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March 16, 2022 by Ben Schorr 0 Comments

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 illness

The letter should state that the individual has been diagnosed with autism spectrum disorder (or another condition that warrants ABA therapy).

Outline the treatment plan

The letter should list the specific goals of ABA therapy that will be addressed, and how they will benefit the individual.

Duration of treatment

The letter should state how long the treatment plan is expected to last.

Summary of letter

The 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.

Sample letter of medical necessity for ABA therapy

Here is an example letter of medical necessity for ABA therapy:

To whom it may concern:

I am writing this letter on behalf of my patient, (Patient Name), to document the necessity of ABA therapy treatment. This letter offers information about their medical history, diagnosis, and an explanation for the necessity of treatment.

(Patient Name) has been diagnosed with ASD and currently exhibits symptoms that warrant ABA therapy. The most appropriate treatment here will be operant conditioning and positive reinforcement, which will help to program desired actions.

The rationale behind this treatment is that it’s totally safe. It is simply a positive reinforcement approach. It is just a method of rewarding patients for acting in a manner that is natural to them.

The patient will be left to engage in desirable behavior or else reinforcement incentives will be withheld unless there is a behavioral shift. This is about giving rewards or praise as the need arises.

The treatment plan will last for a total of 36 weeks, and will be supervised by myself or one of my associates. This will be repeated as necessary.

In summary, ABA therapy is a necessary and safe treatment for (Patient Name) that will address their specific needs. I urge you to approve this request and provide the coverage needed for ABA therapy. Please contact me if you have any questions.

Thank you for your time and consideration.


(your doctor’s name)

How Hidden Talents can help you

At Hidden Talents, we believe that ABA is the key to helping children on the autism spectrum succeed. Combined with the expert care and guidance of our trained BCBAs, your child can achieve more than you thought possible.

We currently offer ABA therapy services in Houston and Atlanta.

Reach out to us to learn more about how we can help.

February 4, 2021 by Judah Gutwein 0 Comments

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Scott Rustulka

Scott, a native of Canada, joined the Hidden Talents team at the onset of 2021, moving his family of 6 from San Diego to the great state of Georgia. He began his journey in behavior analytics in 2001 at a time when autism programs had very little oversight by credentialled clinicians. The onset of that journey was wrought with disappointment in a system that seemed to do very little lasting good for the long-term growth of the individuals within that system.

Over the years, Scott determined to ensure that dignity and respect was afforded to the children he had the privilege of working, while devoting a lot of energy into understanding how the development of a child is the key focus to treatment and not reactive behavior modification. Truly listening to the child and the family and finding ways to make behavior change fun and engaging continues to be his passion. Over the last 20 years, Scott still relishes every opportunity to visit families and have the honor of being a part of their lives.

Maureen O'Brien

Maureen joined the Hidden Talents ABA Team in 2020 and has over 15+ years’ of Office Management and Administrative experience. Maureen is that friendly voice that will most likely greet you when you call into the office with a positive attitude and ready to assist with the screening and the ABA authorization process. Maureen said “the best part of my job is working with a phenomenal team and helping as many families as possible.

Olivia Steele

Olivia’s goal is to act as the bridge between our Registered Behavior Therapists and the families that they serve. She has always gravitated towards opportunities that harbor a personal client connection, with a mission statement to always help others.Olivia is passionate about fitness and wellness, spending the last decade as a part time fitness instructor. She most enjoys yoga and Pilates, disciplines that have both physical and meditative benefits. In her free time, she likes crafting and is an amateur woodworker. She is also a big animal lover; she owns a cat and 13 tarantulas.

Arye Hartal

Arye is a Licenced Behavior Analyst and a former airline pilot. His areas of interest include verbal behavior (VBT) and Acceptance and Commitment Therapy (ACT). Improving the quality of life for children with Autism Spectrum Disorder and their families is of great importance to him. Over the course of his career, he has become highly qualified in implementing many ABA techniques including PRT, FCT, ESDM, DTT and NET.

Arye has experience working in the school, community, and home-based settings. His patience, compassion, and knowledge of ABA contributes greatly to the success of the children that he works with. His interests outside of work include volunteering for I Can Bike (teaching kids with disabilities how to ride a bicycle), traveling, spending time with friends and family, playing hockey, and reading.

Joanna Young

Joanna is a graduate of Ball State University and became a licensed, board-certified behavior analyst (BCBA) in 2016. She has worked in this field since 2014 in a variety of settings ranging from in-center, in-home, and currently telehealth. Joanna was introduced to the world of behavior analysis as an undergraduate trying to fulfill her degree requirements, which landed her an internship working as an in-home behavior technician. She quickly realized how effective early intervention ABA therapy was and enjoyed seeing her clients gain new skills as they became more independent.

Joanna particularly loves working with children under 3, especially now that she has her own 6-month-old daughter! She is passionate about ensuring ABA strategies and techniques translate well into the home setting and parents feel empowered to help shape their child's life. Joanna joined the Hidden Talents team in March 2021 as a clinical supervisor and works remotely from Houston, TX.

Elissa Watson

Elissa is a Board Certified Behavior Analyst from Greenville, South Carolina. She has a Masters in Science for Psychology with an emphasis in Applied Behavior Analysis and has been working in the field of ABA for 9 years. She has had experience as both an RBT and BCBA in the home, clinical, community, school and telehealth-based environments with a wide range of clients and ages. Elissa, as a part of the Hidden Talents team has broadened her experience to make ABA more accessible to all. When not working, Elissa enjoys spending time with her husband and pets, traveling, and playing music.

Matthew Grennell

Matthew received his Masters of Science in Applied Behavior Analysis in May of 2009 from Florida Institute of Technology. Over the course of his career, Matthew has worked in Florida, Texas and New York, serving both children and adults in both in-home as well as clinic-based settings. The majority of Matthew’s work in Applied Behavior Analysis has been in the in-home setting. Matthew has also consulted with schools and worked as part of multi-disciplinary teams as well as concurrently teaching certification courses for Florida Institute of Technology’s Applied Behavior Analysis program for four years.

Through teaching Matthew was able to not only ensure quality of services provided by himself but also work to ensure that high quality of services could be provided by other Behavior Analysts and service providers. Matthew is very familiar and experienced in working with families to ensure that behavioral progress for every child is maintained in the home through extensive involvement of parents in the process. Matthew has worked primarily with parents and families in all three states he has worked in and has experience with collaborating successfully with all professionals involved in a child’s care.

Matthew believes strongly that a child’s success is best achieved through building skills that maximize success in all areas of their life as a comprehensive approach. Matthew believes that, through this approach, not only does the child benefit directly from improvements in their skill level but the family benefits as well.

Sharifah Christie

Born in Kingston, Jamaica, Sharifah moved to America when she was 8 years old. She knew from a young age that she wanted to have a career focused on helping children. In college for her undergraduate program, she studied Speech Pathology at the University of West Georgia. In the later part of the program, she was exposed to the principles of Applied Behavior Analysis and decided to make a switch, eventually graduating with a masters in ABA with an emphasis in Autism at Ball State University. Her fascination with the field deepened as she continued to work as a Behavioral Therapist for over two years.

Desiring to develop in other roles and responsibilities within this field, Sharifah is now managing the administrative aspects of the clinical hiring and training at Hidden Talents and enjoying every moment of it! Sharifah has always said that the most favorite part about her career so far has been the privilege of seeing the progress the kiddos have made overtime and making a difference in their lives while creating a fun learning experience for each of them.

Kimberly Culbreth

Kimberly is a Board Certified Behavior Analyst from South Carolina with more than 10+ years in the ABA field. Kimberly completed her undergrad at Clemson University, and she graduated from Capella University with a Masters of Science in Psychology with an emphasis in Applied Behavior Analysis in 2018. Kimberly is very passionate about working with children with disabilities and helping them succeed. She consistently goes above and beyond for all of her clients.

Kimberly has experience working with children in the home, clinic, community, and telehealth-based settings. She recently started at Hidden Talents to help broaden her experiences with working with children with disabilities. Outside of work Kimberly enjoys spending time with her 3-year-old daughter, traveling, and cooking.

Bisirat Haile

Bisirat Haile is a passionate Board-Certified Behavior Analyst serving her community for over 10 years. Bisirat Has a 10-year track record of working collaboratively with families and RBTs to create lasting change for children with ASD. Bisirat is a telehealth BCBA for Hidden talents. Listening to the priorities of families and earning their trust is extremely important to Bisirat. Bisirat joined the Hidden Talents team as the company shares her commitment to learning and listening to families to provide them support. Bisirat is excited to potentially work with you and provide you support.

Lindsay Campbell

Lindsay Campbell is a Board Certified Behavior Analyst and Advanced Certified Autism Specialist. She is a future clinical neuropsychologist who is passionate in diagnosing, assessment and creating individualized treatment plans to address each child’s area of need. Lindsay has worked in a variety of settings including forensic, school, home, hospital, and telehealth settings. Lindsay received her dual bachelor’s degrees in Psychology and Criminal Justice from California State University, and her Master of Science in Applied Behavior Analysis from National University. After receiving her BCBA, Lindsay went back to complete her Doctorate in Clinical Neuropsychology from California Southern University and will be graduating in 2021 with the highest honors.

Her ultimate goal is to bridge the gap between diagnostic evaluation and treatment with ABA to allow timely access to ABA services. Lindsay believes the most important letters after her name are 'MOM' as she is the mother of an atypical child. She brings a professional and personal perspective to teaching and raising a child with atypical learning skills to build relationships and further support parents. Integrating ABA techniques and evidence-based practices, she believes we can make significant changes to increase skills of children and their family.