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Anyone get home ABA via insurance

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Mmm777
LIF Infant

Member since 2/13

329 total posts

Name:

Anyone get home ABA via insurance

Feeling out of it

we decided to take advantage of obamacare and enroll our son in one of the state insurance paying money with after tax dollars . We are also paying money for insurance through hubbys work but they don't cover ABA but it costs us the same money for 1 or 2 kids so we decided to continue with that as well.

After a very long wait , at last have a provider to come for ABA at home ( essentially 5 months wasted as the purpose of the insurance was primarily for ABA )
It seems as its insurance paid they don't work on classroom or educational skills , rather it is life skills and language skills they work on..
the person who came in today did not seem to have a lot of experience , came in with a file folder, no toys or anything else with her , and was monitoring the child
It was just a very weird experience for me l

Did anyone here get ABA at home ? Is this what's being done ?

Posted 5/23/17 9:32 PM
 

alexb
LIF Adult

Member since 5/13

960 total posts

Name:

Anyone get home ABA via insurance

Just wanted to comment on the toy part, our therapist doesn't bring any toys as well and said the first month was to predominately get to know one another.

Posted 5/23/17 10:58 PM
 

iluvmynutty
Mom to E&M

Member since 12/08

1762 total posts

Name:
D

Re: Anyone get home ABA via insurance

Speak to the ABA provider about skill sets you would like your DC to acquire (dressing, hand washing, toileting, toothbrushing, increasing play repertoire/skills, remaining seated at meal times, cleaning up, putting away laundry, improving language:requesting, using declarative language...). They should be breaking down these skills and teaching them systematically. Also you can put them in touch with the school providers so that they can discuss what works/what doesn't work, what the school has been addressing and how etc...

make sure they are working with your DC to acquire skills in areas that will help you in the home/community setting. They should be using what you have in the home to make sure your DC can generalize the skills in the home when the providers are not there.

Posted 5/24/17 6:40 AM
 

TwinMommyToBoys
LIF Adult

Member since 12/16

2346 total posts

Name:

Anyone get home ABA via insurance

I'm assuming you have hired a BCBA since you are going through insurance?
If today was the first visit, I usually observe and meet with the families my first visit. I have bags and bags of stuff and there's no way for me to drag it all in and I typically then sort out what I will be using. ABA isn't educational based entirely. Applied behavior analysis relies on its principals to effectively change behavior, shape skills such as ADL/ life skills and teach them various tools to use in every day life. You will not find a person working on classroom skills, especially because you are at home... you cannot teach someone classroom skills what being in that setting. I am a BCBA, feel free to fm me if you have questions

Message edited 5/24/2017 8:53:50 AM.

Posted 5/24/17 8:53 AM
 

jamnmore
LIF Adult

Member since 6/16

989 total posts

Name:

Anyone get home ABA via insurance

We get ABA at home. 4 days a week it is just the technician who works with him. One day a week the therapist comes as well to over see what is going on and to also talk to my hubby and me. The technician works with him on life skills, play skills and coping skills. You need to provoke behaviors to modify them. So she does. There has been an improvement in his behavior since we started this in December. She will also go out into the community with us - shopping, eating, activities, etc. She brings folders with her as well that is for note taking and it also contains the prompts that she uses with him. The first month or so was just developing trust, getting to know each other and also seeing the behaviors to figure out how to treat them. They also are willing to talk to the school so that we can all be on the same page as to what works with my son.

Our technician is now like a member of the family. He looks forward to her coming even though some days are good and some days are bad.

Posted 5/24/17 9:58 AM
 

lightblue
LIF Adult

Member since 1/17

2249 total posts

Name:

Re: Anyone get home ABA via insurance

I find it odd that she came with no toys whatsoever but I believe the first few sessions are "pairing" with the child so they get used to them. We have an ABA therapist through insurance that comes 1x a week. My son is severe so they do work on some basic skills. A supervising BCBA comes once every few weeks or so.

Posted 5/24/17 4:09 PM
 

Mmm777
LIF Infant

Member since 2/13

329 total posts

Name:

Anyone get home ABA via insurance

Yes it's just a technician person I guess . She is only 25 and doesn't give me a straight answer regarding her experience , but we will see..
My son is non verbal and also has tons of behaviours

Posted 5/25/17 8:38 PM
 

TwinMommyToBoys
LIF Adult

Member since 12/16

2346 total posts

Name:

Re: Anyone get home ABA via insurance

Posted by Mmm777

Yes it's just a technician person I guess . She is only 25 and doesn't give me a straight answer regarding her experience , but we will see..
My son is non verbal and also has tons of behaviours



So are you using an agency to provide the technician? That makes more sense if you were hiring a BCBA on your own and using your insurance she/ he would have to be an independent BCBA. An RBT (technician) is one who has a minimum of a HS diploma and completes the 40 hour training course, takes the exam and has ongoing supervision by a BCBA. Where I work i run an RBT training and wrote the curriculum for the course. We are required to hit certain basic principals and they are required to meet with me for ongoing supervision. We do this so the direct care staff can have more experience dealing with behavioral concerns, however, you will not get the same as someone with a BCBA, we do not train and on indepth systems of measurement, motivating operations, etc. if you are looking for someone with a lot of experience, a technician that is 25 isn't likely to be your candidate. Could be wrong, we have many many good RBTs but as an RBT has no where near the skill set of a BCBA

Posted 5/25/17 9:58 PM
 

babyfever24
LIF Adult

Member since 1/11

3340 total posts

Name:

Re: Anyone get home ABA via insurance

Unfortunately going through insurance you aren't going to get experienced teachers. They are technicians and the programming is done by a BCBA who oversees the case. A lot of my parents have to go through multiple techs until they find the right one. Good luck!

Posted 5/25/17 10:30 PM
 

Mmm777
LIF Infant

Member since 2/13

329 total posts

Name:

Anyone get home ABA via insurance

Yes it's via insurance . This is my first experice with an home aba service. It is an agency that provides ABA at home .
Unfortunately the insurance has no out of network benefits and hubby's does not cover ABA at all.
She said she took a course for one month , provided by the agency itself and explained that she has baby sitting experience , God..
She said it's great that he is very friendly , I said its a great risk as he does not discern strangers and proper behaviour to them....
Sorry I don't want to rant ...

But
She was asking a lot of personal questions that I did not want to go to... Not about our son but like why I moved from one place to another 3 years ago and how long am I living here and how I came into the country and wow.. Just felt very invaded .. I don't think I would ask these questions to anyone I met on the first day..
I am not sure about this at all though I really want to do what's best for my son..

Message edited 5/26/2017 10:39:21 AM.

Posted 5/26/17 10:31 AM
 

jamnmore
LIF Adult

Member since 6/16

989 total posts

Name:

Re: Anyone get home ABA via insurance

Posted by Mmm777

Yes it's via insurance . This is my first experice with an home aba service. It is an agency that provides ABA at home .
Unfortunately the insurance has no out of network benefits and hubby's does not cover ABA at all.
She said she took a course for one month , provided by the agency itself and explained that she has baby sitting experience , God..
She said it's great that he is very friendly , I said its a great risk as he does not discern strangers and proper behaviour to them....
Sorry I don't want to rant ...

But
She was asking a lot of personal questions that I did not want to go to... Not about our son but like why I moved from one place to another 3 years ago and how long am I living here and how I came into the country and wow.. Just felt very invaded .. I don't think I would ask these questions to anyone I met on the first day..
I am not sure about this at all though I really want to do what's best for my son..



She just may not be a good fit for your family. Not everyone clicks on the first try. As for the comment about being friendly, one of the things they should work on is this issue. A technician needs to know what to work on for things to be effective. I can not tell you how many times I have watched her go head to head with my son over what seems like the smallest issue in the world. I would cave under normal circumstances. But they do not. They will keep firm ground. And by watching them I have learned how to do the same. I still falter sometimes, but I work hard everyday at doing the same things they do.

Posted 5/26/17 11:07 AM
 
 

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