IBM's staff have years of experience navigating the insurance process.  We can help you navigate your insurance from start to finish and will ensure verification of coverage, obtain authorization for ABA services (if eligible) and provide you with a summary of coverage from your child's plan.  

Understanding ABA as a Medically necessary service: 

Treatment options for your child is based on the comprehensive assessment that will be conducted by our experienced staff.  Once the assessment is completed, an individual plan of care (IPOC) will be developed to meet your child's needs.   When an insurance plan funds ABA services for an individual, it must be deemed Medically Necessary.  

What Makes ABA Medically Necessary?

ABA is considered medically necessary when:

• It is prescribed to address core symptoms of ASD, such as deficits in language development/communication, social skills, or restrictive and repetitive behaviors.

• The individual’s condition causes functional impairments that limit their ability to participate in daily activities, interact socially, or live independently.

• ABA therapy is expected to provide meaningful improvements in problematic behavior, skill acquisition, or quality of life.

• There are measurable and objective goals that guide treatment.

What is not considered ABA Medically Necessary?

ABA is not considered medically necessary when:

• It is addressing academic skills

Insurances that we accept