REFERRAL RESOURCE

ABA REFERRAL INFORMATION & CHECKLIST

Use this checklist to help provide the information needed to begin the intake process. Requirements may vary by payer.

Referral Information

To help us begin the intake process efficiently, providers may submit the information below using the approved referral method. Requirements may vary by payer.

What Happens After Referral

Six-Step Process

1

Contact / Referral

The provider or family contacts The Dailey Institute and our team begins the intake process.

2

Complete the Client Intake Package

The family provides the information and documentation needed for intake.

3

Verification of Benefits & Initial Assessment Authorization

We verify benefits and request initial assessment authorization when required by the payer.

4

Initial Assessment & Treatment Plan

A qualified clinician completes the assessment and develops an individualized treatment plan.

5

Treatment Authorization

The treatment plan is submitted for treatment authorization when required.

6

Begin 1-on-1 ABA Services

After required approvals and staffing are in place, individualized services begin.

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