Cost of ABA? | Autism PDD

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Well, I've finally decided on what type of therapy I want to do for Daniel. I'm wanting to do a ABA/RDI mix. I am lucky enough to have 2 people in my area (15 min) that are trained in both and regularly mix the two.

I've emailed both of them for quotes on how much it will cost as I'm in a state that doesn't help with ABA and doesn't require insurance to pay for it. One has emailed me back saying she charges per hour. So that would be 0 a week assuming we only do 10 hrs a week (since he is in school and gets therapies through it, I don't think he'd need more, especially if we can get them to implement an ABA/RDI model for him in the classroom). Quite honestly, we can't afford that yet. (We are still working on paper work for SSI. How much does a child usually get with SSI?)

So I was curious what others pay for their ABA or RDI services. I'm kinda curious if I'm to expect a higher quote from the other therapist.

Not to mention the woman that I contacted says she only works with ASD children in the morning. That she does do have another job, so this is more supplemental. Daniel has school in the morning. So I don't know if there would be any way we could make accommodations to have him start later and go into the afternoon. Or have afternoon classes rather than morning (which I know had been brought up this past school year). So much to think about. I really want to be trained in RDI, but I know the ABA will help him as well with at least gaining his speech.

We are doing VB/ABA therapy.  We actually have a team of people who work with our son.  According to the paperwork I have, the prices are as follows:

Lead Therapist:  5.00/hour

Program Supervisor:  .00/hour

Senior Therapist:  .00/hour 

Line Therapist:  .50/hour   

The prices are identical to the Lovaas ABA provider in our area.  Wisconsin has a waiver program.

WIMomOf239262.8061342593

Anthony gets 10 hrs of ABA per week in our home.  We pay for everything as insurance does not cover it. 

Psychologist who oversees program - 5/hr

Case Manager - /hr

Therapists - -/hr

We see the case manager twice a month -  sometimes less if we can't get all our schedules coordinated for a team meeting.  The psychologist crosses over on those meetings about 3-4 times per year but consults with the case manager more often. 

Bottom line - about 00/month (out of pocket).  I always say I could be paying a mortgage on a summer home for that money.  But, we've seen loads of progress and he enjoys it.  And, I really like the people doing the therapy.

 

Jessica - You have every right to grumble.  The situation in Wisconsin seriously ticks me off in oh so many ways!  I figured therapists weren't actually paid the amounts listed, but I didn't realize how much less it actually was. 

Edited to add:  One thing I am happy about is I have 2 BCBA working with my son.

WIMomOf239262.8463425926

The director sounds like a good guy.   We almost went with WEAP (I'll mention names), but it wouldn't have been the right fit for us.  I'm very happy with our choice to go with a new VB provider in our area.  The director is very impressive and we are already seeing results. 

BTW - I periodically write to my state reps requesting changes in the system.   Have you heard anything about what's happening with Doyle's proposal to require insurance companies to cover autism related expenses? 

I saw a little blurb the other day in the paper (Madison) that it was not expected to pass.  eta the waiting list for the waiver program here, is up to close to 2 years now. 2nd round mom39262.8619560185All of that makes my head throb. Our program has been having some problems on the county level, so I've been kind of out of it lately. Have you checked out the ASW forum on yahoo groups? There's been a lot of posting about that lately... The last I had heard is that they're not adding any additional waiver slots (ARGH!) and that the proposal had been shot down, but there's another one being brought about...


Jess

When we had a program in place, it was also paid for completely out of pocket.  I hired my consultant and therapists privately, so didn't have to pay additional "overhead" to a firm.  My consultant charged and hour (this included her drive time to and from the house....1 hour), and she met with my son once per week for 2 hours.  I had two therapists; one charged per hour, and my senior therapist was per hour.  On average, he received 12 hours of therapy per week.  Total cost was around 00 per month. 

It was hard financially to make it work, but we never went into debt over it.  However, I have zero regrets about the amount we spent.  We definitely got our money's worth.

Based off of what WIMomof2 said, here's the breakdown of what  therapists that work through the waver in WI actually get paid per hour:

Lead: 0
Senior: -26
Line: .50-8.75 (after 6mos training)


I think it's interesting how royally screwed we're getting in WI by being funded by the state. *grumble grumble grumble*


Good Luck!
Jess

I paid for BCBA Consultant that wrote all her programs and evaluated and added/subtracted programs 2x a month /hr

My therapists were in our home 30 hours a week..one was /hr with a masters degress and months away from getting her BCBA and the other was /hr in the middle of her thesis for her masters...we also did 2 hours of speech at /hr a week so it was extremely pricey!! I got most supplies on ebay, thrift stores, superduperpublications and dollar store:)

So, this is interesting.  I was looking at Craigslist and I looked up ABA under services in the search on the left and a few came up.  The most intriguing is a woman who is a spec ed teacher, masters in special ed, working on BCBA willing to work ABA during the summer and then during the year afternoons and evenings for -30 an hour. I am in a major metro area that charges A LOT more than that everywhere else, but I see the benefit to her. Gets all the money vs. a company, make own hours...

Anyway, just a thoought...

ABA can be sooooooooooooooooo expensive- but I feel it is worth it. My son (we live in Houston area) did an in home program in which the service coordinator charged 0 an hour, and she worked with him 4-6 hours a month, and the therapist he saw two days a week for 1-2 hour sessions charged an hour. All together we spent about 400-0 a month with the in home program.

We have since moved and have our son in a Mother's day out 2 days a week with NT children his age, speech therapy 1 hour a week, OT 1 hour a week and ABA at an ABA center for 4 hours a week. He stays so busy I can't imagine doing any more- but we spend an hour at the ABA center. So I guess we spend 0 or so a month now on ABA.

It has helped so much in his ability to respond to his name, concetrate on a task, follow directions, and improved his eye contact immensely. Give it a try if you can afford it!

Melody,

You're asking the right questions.  We have a consultant who is Master's level with a BCBA and basically oversees the program. (Updates the porgram book, trains the therapists, leads team meetings, etc.) She is very expensive (500 a month for 4 hours of direct service, unlimited email contact, 2 hours phone consulation, etc.) There was a one time 1500 fee to set up the program, assess him, train us and the therapists, etc. Our therapists get between 15-20/hour and our all bachelor level, some working on Master's degrees.

We have 4 therapist because we have more hours than you are planning and they are all in school or work with other kids as well.

One more thing I'd try to find out...When will she be writing/designing programs? It wouldn't be difficult for any therapist to spend 3-4 hours/week writing programs for  a child, so you might want to check out how much of his therapy time will be spent doing that.

As for school, that's something you're going to have to request to be in his IEP. Videotape sessions, if you can, you might \be able to use these to prove that he's making progress through ABA...but they could also be turned around to show that if they provide ABA it would be a duplication of services, and if that's true I'm not sure that they have to provide it (that might be a question to ask on the Edu forum.)
WiMomof2,


I know that the big Program based off of Lovas that rhymes with LEAP (not to mention any names), is one of the least paying programs out there. I really am fortunate enough to work for the highest paying program in the state-the owner of the program pockets very little (for families that are on the waiting list he allows them to pay therapists directly-he gets nothing from them by choice.)


It's all infuriating.
Does this mean I need more than the one therapist working with my son? I guess I haven't checked it out as much as I had thought, but like I said, I had been wanting to go with an ABA/RDI mix, which I didn't think a lot of programs are based from. 

It looks like the an hour is pretty much what everyone else is paying? (Not counting what your states are funding.) My state doesn't cover any ABA nor does it require the insurance to cover any of the cost. And my particular insurance has a particular clause that says they will cover all MEDICAL therapies. So only OT, ST, PT (and even ST has a provision that it won't be covered if the state covers it through school). As far as I am aware, Medicaid won't cover it. So my only real recourse to pay for it is get SSI benefits and hope it will cover the cost.

---

I know we definitely would qualify for SSI. But I'm not sure it will be able to pay for the cost.. So does that mean I'm also going to need to advocate even harder for Daniel's school to implement this type of therapy into his school routine? And that gets into even more questions, so I think I'll stop there...
Melody - I don't know that you'd need a team for your son.  That's just how the programs here are structured.  Our sessions typically run for 2 - 3 hours (he does get breaks in there). If you're planning on 10 hours a week, one therapist would probably work.  I do like the idea of an ABA/RDI mix.  Good luck! I would also video tape sessions if you can. It is good to see how much
progress that can be made with new therapies. You can closely watch much
of the therapies yourself and take notes. You want to learn the lingo
because you will probably implement a lot of it outside therapy to get the
maximum benefit. .00 is not bad if she can program effectively and
train you as well.
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