To begin the enrollment process parents need to have and submit:
1. Use the billing verification form to call your insurance company and ask questions about coverage of ABA therapy for Autism. It is very important, as it is your responsibility, to understand what your insurance will cover and not cover.
2. Written Order (attached). This form is an IBHS requirement that should be filled out by your child’s diagnosing physician, or any of the approved individuals listed. they would need to fill in areas of need and sign.
3. GBS will need your child’s most recent psychological evaluation with an autism diagnosis stated. ABA services are only approved for an autism diagnosis. The evaluation also needs to be clear on how the evaluator assessed the child to determine the diagnosis.
4. You will also need to submit your child’s insurance card, front and back, as well as provide address, and child’s date of birth.
When you have all materials prepared, you can either mail them to our secure PO Box (checked weekly) or you may drop off the packet at one of our centers in a sealed envelope
GBS C/O Dr. GarnerPO BOX 5082 South Williamsport, PA 17702
or you may call 570-435-8180 to schedule a drop off
Once these materials are received, we submit to your insurance for initial authorization approval. This can take a few weeks to receive back. When insurance approves this initial auth, GBS staff schedule the intake with you, and conduct initial assessment for treatment plan development.
When the treatment plan is finished, we submit back to insurance with recommended hours for services, and again need to wait for insurance approval. Upon approval, we can begin services!
This process can take a few weeks to over a month, depending on your insurance.
Please remember, GBS does not accept Medicaid or Medical Assistance. Parents are responsible for copays and deductibles.
GBS will work with parents on daily co-pays and high deductibles (payment plans)
Funding assistance may be available (not guaranteed) through various sources, such as your local IU, social service agencies, grants, or as related service via IEP for different available services as determined by the team and demonstrated by data over an extended period of time. Discuss with your educational / therapeutic team and case manager. This is not a quick process, if your child is making progress in their current setting, please maintain them where they are. Collect data, be involved, and open discussions with your team.
The Savvy Parent ABA Services Questionnaire is for parents seeking ABA services who want to interview various agencies about their services offered, staff, etc. Please feel free to download and use to compare agencies to secure the best services for your child.
GBS Billing Verification Form: download this form to interview your insurance carrier to determine if your insurance covers ABA for your child. Most commercial medical insurance will cover ABA for children with an autism diagnosis in PA under Act 64.