Your Questions Answered About Hi-5 ABA Services
Looking for answers about ABA therapy and what we offer at Hi-5 ABA? You're in the right place! Here, we explain how children qualify for our services, outline the insurance plans we accept, and guide you through the Medicaid application process if your child has an autism diagnosis. You’ll also learn about the age groups we serve, the locations where we provide care, and exactly what our ABA therapy entails. Backed by a successful ABA therapy franchise model, Hi-5 ABA ensures consistent, high-quality care across all our locations. Whether you're curious about how we conduct our sessions or where we operate, everything you need is right here to help you make the best decisions for your child’s development and well-being.
ABA FAQs
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ABA FAQs
Children may qualify for ABA services when they meet one of the following:
- A formal diagnosis of Autism Spectrum Disorder (ASD).
- A physician’s prescription or referral for ABA services due to behavioral challenges such as aggression, self-injury, or severe noncompliance.
- Other developmental or intellectual disabilities (such as ADHD or Down Syndrome) when ABA is considered clinically appropriate.
Important: While a diagnosis or referral may qualify a child, insurance companies and Medicaid make the final decision on coverage. Our team works with families to submit the necessary paperwork and guide you through the approval process.
ABA therapy follows a structured process:
- Initial Assessment & Orientation – A licensed Behavior Analyst meets with you and your child to complete assessments and understand your goals.
- Treatment Planning & Authorization – The analyst designs a personalized treatment plan and submits it to insurance or Medicaid for approval.
- Direct Therapy – Therapy is provided by trained technicians under the supervision of the Behavior Analyst. Children typically receive 10–30 hours of therapy per week, depending on clinical need.
- Data Tracking & Adjustments – Progress is measured continuously, and treatment goals are adjusted as your child grows and learns.
- Re-Evaluation – Every six months we re-assess progress and request re-authorization from the insurer if services should continue.
Parents are an essential part of the process. We provide training and guidance so families can support therapy goals at home.
- Most major private insurers and state Medicaid programs cover ABA services for children with autism.
- Coverage details vary by state and by insurance plan. Our team helps families verify benefits and obtain pre-authorization before services begin.
- Out-of-pocket costs, such as deductibles or copays, are discussed up front so there are no surprises.
- If certain services are not covered, we guide families on possible appeals, alternative funding, or financing options.
Progress is measured through continuous data collection. Each therapy session records the child’s responses to targeted skills and behaviors. Every few weeks, the supervising analyst reviews the data, updates goals, and shares progress reports with families. Re-evaluations every six months provide a formal review for insurance approval and to celebrate milestones.