how to get services
In order to get services you must first qualify for ABA therapy.
To qualify you will need to request ALL 4 of the following documents:
- From School: IEP or 504 plan (if school does not provide either, a letter stating that).
- From Physician: For Autism (CARS, GARS, or ADOS assessment from Dr) or for ODD- a letter like the one provided below or something similar.
- From Physician: ABA therapy Referral.
- From Physician: Letter of medical necessity (example provided below).
How to get services:
To request services from I LOVE ABA. you will need to get on the waiting list. You MUST have all the paperwork complete to be added. Once you have secured all the necessary documents, join our wait list by clicking on the "Intake Form" tab.
The letters below can be copied and pasted and changed to fit your child's specific needs. However, the letters below as written are proven to be approved by Medicaid.
Letter of Medical Necessity
Name: DOB–
MEDICAID #
_______________________ is a client of ours who is diagnosed with _____________.
It is medically necessary for my patient to receive ABA therapy to treat maladaptive behaviors that interfere with daily functioning.
The client has many problem behaviors happening daily according to parent reports or observations these include but are not limited to:
Eloping
Self injury
Property Destruction
Throwing
Yelling
Tantrums
Lack of social skills
Lack of compliance
Lack of accepting no
I believe ABA is Medically necessary at the maximum amount of hours the insurance allows. Research shows it is most effective at 30-40 hours a week. I believe my patient would benefit from the services being provided intensely in their home, school, and community settings. I believe a BCBA should make a determination on how many hours the child should be seen a week based on their problem behaviors.
Doctor Signature: ___________________________________________ Date:_________________
Doctor NPI #: _________________________
ODD DIAGNOSIS LETTER
To whom it may concern,
Name: DOB–
MEDICAID #
______________________ is diagnosed with Oppositional Defiance Disorder (ODD code:____). They received this diagnosis from ______________________________.
_________________has many symptoms of this disorder as seen by myself or reported from their caregiver including:
They often losing their temper doing remedial activities.
They argue with what adults say on a regular basis.
They defies or completely ignores what an authoritative adult tells them to do.
They purposely annoys their siblings and other peers at school.
They will not admit to any wrongdoing but instead blame others.
They are easily annoyed by others even when they are not even talking to them and may be in a completely different room.
They will be told about the dangers of an activity and then do the exact activity and blame others for the natural consequences of their actions.
It is my professional opinion that __________________________ has ODD code ______ and could benefit from intensive ABA therapy provided 30-40 hours a week. I believe ABA could help with decreasing the following:
1) aggression
2) self-injury
3) throwing
4) yelling
5) tantrums
6) eloping from the home
7) bullying siblings and peers
As well, working on increasing replacement behaviors such as accepting no and compliance.
Doctor Signature: ___________________________________________ Date:_________________
Doctor NPI #: _________________________