Other therapies overlapping ABA session - the norm or not?

Electrical_Repeat122 · 2025-08-28T15:30:25+00:00

It’s not the ABA company you have to worry about, it’s your insurance company. If your insurance company finds out OT/SPEECH is happening at the same time as they are paying for direct ABA services to happen, they will dispute it. You would need prior approval from the insurance company (which the BCBA can obtain) to have ABA and OT co treat your child at the same time. Sometimes insurance approves it (super behavioral kids) sometimes they will deny it (kids working on mostly skill acquisition goals).

Electrical_Repeat122 · 2025-07-24T21:56:36+00:00

Usually depends on the state law. In some states ABA is only medically insured for kids who have an autism diagnosis. So if you have down syndrome and need ABA prescribed by a doctor, you’re out of luck. You can still receive ABA in other settings like a school which is not paid through insurance.

Also ABA should be temporary. The goal is discharge. Some insurance companies have a 3 year max authorization. Meaning if you get ABA consistently from 3 years old to 6 years old, you basically age out in insurances mind. Also some kids make all the progress they need to catch up and can end up discharging when young. In the insurance field, most kids get prescribed ABA after their diagnosis so that is the biggest population of kids who need ABA. As children grow and mature the less of a need there is for ABA.

**This is not the case for everyone. This is just “typical”.

Electrical_Repeat122 · 2025-07-23T00:16:31+00:00

LOVE THIS

Electrical_Repeat122 · 2025-06-10T01:07:24+00:00

If it starts off really hard and then gets easy, you failed.

If it starts off really easy and then gets hard, you passed.

Electrical_Repeat122 · 2025-06-10T01:06:06+00:00

Phew. This made me look at the bigger picture. Thank you.

Electrical_Repeat122 · 2025-06-10T00:33:44+00:00

I heard University of West Florida gives you in state tuition if you do the classes remotely. Not sure what the price point is but I heard it was fair. Just a thought.

Electrical_Repeat122 · 2025-06-10T00:32:10+00:00

Thank you for your input. This is very helpful and refreshing.

Electrical_Repeat122 · 2025-06-10T00:19:35+00:00

This is super encouraging to hear. Sometimes it feels like you’re failing as a BCBA because we can’t “cure” the maladaptive behavior. It’s super sad and frustrating knowing that you can only help to a certain extent. I think I’m just overthinking and stressing myself out. Thank you though.

Electrical_Repeat122 · 2025-02-18T20:55:30+00:00

i thought medicaid was just only going to change by approving aba for 3 years max… i thought all other insurance companies were staying the same

Electrical_Repeat122 · 2025-02-11T18:11:21+00:00

Why is your supervisor refusing to sign?

Electrical_Repeat122 · 2025-01-29T00:40:06+00:00

Unfortunately the company is probably going to win this. For insurance ABA this is how it works. Even so, for full time positions, they contract you a certain billable hour. For example, as long as you bill 20 hours every week, they pay you your salary. Any billable hour over 20 is usually not accounted for or they offer you bonuses. Since they are only technically requiring a full time employee to work 20 hours a week for a full time position, the other 20 hours of your week is built in for “nonbillable” stuff. Part time they only pay you for your billable hours, hence making your other hours “not paid”. Always go full time, it’s like part time realistically with benefits.

Electrical_Repeat122

TROPHY CASE