discussed and assessed
:

  • Autism symptoms to include social relatedness

  • Core ASD symptoms
Repetitive or unusual behaviors

  • Diagnosis of autism spectrum disorder in the DSM – IV criteria with Level (1 - 2 - 3)

Per our current state mandate for autism coverage, we as providers are required to submit any and all diagnostic information to prove medical necessity criteria. Without this, we will not be able to gain an assessment authorization or therapy authorization.