Re: Re: ABA Therapy and insurance question

[Guest guest]

Is licensing different than being certified as a BCBA? Trina

>

> The effort should be concentrated on licensing the therapists

> providing the

> services in the state of Texas. Once that happens, then most insurance

> companies will pay especially if there is a letter from the doctor with

> medical necessity.

>

>

> ABA Therapy and insurance

> > question

> >>

> >>

> >> I have a possible crazy question..

> >>

> >> I called our insurance company today for multiple other reasons

> > and

> >> while I had them on the phone I asked about them paying for ABA

> > therapy.

> >> They transferred me to another person and I asked the same

> > question.

> >>

> >> All they said that I needed to do is have his Dr. fax over a

> > letter

> >> stating that it is medically necessary for him to have this

> > therapy and

> >> they would review it.

> >> (I clarified and she said that 'yes' if it is the

> > only 'clinically'

> >> proven therapy to help Autistic children then it is medically

> > necessary)

> >>

> >> Question: (probably opening a huge can of worms with this one)

> >>

> >> 1) Has anyone asked their Dr's to write such a letter and did

> > they? (or

> >> what was their reaction?)

> >>

> >>

> >> .

> >>

> >>

> >>

> >>

[Guest guest]

I have also have BCBS, if anyone has the insurance codes please pass along. You

can e-mail me off-list.

Vickie

Robyn Quick wrote:

I have BCBS and got rejected for ABA coverage. If anyone is getting

covered

(like we used to be-I just cannot find one scrap of paper saying how we

coded it back then), could you shoot me an email off-list.

Thank you all now and always,

Robyn

's Mom

[Guest guest]

Yes. it is. Licensing gives permission by the state to practice a

profession, and therefore you are liable under state rules. Certification

is more of indication of a completion of certain number of courses or

meeting a standard. That's it in a nut shell.

ABA Therapy and insurance

>> > question

>> >>

>> >>

>> >> I have a possible crazy question..

>> >>

>> >> I called our insurance company today for multiple other reasons

>> > and

>> >> while I had them on the phone I asked about them paying for ABA

>> > therapy.

>> >> They transferred me to another person and I asked the same

>> > question.

>> >>

>> >> All they said that I needed to do is have his Dr. fax over a

>> > letter

>> >> stating that it is medically necessary for him to have this

>> > therapy and

>> >> they would review it.

>> >> (I clarified and she said that 'yes' if it is the

>> > only 'clinically'

>> >> proven therapy to help Autistic children then it is medically

>> > necessary)

>> >>

>> >> Question: (probably opening a huge can of worms with this one)

>> >>

>> >> 1) Has anyone asked their Dr's to write such a letter and did

>> > they? (or

>> >> what was their reaction?)

>> >>

>> >>

>> >> .

>> >>

>> >>

>> >>

>> >>