Frequently Asked Questions
Please visit our location page for the most up-to-date list of our office locations.
An autism assessment tool such as the ADOS is often administered by a clinical psychologist or a developmental pediatrician. Visit our referral source page to learn more.
At this time we do not offer services for adults, but we hope to in the future.
All children and adolescents with an autism diagnosis can benefit from individualized, developmental intervention, as well as all parents and caregivers who:
• believe in a respectful model who will meet their child where they are
• embrace the power of play
• understand and respect the importance that being an available part of the team plays in helping their child benefit from our services.
For many years, traditional Applied Behavior Analysis (ABA) therapy has been the only treatment option covered by insurance for children with autism. Treating challenging behaviors alone neglects the overall development of the child. The developmental model treats the whole child, spurring meaningful social emotional growth. Now that this choice is covered by most insurers, many parents are exploring it. Please see the section below for more information on the differences.
Your child might be eligible to receive speech therapy, occupational therapy, and mental health services through their school. Most of those services will be received in a group of students. Our services are more effective because they are provided one-on-one with your child, as well as including coaching, education, and support for you. The greater intensity of services will lead to a stronger outcome for your child.
After completing your intake documents, your first appointment will be a Parent/Caregiver Interview. Our clinician will get to know you, understand your aspirations for your child, and learn more about your child’s developmental history. The second visit will be in person with your child. The goal of this play-based session is to develop trust and a connection with your child. Our therapists are trained to learn a great deal about your child’s development by watching you play with them.
You are a crucial component of your child’s developmental therapy, which can sound overwhelming. But at Positive Development, we support and empower parents and caregivers so you can further support your children.
Our coaching and education services help you understand the “why” behind how your child or teen behaves so that you no longer feel confused, frustrated, or locked out. You can build a stronger connection with them and help them at home with therapy goals via everyday interactions in fun, simple ways. When both parents and our team are helping our clients progress, it happens much faster and leads to what we call “generalization,” where your child isn’t just exhibiting a certain action or behavior for their coach during sessions, but they can also do it at meal time, bath time, and out in the community.
Treatment plans and goals will be continually updated as we work with your child. You will meet once per quarter with your team to review progress toward those goals. Every six months, we assess your child’s progress by re-scoring the assessment tools used at intake.
Our clients receive at least six hours of therapy per week during a combination of center and home-based visits. Typically, families come to our centers one to two times each week.
A small number of insurers will allow children/teens with other diagnoses to access our services. Our care coordinator can help you learn more.
We offer a hybrid model of telehealth with both center and in-home visits. Most speech and occupational therapy appointments will occur in our centers. Parent training and coaching are often delivered via telehealth. Our developmental client coaches typically conduct their sessions in your home.
Yes, it is common for our clients to have multiple diagnoses.
In most instances, insurance companies require that your child or teen has an autism diagnosis prior to having an evaluation with Positive Development. Your Care Coordinator can help you determine if your insurance company requires it.
We do not require a referral for our services, but some insurance policies require them. Your Care Coordinator can help you determine if this is true for your insurance plan.
Developmental relationship-based intervention (DRBI) is an evidence-based, parent-mediated approach to autism care where caregivers use warm, meaningful interactions that build on a child’s strengths and interests to support the child’s development in communicating, emotional regulation, learning, and problem solving.
The naturalistic interventions of DRBI have substantial evidence and have been shown to be as or more effective than other autism intervention approaches. In addition, DRBI meets the needs of advocacy groups such as the Autistic Self Advocacy Network (ASAN) by focusing on function and embracing neurodiversity.
After you complete your intake form, you will be assigned a care coordinator who will reach out, answer questions about Positive Development, and help with insurance verification and coordinating assessments and sessions.
It is absolutely useful for diagnoses beyond autism. But while all children benefit from aspects of DRBI, currently most insurance companies will only authorize coverage for our services for children or adolescents with an autism diagnosis.
In 2020, the American Psychological Association’s Psychological Bulletin recognized developmental and naturalistic developmental behavioral interventions (NDBI) in its highest tier of efficacy and supported research among autism treatments.
There is a growing body of evidence with multiple academic research papers that cover key components of DRBI such as relationship-based and parent-mediated interventions, as well as whole program research and meta-analyses (examination of past studies to look at overall trends). Here is a representative selection that demonstrates the depth and breadth of this research:
1. Three independent reviews by the California Health Benefits Review Program (CHBRP) at the University of California Berkeley (2018, 2019, 2021) conducted to advise the California Legislature found DRBI to be evidence based for treating children with autism.
2. DRBI and NDBI have a moderate effect size on social communication in children with autism, while ABA research is inadequate to calculate an effect size. Sandbank 2020. This research won a 2021 award from the International Society for Autism Research (INSAR).
3. Gerald Mahoney (with F. Perales) demonstrated that relationship-focused interventions are effective for children with autism in several papers, including Using Relationship-Focused Intervention to Enhance the Social-Emotional Functioning of Young Children with Autism Spectrum Disorders (2003), Relationship-Focused Early Intervention With Children With Pervasive Developmental Disorders and Other Disabilities: A Comparative Study (2005), and Relationship-Focused Intervention (RFI): Enhancing the Role of Parents in Children’s Developmental Intervention (2009).
4. Parent-mediated communication-focused treatment in children with autism (PacT): a randomized controlled trial, and Parent-mediated social communication therapy for young children with autism (PACT): long-term follow-up of a randomized controlled trials. Pickles, Green, et al, 2010, 2016.
5. DRBI reduces ADOS scores dramatically in children with autism. Solomon (PLAY Project), 2014. 6. DRBI helps social communication in children with autism. Casenhiser (MEHRIT), 2011, 2014. 7. DRBI parent coaching improves parent responsiveness in children with autism. Siller (FPI), 2013, 2014. 8. DRBIs help a range of functional goals in children with autism (meta-analysis). Binns, 2019. 9. Developmental and Parent Implemented Interventions yield statistically significant outcomes. Steinbrenner, 2020.
A mental health clinician using DRBI focuses on the emotional development of your child. Processing emotions can be challenging for some children, which can result in challenging behaviors. Helping a child learn to process and regulate themselves when emotional is very important for children of all ages.
Developmental therapy isn’t different from these therapies. Rather, think of developmental therapy as the approach taken by all three disciplines when treating your child.
The short explanation is that Traditional ABA focuses on specific behaviors, while DRBI focuses on the whole person.
Traditional Applied Behavioral Analysis (ABA), which has historically been the primary therapy offered for people on the autism spectrum, teaches skills to gain desired behaviors through reinforcement. Traditional ABA focuses on observable behaviors and aims to help patients meet predetermined developmental goals vs. individualistic goals.
Developmental Relationship-Based Intervention (DRBI) looks beyond specific (and often stereotyped) behaviors like aggression, rigidity, and withdrawal to understand and address the neurodevelopmental challenges beneath the surface. These challenges may include motor planning, emotional self-regulation, sensory sensitivity, learning disabilities, and speech delays.
Positive Development is not responsible for or involved in any claims processing determinations made by your plan. It is always best for our clients to reach out directly to their respective plan in order to address any claim payment determinations or concerns. Your claim payment contact information may be found on the back of your member ID card.
In an effort to avoid any potential gaps in coverage, please notify your assigned Client Care Coordinator at Positive Development as soon as possible with any known plan changes, additional coverage, new ID cards, etc.
“Prior Authorization” is a service review/approval process which may be required by your plan prior to treatment. It is used to determine if a specific treatment or service can be approved for coverage under a member’s plan, based upon the member’s eligibility and benefit details. Prior Authorization does not guarantee payment by your plan. All final payment determinations are made by your plan at the time your claims are processed.
As part of the Positive Development insurance verification process, we will verify if prior authorization is needed before starting services. We will also notify our clients and follow the plan’s applicable requirements to obtain the necessary authorization prior to starting services.
As a courtesy, Positive Development will contact your insurance plan to verify your eligibility and benefit details, such as any applicable copays, deductibles, and other cost share information. We strongly encourage our clients to also contact your plan directly in order to better understand all specifics relating to potential out-of-pocket costs.
Positive Development works with most major insurance carriers in an effort to provide as much access to our services as possible. Coverage is dependent on individual benefit packages. Please contact your insurance company to obtain specific coverage details regarding your plan.
In Southern California
- Aetna
- Anthem Blue Cross of California
- Blue Shield of California
- Magellan
- Optum / United Healthcare
- Westside Regional Center
Our services are not covered by Medicaid or Tricare at this time.
- Aetna
- Anthem Blue Cross of California
- Blue Shield of California
- Magellan
- Optum / United Healthcare
Our services are not covered by Medicaid or Tricare at this time.
- Aetna
- Anthem Blue Cross of California
- Blue Shield of California
- Eastern Los Angeles Regional Center (ELARC)
- Frank D. Lanterman Regional Center (FDLRC)
- Magellan
- Optum / United Healthcare
- San Gabriel Pomona Regional Center (SGPRC)
- Westside Regional Center
Our services are not covered by Medicaid or Tricare at this time.
- Aetna
- Anthem Blue Cross of California
- Blue Shield of California
- Magellan
- Optum / United Healthcare
Our services are not covered by Medicaid or Tricare at this time.
- Aetna
- Anthem Blue Cross of California
- Blue Shield of California
- Magellan
- Optum / United Healthcare
- Frank D. Lanterman Regional Center
- Tri-Counties Regional Center (TCRC)
- Westside Regional Center
Our services are not covered by Medicaid or Tricare at this time.
- Aetna
- Anthem Blue Cross of California
- Blue Shield of California
- Magellan
- Optum / United Healthcare
- San Diego Regional Center
Our services are not covered by Medicaid or Tricare at this time.
In Florida
- Aetna
- Florida Blue
- Optum / United Healthcare
- Step Up for Students Scholarship
Our services are not covered by Medicaid or Tricare at this time.
In Illinois
Bucktown
- Medicaid / All Kids
- Blue Cross Blue Shield of Illinois
- Centene Ambetter Exchange
- Centene Meridian
- County Care
- Early Intervention
- Medicaid / All Kids
- Blue Cross Blue Shield of Illinois
- Centene Ambetter Exchange
- Centene Meridian
- County Care
- Early Intervention
- Youthcare
Hyde Park
- Medicaid / All Kids
- Blue Cross Blue Shield of Illinois
- Centene Ambetter Exchange
- Centene Meridian
- County Care
- Early Intervention
- Youthcare
- Medicaid / All Kids
- Blue Cross Blue Shield of Illinois
- Centene Ambetter Exchange
- Centene Meridian
- County Care
- Early Intervention
- Youthcare
In New Jersey
- Aetna
- Fidelis Care
- Horizon NJ Health
- Medicaid
- Optum / United Healthcare
- Wellpoint
- Aetna
- Fidelis Care
- Horizon NJ Health
- Medicaid
- Optum / United Healthcare
- Wellpoint
- Aetna
- Fidelis Care
- Horizon NJ Health
- Medicaid
- Optum / United Healthcare
- Wellpoint
- Aetna
- Fidelis Care
- Horizon NJ Health
- Medicaid
- Optum / United Healthcare
- Wellpoint
- Aetna
- Fidelis Care
- Horizon NJ Health
- Medicaid
- Optum / United Healthcare
- Wellpoint
In Maryland
- Care First
Our services are not covered by Medicaid or Tricare at this time.
In Virginia
- Care First
Our services are not covered by Medicaid at this time.
In District of Columbia
- Care First
Our services are not covered by Medicaid at this time.
Unfortunately, New Jersey and Illinois Medicaid will only cover developmental therapeutic services for those 21 or younger. Here are a few resources that might be more relevant to your needs.
Positive Development works with most major insurance carriers in an effort to provide as much access to our services as possible. Prior to beginning treatment, all clients should contact the Member Services Department of your insurance provider to verify the network participation status of the Positive Development location you’ll be using. Some plans may have greater out-of-pocket expenses and/or specific approval requirements that are based upon the provider’s network participation status. You may contact your Member Services Department via the method provided on the back of your member ID card.
At this time, we have Medicaid coverage in Illinois and New Jersey. We are working diligently to expand that coverage to remaining states.
