350 Acceptance Way

Clermont, FL 34711

info@southlakeautism.com

  Office: 352.223.1999  

Fax: 352.600.3119

Servicing Lake and Orange Counties

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Curious why it takes a while?


            Here are some points in understanding how the insurance approval process generally works

 Although the length of time for approval may vary,

it generally takes 10-20 business days

for in network insurance approvals


In network:

  • we call insurance and verify ABA benefits
  • we request an assessment authorization and provide diagnostic information*
  • we complete the assessment and provide the findings to the insurance company
  • we request an authorization for treatment
  • we begin treatment

Below is a list of Insurance plans we currently accept!

If your insurance company is not listed below, email us through the Contact Us page. We will be happy to work with your insurance company to get services for you.

​Medicaid Recipients: (Updated 07/31/2018)


We have been receiving an abundance of phone calls from Medicaid Recipient Families to the point we can no longer return phone calls in a timely manner. If you are a Medicaid Recipient with a question or wish to be put on our waiting list, please email us at info@southlakeautism.com


eQHealth Solutions is now managing Behavior Analysis Services 

for Medicaid. The authorization process is taking 4 to 6 weeks minimum for authorizations for services to be processed by eQHealth.  

*Beginning February 1st, 2017 all children with Medicaid eligibility must obtain prior approval from EQHealth for ABA Therapy (Behavior Analysis Services).

In Network:                 Out of Network:

 

Aetna 

FL BCBS                                         BCBS

Cigna

CMS

Florida Hospital

Medicaid

New Horizons

Orlando Behavioral Health

Pedicare

Tricare

United

United Behavioral Health

Value Options

ClaimsDOC

UMR

Florida Medicaid Comprehensive Diagnostic

Evaluation (CDE): Please click on the link below to access Medicaid's CDE ​bulletin.


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Out of network:

  • we call insurance and verify ABA benefits
  • we apply for a case agreement for treatment
  • we request an assessment authorization and provide diagnostic information
  • we complete the assessment and provide the findings to the insurance company
  • we request an authorization for treatment
  • we begin treatment