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Frequently Asked Questions

The questions we hear most from families and referring providers. Don’t see yours? Reach out and we’ll get you a real answer from a real person.

Getting Started

How do I know if my child needs ABA?

If your family is navigating challenging behaviors, communication delays, social skill gaps, daily living struggles, or safety concerns, ABA is worth a conversation. You don’t need a formal diagnosis to reach out. We’ll talk it through with you and let you know whether we’re a good fit.

Do we need a diagnosis to start?

Not to start with us. Through private pay, we can begin caregiver coaching and behavior support before a diagnostic evaluation is complete. Once a diagnosis is confirmed, we transition you to insurance-based services without restarting the clock.

What do we need if we're going through insurance?

Insurance coverage for ABA requires a current autism spectrum disorder (ASD) diagnosis, documented in a full diagnostic report that includes standardized assessments and is completed by a qualified provider (pediatrician, psychologist, neurologist, or developmental specialist). Please bring that full written report when you reach out. If you don’t have one yet, we can still begin through private pay and transition you onto insurance once the evaluation is complete, so you don’t lose time waiting.

What does the intake process look like?

It starts with a phone consultation, where we get to know your family, answer your questions, and make sure we’re a good fit. From there, we verify your insurance benefits (or walk through private-pay options) and submit for assessment authorization. Once that’s approved, a BCBA conducts the assessment over a few telehealth sessions and builds an individualized treatment plan, which we review with you before anything is finalized. When the plan is authorized, services begin.

Is an assessment required?

Yes. Every plan starts with a BCBA-led assessment. It’s how we understand your learner’s strengths and needs, set meaningful goals, and build a plan that fits your family. Insurance also requires a completed assessment before services can be authorized.

What is the assessment process like?

The assessment is BCBA-led and happens over 2 to 4 telehealth sessions, typically 1 to 2 hours each. It combines a caregiver interview (so we understand your priorities, routines, and what’s working or not), direct observation of your learner in their natural environment, and standardized assessment tools chosen based on age and needs. These may include the Vineland-3, QABF, SP-2, FAST, AFLS, PSI-4, or BASC-3. The BCBA uses the results to identify strengths, map out skill gaps, clarify any behaviors of concern, and build a fully individualized treatment plan with measurable goals. We review the plan with you before anything is finalized, and your priorities drive what we focus on first.

How quickly can we start?

The longest part of intake is usually insurance authorization, which is outside our control. Most families begin services within 4 to 6 weeks, and we have no formal waitlist at this time.

How Sessions Work

Are all services really telehealth?

Yes. Every session happens via secure HIPAA-compliant video. We don’t do in-person sessions. That’s by design. Telehealth is what allows us to serve families across all of Texas, including rural and underserved areas.

What types of sessions are there?

Two: Parent + Child sessions, where the BCBA, parent, and child work together live with in-vivo coaching; and Parent-Only sessions, where you and the BCBA discuss goals, progress, and learning opportunities. Both are required.

How many hours per week?

All clients receive a minimum of 2 hours of therapy per week. From there, hours scale to your learner’s needs, what the treatment plan calls for, and your family’s availability for sessions. We don’t default to 30+ hour clinic models. Our approach is built for sustainability.

Who actually delivers the therapy?

Every family works directly with a Board Certified Behavior Analyst (BCBA), not a technician carrying out the plan. The BCBA leading your care both designs your plan and delivers your sessions.

What do I need to join a telehealth session?

Just a few simple things: a strong internet connection, a device with a camera and microphone (a computer, tablet, or smartphone), and a private, quiet space for your session. We’ll help you get set up before your first session.

Services We Offer

Do you offer social skills groups?

Not as formal group classes yet, though running social skills groups over telehealth is on our roadmap. Because our model centers on coaching you, social skills come through your caregiver education goals. We teach you to support skills like starting conversations, reading cues, and connecting with peers, then help you practice them in real life at home, at school, and in the community.

Do you offer in-home ABA services?

We’re telehealth-only by design, so no clinician comes into your home physically. That said, sessions still happen inside your home environment (your living room, your kitchen, your learner’s actual routines). The caregiver is the in-person coach, and the BCBA guides live through secure video. This is what lets us serve families across all of Texas, including rural and underserved areas.

Do you offer counseling or mental health therapy?

Not yet. ABA and mental health counseling are different specialties, and for now our focus is ABA. Adding counseling services is on our roadmap, and we’re hoping to bring them on with the right clinicians and structure. In the meantime, if your family needs counseling (talk therapy, mental health support, parent or family counseling), we’re glad to refer you to trusted providers. Many families benefit from ABA and counseling running in parallel.

What about school consultation or IEP support?

Yes. We can join school meetings and IEP or ARD conferences via telehealth when your team invites us. We’re also glad to share assessment summaries, treatment plans, and progress data (with your signed release) so your school team has everything they need to support your learner. Many caregivers find that applying ABA strategies at home translates into stronger advocacy at school.

Caregivers & Family Involvement

Is caregiver participation required?

Yes. The science is clear: skills generalize best when caregivers are actively involved in your learner’s real life. Your learner spends a few hours a week with us. They spend the rest with you. Active caregiver participation is the multiplier, and it’s central to how our model works.

What if both caregivers work full-time?

Telehealth gives flexibility, but at least one consistent caregiver needs to be available for sessions. That can be a parent, grandparent, or another regular adult in the learner’s life. Talk with us about scheduling. We’ll work with what’s realistic.

Do I need experience with ABA to participate?

No. Most caregivers start with zero ABA background. Our job is to teach you, in plain language, in real time, in your real routines.

Insurance & Cost

What insurance do you accept?

We are working to be in-network with major Texas commercial plans and Texas Medicaid. We verify your specific benefits during intake before any commitment, so you know exactly what to expect financially. If your plan is not yet in-network, we can discuss private-pay options.

What if we don't have insurance, or it doesn't cover ABA?

We offer private-pay options for families without insurance, those whose plans exclude ABA, and those still awaiting a diagnosis. Rates are shared upfront during intake so there are no surprises. Because our model is telehealth-only with a caregiver alongside, many families find private pay more sustainable than traditional clinic-based ABA. We’ll walk through the options with you so you can choose what fits your family.

Do you handle the insurance paperwork?

Yes. Verification, pre-authorization, and ongoing claims are handled on our end. You shouldn’t need to fight with your insurance company. That’s our job.

Coordination & Other Providers

Can my child receive ABA alongside speech, OT, or psychiatry?

Absolutely. Most of our families have other providers in the mix. We coordinate, share progress notes (with ROI in place), and align on shared goals. We don’t compete with the rest of your team.

Will you communicate with our school or pediatrician?

Yes, with appropriate signed authorizations. We can share progress summaries, attend IEP/504 meetings, and provide functional behavior data when it helps the larger team.

How do I refer a family to your practice?

We’re getting ready to welcome referrals from pediatricians, therapists, schools, and other providers. Once we’re open, you’ll find a referral button right at the top of our site to get started.

Eligibility & Geography

Do you serve families outside of Texas?

Not currently. Patients must be physically located in Texas during sessions. Texas is where Lone Star ABA was born, and we’re focused here for now, though expansion to other states is part of our long-term vision.

What ages do you serve?

From early intervention through school-age, adolescence, and into adulthood. We have experience supporting learners at every stage and tailor goals and pacing to the individual. There really are no age limits to ABA. Insurance coverage typically has cutoffs, but the science of learning and behavior applies to anyone.

Is there a learner you don't serve?

Telehealth ABA isn’t the right fit for every situation. If your learner requires intensive 30+ hour clinic-based care, in-person crisis support, or if caregivers can’t participate, we’ll be upfront and help redirect you to a better-fit provider.

Still Have Questions?

Send it our way. We answer every inquiry personally, usually within one business day.

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