Health Insurance:

     This is the most prevalent funding source for ABA programs in Indiana, unlike many other states. Private Health Insurance Companies such as Anthem, Cigna, United Health Care, Advantage, and Sagamore Health Network will often pay for ABA therapy.

Indiana is one of only a few states to have an Autism Insurance Mandate.

To find out more, please fill out the inquiry form or contact us at (317) 849-5437.

We strongly suggest contacting us immediately, as it can take time to get approval and coverage for services.

Our Mission is to help children by serving families and by providing them with the information that they need. For that reason, the following information has been provided for you. However, we recommend that you find appropriate care and service from a reputable and licensed provider that has a BCBA overseeing your child's program.

As the only full service ABA center in Indiana, the Applied Behavior Center for Autism completes the following for all of our therapy and consulting clients, so that they may spend more time with their child.

• Pre-Authorization for services
  • We contact your current insurance provider to complete all the initial paperwork, as well as work with your child’s treating physican.
• Re-authorizations for services
  • We complete all assessment, progress, and treatment program information to send to your insurance company to extend services through necessary required re-authorizations
• Billing claims and submissions
  • We complete all billing and insurance submissions on your behal
• Correcting denied or unpaid claims
  • We correct any denied, unpaid, or incorrectly paid claims on your beha
• No Extra Fees
  • All therapy materials, field trips, and community outings are covered at no cost within our program.

The treatment plan of care letter must be written by a physician.
A pediatrician, developmental pediatrician, psychiatrist, or neurologist is able write a plan of care for your child. A psychologist is usually not able to write a plan of care.
It is important that your plan of care include certain keys words: Autism is a "neurological condition", your requested services are "medically necessary", and the treatment plan is labeled as a "treatment plan". In addition, the treatment plan should be on the physician's letterhead.

The following is an example for one to follow, however may need to be changed depending upon the individual child
Re: Child's Name

Insurance Member Number To Whom It May Concern:

My name is Concerned Doctor, M.D., I am the (pediatrician, dev. Ped. Neurologist, etc.) treating (child's name) for autism (PDD-NOS, Aspergers), a neurological condition: 299.00
The following treatment plan is medically necessary to treat this patient's neurological condition:
1)Applied Behavior Analysis/Applied Verbal Behavior Therapy, minimum of 20 hours of per week, up to 40 hours per week; (97532)*
2)Applied Behavior Analysis/Applied Verbal Behavior Consultation Services, minimum of 10 hours per month up to 20 hours per month; (96116)*
3)Speech therapy, minimum of one hour per week, up to three hours per week;
4)Occupational therapy, minimum of one hour per week;
5)Physical therapy, minimum of one hour per week;
6)SSRI medication as prescribed

If you have any questions regarding the treatment plan, please contact me at (phone number). 

Sincerely,

Concerned Doctor, MDPhysician

Signature Required