UNDX/PREQ
This stage identifies families without a diagnosis
Undiagnosed
This is a medical document that is required by ALL insurances to submit for Authorization of Services
Diagnosing Report
This is the department that oversees Authorizations for both Assessments and Start Dates
CRS
This appointment must occur prior to family leaving the POST ASMT stage
Summary Meeting
The opportunity the family has to receive weekly Telehealth appointments leading up to their child's hopeful start date
Bright Beginnings
Three examples of a Clinican-Based Evaluation
ADOS, ADI-R, CARS, DSM-V Checklist
The requirements of a Medicaid Sufficient Referral. There are four.
1. "Evaluate and Treat ABA Therapy" 2. F84.0 3. Level of Severity 4. Dated signature from an accepted Medical Provider
Legal documents needed to be signed by the family, preferably prior to the assessment
Consent Forms
The document you send for parents to review and have frequently asked questions answered
The period a time a family MUST start BB after an assessment. This applies to ALL payors commercial or MDCD
1-2 weeks
Fields of information that must be filled prior to qualifying a family
"Date Referral was received" and "Date Diagnosing Report was received"
Texas payors who require either a hearing/vision evaluation results or a hearing/vision waiver
Parkland and Superior Medicaid
The typical length of time an assessment will take
2-3 hours
The amount of time a Summary Meeting typically takes
30 minutes- 1 hour
The main benefits of Bright Beginnings- There are 2
1. The family receives priority when a start date becomes available
2. Families receive clinical insight prior to the patient officially starting services
Three examples of a Parent-Based Assessment
ASRS, DP-4, BASC, CONNERS 4th, ASQ, MCHAT
Gold-standard diagnosing providers for most payors- There are 3
Licensed Clinical Psychologists, Neurologists, and Board Certified Developmental Pediatricians
The clinical interview
The documents given to Wellpoint Families after the Summary Meeting to have signed by the patient's referring provider
The Wellpoint Form and the Treatment Plan
The name Bright Beginnings is replacing
Post-Assessment Waitlist
What is the ideal candidate for diagnosing evaluations with our in-house clinical psychologists?
The patient must be between 18 months-6 years old, they CANNOT have a primary or secondary MDCD insurance, and the patient needs to be a good candidate for AUTISM FOCUSED testing
True or False. If a BCBA believes a patient is not a clinically appropriate fit for the center, they patient is automatically disqualified for services
False. The BCBA does not have final say. There must be a partnership with the Clinical Director and Are Clinical Director to determine patient eligibility.
One questionnaire filled out prior to the assessment
The CFLQ
The time needed for Medicaid to approve Initial Authorizations
3 weeks
This is the cadence of communication outlined for "True Waitlist" families
Once every 2 weeks