GEORGIA AUTISM CENTER SERVICES

Georgia Autism Center provides assessment, diagnosis, coordination of care, educational planning or assistance with the development of IEPs, and support for families of children with special needs. They work closely with early intervention programs; public and private school sectors; developmental pediatricians; pediatric neurologists; pediatric psychologists and psychiatrists; genetics; ABA agencies; and various speech and language pathologists, occupational therapists, and physical therapists so that their clients have complete and coordinated care. They also have developed relationships with other professionals in the community who can assist with financial planning such as developing special needs trusts as well as assisting with obtaining financial supports through state funding, including the Katie Beckett Deeming Waiver, New Options Waiver (NOW), and  Comprehensive Supports Waiver Program (COMP).

SERVICES WE PROVIDE

  • Neurocognitive/developmental and educational evaluations

  • Katie Beckett Medicaid Deeming Waiver evaluations

  • The New Options Waiver (NOW) and the Comprehensive Supports Waiver Program (COMP) evaluations

  • Private consultation and coordination of care

  • School consultation and educational advocacy

  • Family support and advocacy

  • Referrals to various relevant treatment providers

SERVICES & FEES

Georgia Autism Center proudly accepts the following insurance: Aetna, BCBS, Beacon (Out-Of-Network, CareSource, Cigna, Humana, Medicaid, Optum (Out-Of-Network), Peachstate, United Healthcare, and Value Options (Out-Of-Network).

 

Our office can NEVER guarantee coverage for any service provided because insurance companies will not guarantee benefits until they receive the claim for services. It is important that you educate yourself about your individual insurance benefits. If you are unsure of your coverage benefits, call the customer service number on your insurance card. Check with your insurance carrier prior to your first visit to obtain information about your benefits as co-payments are often required.

 

If we do not currently work with your insurance carrier, we will be happy to provide you with an insurance claim form that will allow you to submit a claim. For those individuals whose carriers we do not currently work with, full payment is expected at time of service. We understand that insurance can be confusing and are happy to assist you in any way we can.

 

Additionally, we also work on a sliding fee basis, if needed. Please call our office for more information.

POSSIBLE OUT-OF-POCKET EXPENSES

We understand that this is a difficult time for you and your family; therefore, we would like to provide you with a snapshot of our pricing structure for services not covered by insurance or when you choose not to use your insurance. We strive to keep our prices within reason while continuing to provide outstanding service. Here is what you can anticipate if you determine it best for your family not to use insurance or if a portion of your requested assessment is not covered by insurance.

  • Payment for assessments/testing is expected at the time of each assessment/testing appointment. We collect payment as services are rendered.

  • Charges are based on developmental level, age, and focus of assessment.

  • All assessments include the following:

  1. An intake session with parents/guardians (approximately 1 hour)

  2. All testing sessions necessary

  3. A feedback session with parents/guardians to review written results, discuss recommendations, and provide specific resources. (approximately 1 hour).

 

A few items to note:

  • Insurance companies do not cover assessments solely looking at a specific learning disorder (i.e., dyslexia), as they deem these services “educational” rather than “medical,” even if the provider is in-network. Insurance companies only pay for services that are considered “medically necessary.” The expectation is that a school psychologist within your local school district would be able to complete such an educational assessment without using a family’s insurance.

  • Your insurance company will tell you, “A quote for benefits does not guarantee payment.” This means that you can be told over the phone that something is covered and be given an authorization number. However, there are instances when this is not actually the case.

  • You should also be aware that some insurance companies have a preapproval process in which the staff of an insurance company grants permission for each and every individual test that we believe we need to complete a comprehensive assessment, prior to actually starting the testing sessions. We tailor our assessments to your child and the referral questions, so we frequently change our test battery after we start working with, and getting to know, your child rather than administering the same tests to each client. This individualized approach does not fit with the insurance preapproval process, as the expectation is that the test battery will be consistent with what we initially asked for.

  • There are times with the preapproval process when an insurance company does not approve neurodevelopmental and/or psychoeducational assessments. In those instances, you have the option to pay out of pocket if you desire in order to move forward with the assessment process for your child.

 

The following are a list of possible out of pocket costs for assessments. Please keep in mind that this pricing is an estimate and may be different (more or less), based on your child’s needs.

 

NEURODEVELOPMENTAL ASSESSMENT FOR AUTISM SPECTRUM DISORDER (ASD) OR GLOBAL DEVELOPMENTAL DELAY

  • Assessments typically include comprehensive intelligence testing, assessment of adaptive/daily living skills, social emotional functioning to include specific ASD measures (i.e., ADOS-2), evaluation of expressive and receptive language skills, screening of motor skills, screening of academic/pre-academic skills (when appropriate), and play observation (when appropriate).

  • Comprehensive written report, including diagnosis and recommendations

 

Ages 3 years and younger - Intake-$175, Evaluation- $875, Feedback- $175 = Total of $1,225

 

Ages 4 years and older - Intake-$175, Evaluation- $1,575, Feedback- $175 = Total of $1,925

 

ADHD ASSESSMENT

  • Comprehensive intelligence testing- includes working memory and processing speed

  • Brief achievement testing

  • Computerized continuous performance test

  • Measures of executive functioning

  • Behavior rating scales

  • Comprehensive written report, including diagnosis and recommendations

    • Assessment- $1,750

    • Feedback- $175 = Total of 2,100

 

COMPLETE PSYCHOEDUCATIONAL ASSESSMENT

  • Comprehensive intelligence testing, including working memory and processing speed

  • Comprehensive achievement testing in reading, mathematics, and writing (timed and untimed)

  • Subject specific measures (e.g., reading fluency, reading comprehension, written language)

  • Measures of visual-motor integration

  • Measures of auditory processing

  • Measures of phonological processing

  • Measures of expressive and receptive vocabulary

  • Measures of verbal and nonverbal memory, including recognition and free recall

  • Emotional and behavioral rating scales completed by parent, teacher, and child (if appropriate)

  • Comprehensive report (typically 15-25 pages), including diagnosis and recommendations

    • Assessment- $2625

    • Feedback- $175= Total of 2975

 

KATIE BECKETT DEEMING WAVER and NOW/COMP WAIVERS

As limited information is often needed, we are frequently able to complete these evaluations quickly and at a reduced rate.

  • Measure of Intelligence

  • Measure of adaptive functioning

  • Autism Spectrum Disorder rating scale (if your child has a previous ASD diagnosis)

  • Comprehensive report, including recommendations

    • Total cost of $600 (additional $175 if a feedback session is requested)

 

 

COSTS FOR ASSESSMENTS AND SERVICES NOT COVERED BY INSURANCE

 

DYSLEXIA TESTING- $875 (in addition to any other co-pays or deductible payments for assessment measures processed through insurance)

  • Measures of phonological processing

  • Measures of oral reading

  • Measures of silent reading

  • Measures of basic reading, reading comprehension, and reading fluency

 

DYSGRAPHIA TESTING- $350 (in addition to any other co-pays or deductible payments for assessment measures processed through insurance)

  • Measures of overall written language

  • Measures of vocabulary, spelling, punctuation, logical sentences, and sentence combining skills

  • Measures of spontaneous writing, including story composition

 

CONSULTATIONS (DEPENDING ON DISTANCE FROM CLINIC)

  • Our clinicians are available to meet with you to discuss behavioral, learning, and developmental issues. We are happy to attend meetings at your child’s school or complete observations in your child’s classroom. Charges for these services are $300 per hour.

 

Thank you for considering Georgia Autism Center. We look forward to working with you and your family.

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© Georgia Autism Center

Georgia Autism Center

4046 Wetherburn Way, Ste. 1, Peachtree Corners, GA 30092

P: 770-696-4384  F: 770-864-1922 info@georgiaautismcenter.com

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