"Improving Lives" "by helping make today and tomorrow better for you and your family."

Client Intake Form

Client Intake Form

Filling out this form is the first step in ACW intake process. It allows us to collect all necessary information to determine your timeline, whether we can staff your team right away or placement on the waiting will be necessary, and whether we can accommodate your expectations. Your availability and location are the main factors that we are reviewing at this stage. We also ask for you to input your current contact information, your child’s insurance details and any special considerations that are pertinent to your child’s therapy.

Benefits Verification

Benefits Verification

We use the information provided on the intake form to conduct eligibility and benefits verification. Autism Care West is a Participating Provider with Anthem Blue Cross Blue Shield, Aetna, Tricare, UHC, Nevada Preferred Healthcare Providers & Prominence Health Plan insurance carriers. We are unable to accept Medicaid funding in any capacity. ACW also accepts ATAP funding for the Insurance Assistance plan.At this time we are unable to accept Medicaid funding in any capacity.

Parent Interview

Parent Interview

Once the first two steps are completed, we invite you to come to our office to meet with one of our supervisory team members to discuss our ABA program, we want to ensure that all of your questions are answered and you understand the demands and requirements of the program before the commitment to commence the therapy is made.
Authorization Process, Assessment and Program Introduction
Following the interview, our intake team works to obtain assessment authorization. Once the assessment is completed, the team submits the treatment plan in order to obtain therapy authorization.

Forms of Payment

Forms of Payment

We are unable to accept Medicaid funding in any capacity. We are in-network with Anthem Blue Cross Blue Shield, Aetna, Tricare, UHC, Nevada Preferred Healthcare Providers & Prominence Health Plan insurance carriers.