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Autism Spectrum Disorder (ASD)
Autism spectrum disorder (ASD) is a neurodevelopmental disorder that affects communication and behavior. According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), people with ASD have:
- Difficulty with communication and interaction with other people
- Restricted interests and repetitive behaviors
- Symptoms that hurt the person's ability to function properly in school, work, and other areas of life.
https://www.nimh.nih.gov/health/topics/autism-spectrum-disorders-asd/index.shtml
Here are some of the red flags I have encountered during the autism evaluation:
For younger children: - If your child who is over 15 months old, he or she does not respond to his or her name when you called several times nor return to your smile or funny gestures/facial expressions, - Your child shows speech delay, or he/she is nonverbal or lost speech when he/she turned to 18 months or two years old. - Your child does not make eye contact and appears disengaged from what is going on around him/her and prefers to engage in self-directed play. Not making eye contact alone cannot be a red flag for autism, given that children with trauma history or social anxiety have difficulty making eye contact. - Your child engages in echolalia, scripting, or stereotyped, repetitive body movements such as flapping hands or throws tantrums when his routines are changed and insist on returning to the previous routine.
For older children: - Your child has no friends, has difficulty making connections with peers, tends to be literal, and struggles to pick up social cues. - Your child's speech may sound formal or pedantic, and he/she may have detailed information about specific topics of his/her interest but has difficulty engaging in every day back and forth conversation. - For more detailed info: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Autism-Spectrum-Disorder-Fact-Sheet#3082_2
Fees and Insurance Coverage
In-Network Insurance Companies:
AmeriHealth
BCBS
Highmark Blueshield
Independence Blue Cross(IBX)
Keystone Health Plan East
Magellan
Medicare
Out of Network
**If there is a copay, it needs to be paid before starting the session. Your fees would change depending on the coinsurance or deductible requirement.
Out of Network:
Prospective clients should check with their insurance provider about out-of-network benefits, current deductible status, and possible referral requirements for an evaluation. Superbills also support submission to HSA accounts for reimbursement. Cornerstone does not submit billing paperwork directly to insurance or benefits companies on behalf of clients. When the evaluation process is completed, I can provide a special billing receipt (superbill) that includes information required for a family to submit a claim for reimbursement to their insurance company. Partial reimbursement of the evaluation or therapy costs may be possible.
Self-Pay: If you choose not to use your insurance or do not have insurance, you may self-pay for your service.
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