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[quote=Anonymous][quote=Anonymous][quote=Anonymous]OP here. My private insurance already covers unlimited sessions of speech therapies for my 4 year old WITHOUT autism diagnosis. He has been doing 7 sessions/week for speech therapies through EI (public) & private for his speech delay (apraxia of speech).

The ADOS doctors say that the autism diagnosis is not solely based on his limited speech, but it is more about his social behaviors. He is self-centered, imitate people conservation without understanding the meaning, not aware of the other's people emotion/reaction etc., and he has been followed by different developmental pediatricians from children hospital since he was 15 months old suspicious of spectrum but cannot get the conclusion. It is just now that it is the first time he did the ADOS test from children hospital time (almost 18 months waiting list) that they give him an autism diagnosis.

I will continue to do speech therapies through ST, and they recommend ABA therapies & OT for his social communication behaviors. They recommend 25-30 hours/week of ABA therapies, is it too many hours or standard for 4 year old that is in private full time daycare? What ABB therapist do actually? As a social behavioral therapist to model correct behavior? And, they recommend me to pull him out from private full time daycare (even he is happy & learning at his own pace there), but put him in special need public preschool program (I bet autism diagnosis make him definitely eligible for the program)? I don't know about that. [/quote]

And, also I know that my private insurance covers unlimited OT therapies WITHOUT autism diagnosis as well, but just I don't have time to pull him out from daycare to take him to do it because of his some mild sensory behaviors. How can full-time working parents take their kids to do 25-30 hours of ABA therapies on top of other therapies? To me, it is impossible. And, I still have no ideas what ABA therapies are? Are they working like a shadow or something like that? I have not called the insurance because I am still waiting for the official ADOS report before I call the insurance to ask coverage. I wonder anyone has luck that insurance will pay for ABA therapist to come to daycare or home? Or I have to pay for their transportation.[/quote]

I wasn't working and we got offered that much ABA.  We couldn't find a provider to do it nor did we need it (give it to someone who needs it) but there is now way we could have used the hours between preschool, speech and OT.  I think kids with moderate or severe ASD would benefit from that much but not mild and you don't want to do it instead of OT/ST/PT.  We were told that the ABA therapist could join us on activities or going out to eat to work on behavioral issue (we had none so it made no sense to me but for someone else I could see it being helpful).  They come to the house.  Only one wanted us to come to them.  Ours came to our house.  I found OT useless except for later on for holding a pencil as I couldn't teach it for the life of me.  I think doctors and specialists just ask for the moon and its up to you and the provider to decide how much but few provides have that much time nor are willing.[/quote]

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