MPG is proud to offer two options for out-of-network Applied Behavior Analysis (ABA) Services:
Direct Treatment by a BCBA and Tiered treatment with a Behavior Interventionist (BI)
1. Direct Treatment by a BCBA: A Board Certified Behavior Analyst (BCBA) provides all ABA services: assessment, parent training as well as 1:1 therapy with the individual. In this model, all treatment is delivered by the most highly trained and experienced clinician
2. Tiered Treatment with a BI: In addition to direct treatment with a BCBA we have a tiered pricing option for private-pay ABA. We have always and will continue to provide therapy with a BCBA, and now we will also provide a tiered model with a highly qualified, Masters level Behavior Interventionist (BI) delivering the ABA services. A Behavior Interventionist is not an RBT or a Behavior Technician, they are more educated and experienced. These clinicians additionally receive ongoing training and supervision from MPG BCBAs and clinical supervisors. This model provides a higher quality service than ABA delivered via in network insurance without the higher out of pocket costs for BCBA-Only Model
All providers receive clinical supervision, professional development, and collaboration as part of our team.
FAQs
Do ABA services require a pre-authorization?
Yes. out of network ABA services require preauthorization on a 6 month cycle. MPG will determine if all documents meet pre-authorization requirements and will submit these directly to your insurance company
What is the pricing difference between the two models?
The BI model has a 60% lesser cost per hour for direct services. The fee is the same for the initial and ongoing assessments as well as the parent training and supervision.
Will insurance reimburse for ABA services delivered to individuals with diagnoses other than ASD?
Insurance companies will approve ABA services on a case by case basis depending on need. All pre-authorization requests require a comprehensive diagnostic evaluation that shows a need for this service.
Who provides the therapy?
Board Certified Behavior Analyst (BCBA) or a Behavior Interventionist with BCBA support. BCBAs and BIs are supervised, behaviorally-trained therapists that deliver ABA.
The BCBA provides the initial assessment, ongoing supervision and the parent training. In the tiered model, Behavior Interventionist (BI) provides the direct service. Our Senior Clinical Director can also be involved in the intake and assist families in determining if a BCBA or BI is the best fit for ongoing services.
What can you expect from ABA at MPG?
Natural Environment
- In-Home Services: Interventions delivered in familiar settings to promote comfort, engagement, and utility of skill building
- Community Integration: Opportunities for learning and socialization in community settings, such as parks, schools and local events.
- Everyday Routines: Focus on incorporating therapy into daily activities to enhance generalization of skills.
Trauma-Informed Approach
- Safety First: Prioritization of physical and emotional safety in all interactions and interventions. All providers receive training and support in assent based treatment.
- Cultural Sensitivity: Awareness and respect for each family's unique cultural background and experiences.
- Empowerment: Involvement of families and individuals in decision-making processes and goal-setting.
- Emotional Regulation Support: Strategies to help children manage emotions and reduce anxiety. MPG does not solely focus on observable behavior.
Play-Based Methodology
- Engaging Activities: Use of play to promote learning and skill acquisition in a fun, motivating way.
- Natural Learning Opportunities: Encouragement of spontaneous learning moments and natural reinforcement opportunities.
- Social Skills Development: Focus on building relationships and social interactions through cooperative play.
- Flexibility and Adaptation: Adjustments to play activities based on the child's interests and developmental level.
Overall Expectations
- Collaboration: Regular communication and collaboration with families, schools and related service providers to ensure consistency and support.
- Individualized Plans: Customized interventions tailored to each child's unique needs and strengths.
- Progress Monitoring: Ongoing assessment and feedback regarding progress. High responsibility to changing needs.
- Flexibility and Adaptation: Adjustments to play activities based on the child's interests and developmental level.
- Professional Support: Access to trained and compassionate professionals who are dedicated to each individual’s growth. The MPG team is here to provide highly intensive support.
