FAQ

An evaluation helps clarify strengths, challenges, and areas that may need support. It can provide a better understanding of what may be contributing to current concerns and offer recommendations for next steps. 

 An evaluation may be helpful when an individual is experiencing concerns related to learning, attention, behavior, emotional functioning, development, or daily functioning. It can also be useful when documentation is needed for school, work, or other support services. 

Evaluations can help explore a wide range of concerns, depending on the person and the referral question. These may include attention, learning, memory, processing, emotional functioning, social communication, behavior, and other areas related to daily life and performance. 

The length of an evaluation varies depending on the reason for the referral, the type of assessment needed, and the amount of information being gathered. Some evaluations are completed in a few hours (clarification of previous diagnosis for federal/state agencies) or several appointments on different days.

Evaluations may include information from interviews, records, questionnaires, rating scales, observations, and standardized tests. Comprehensive evaluations include Information from family members, teachers, providers, or other relevant sources as possible.

After the evaluation is completed, the findings are reviewed and interpreted. Results are typically shared in a feedback session, along with recommendations and next steps. A written report is provided to you within 3-4 weeks of the feedback appointment (unless arranged differently ahead of time.) 

Through the school-age years it is helpful to obtain re-evaluations every 3-4 years, which can assist with updated treatment recommendations for school, treatment or other services. Alternately, if concerns have changed or new information has emerged, a new evaluation can provide updated insight and more relevant recommendations. 

No, I am an out-of-network insurance provider. 

An out-of-network provider doesn't have a contract with your insurance company, so care is paid for directly rather than billed to your insurer. 

• No insurance-driven limitations — Evaluations aren't restricted by approved test batteries, session limits, or time constraints, so the assessment is driven by your child's needs alone.
• Specialized expertise — You can choose a provider with specific training or experience rather than being limited to who's available in-network.
• Health Privacy - out-of-network care  allows you to keep your health records private

Yes, it is your choice to seek out out of network benefits if you have them. If your plan includes out-of-network benefits, you may be eligible for reimbursement. I'm happy to provide a superbill — a detailed receipt with the necessary billing codes — that you can submit to your insurance company following your evaluation.

This is heavily dependent on the allowable rates of your insurance plan compared to the billed rate. You will need to call your insurance company and request that they provide you with information on allowable rates for each diagnostic code. Diagnostic codes  for testing typically used include 90791, 96136, 96137,  96130 and 96131. Diagostic codes for therapy can include 90834, 90846 or 90847. Your reimbursement will also depend on your deductible, copayment, and co-insurance amounts. 

Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) offered through your employer may apply towards medically necessary services, such as comprehensive evaluations and individual or group therapy.