March 16, 2022 Sample Letter of Medical Necessity for ABA Therapy
A letter of medical necessity is a document that is used to justify the need for certain treatments or services. It can be used to get insurance coverage for services like ABA therapy, or to prove to a school that a child needs special education services. In this article, we will discuss how to write a letter of medical necessity for ABA therapy to send to an insurance provider, and what to include in it. We will also provide a sample letter of medical necessity.
How do you write a letter of medical necessity for ABA therapy?There is no one-size-fits-all answer to this question, as the letter will be tailored to the specific needs of the individual. However, there are some general things that should be included in any letter of medical necessity for ABA therapy. Some key points include:
State the nature of the illnessThe letter should state that the individual has been diagnosed with autism spectrum disorder (or another condition that warrants ABA therapy).
Outline the treatment planThe letter should list the specific goals of ABA therapy that will be addressed, and how they will benefit the individual.
Duration of treatmentThe letter should state how long the treatment plan is expected to last.
Summary of letterThe letter should provide a brief overview of the main points that have been discussed. Some other key aspects for a letter of medical necessity include:
- The letter should be on letterhead from a licensed health care professional such as a doctor.
- The letter should include contact information for the doctor.
- The letter should have a professional tone.