Frequently Asked Questions

Frequently Asked Questions

What Is Applied Behavior Analysis?
ABA is the design, implementation, and evaluation of environmental modifications to produce socially significant improvement in human behavior. ABA includes the use of direct observation, measurement, and functional analysis of the relations between environment and behavior. ABA uses changes in environmental events, including antecedent stimuli and consequences, to produce practical and significant changes in behavior.

What can ABA be used for?
The short answer is: almost anything. If it is a behavior, and it can be observed, ABA principles exist that can be used to either increase or decrease that behavior.  As a discipline, ABA providers are charged with the improvement of socially significant behaviors. Socially significant behaviors include communication, social skills, academics, reading and adaptive living skills such as gross and fine motor skills, toileting, dressing, eating, personal self-care, domestic skills, and work skills.

What is the role of the parent in an ABA program?
Parents are indispensable in the child’s program. They play a necessary and critical role.  Studies show that children whose parents are actively engaged in the process make measurable gains (4). First, no one knows the child better than the parent; the parent’s provide critical and insightful information that will help guide the ABA program. Second, parents are able to continue to prompt and reinforce the child through his and her various daily activities - an essential component to generalizing skills. Finally, parents are in a position to be able to record and track ABC data in the home and community setting. This information is vital in hypothesizing the function (the “why”) of specific behaviors as well as for determining what conditions encourage behaviors to occur.

How do I find out if my child has coverage for ABA?

You can email us at info@positivebehaviorservices.com or click the link below to be connected to one of our insurance specialists where they determine if your child has coverage for ABA.

How do we get started with Positive Behavior Services, Inc.?

We made the process easy, all you have to do is click the link below or contact us at 1-800-920-1927 and a care specialist will guide you every step of the way from determining eligibility and assisting you gather all the needed documentation to begin services.

What are the needed documents to begin services?

Requirements vary from state to state and by insurance provider. However, the most commonly requested forms include a referral from a Primary Care Physician indicating the child’s diagnosis code, name of child, date of birth of the child and rationale for ABA Therapy. An evaluation from a Neurologist or Psychologist which utilizes an acceptable testing battery to confirm the child’s diagnosis. To get detailed information on what your insurance requires please contact our care specialist at 1-800-920-1927 option 0 or click the link below.

What happens after I submit all the required documentation?

Once all the documentation has been submitted, we will submit a request for an assessment to your insurance provider. Turn around time for approval varies depending on your insurance company. Assessment approvals typically take between 1 and 30 days.

Once the assessment is approved, what is the next step?

Once an authorization for an assessment is approved. A Behavior analyst will contact you within 48 hours to schedule the assessment. Once the assessment is completed, we will submit the assessment to the insurance provider to request services based on the recommendations listed in our evaluation. The approval process typically takes between 1 and 30 days depending on the insurance provider.

How many hours of service each week are services approved for?

According to research, children should receive between 10-40 hours a week of ABA therapy for optimal results. Hours are determined on an individual basis based on the child’s needs.

Where do you provide services?

We provide services within all the natural environment in the geographical locations we serve. We also provide school-based services in select regions based on insurance provider and the school’s policy regarding agencies entering the classroom.

How long are services approved for?

Services are typically approved for 3 to 6 months depending on the insurance provider.

 

 
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