Questions and Answers

What is Autism?
Autism is a bio-neurological developmental disability that generally appears before the age of 3. Autism impacts the brain’s normal development in social interaction, communication skills, and cognitive function. Individuals with Autism typically have difficulties in verbal and non-verbal communication, social interactions, and leisure or play activities. Autism is diagnosed four times more often in boys than in girls. Its prevalence is not affected by race, region, or socioeconomic status. Since Autism was first diagnosed in the US, the incidence has climbed to an alarming one in 54 children in the US Currently; there is no cure for Autism. However, with early intervention and treatment, the diverse symptoms related to Autism can be significantly improved and, in some cases, completely overcome.
What is ABA?
Applied Behavior Analysis (ABA) is a therapy based on the science of learning and behavior, how behavior is affected by the environment, learning occurs, and behavior works. ABA therapy applies our knowledge of how behavior works in real situations. The intention is to increase behaviors that are beneficial and decrease behaviors that are dangerous or affects learning. ABA therapy programs may help reduce problem behaviors and promote language and communication skills. Furthermore, enhance attention, focus, social skills, memory, and academics. The techniques of behavior analysis have been used and studied for decades. They have helped many participants achieve different skills, and specialists have used ABA to assist children with Autism and related developmental disorders since the 1960s.
Where will services be delivered
Our services are primarily in the home; however, we provide services in the community, school, and services are offered year-round.
What about Assessments?

Assessments are ongoing. In addition to 1:1 session, Children’s Milestone provides client advocacy, IEP goal development consulting, consultation, and integration of goals from other professionals (i.e., OT, PT, SLP), family training, and social skill groups as part of the wrap-around scope of service for complete client care.

How many hours of ABA therapy does your child Need?
Children’s Milestone cannot predetermine the number of hours your child may require from an ABA program. After the initial assessment, the BCBA or BCaBA will recommend how many hours are appropriate to meet the child’s specific needs.
What is a Board-Certified Behavior Analyst (BCBA)?

The Board-Certified Behavior Analyst® (BCBA®) is a graduate-level certification in behavior analysis. Professionals certified at the BCBA level are independent practitioners who provide behavior-analytic services.

BCBAs may supervise the work of Board Certified Assistant Behavior Analysts® (BCaBAs®), Registered Behavior Technicians® (RBTs®), and other professionals who implement behavior-analytic interventions.

What is a Registered Behavior Therapist (RBT)?
The Registered Behavior TechnicianTM (RBT®) is a paraprofessional certification in behavior analysis. RBTs help delivers behavior analysis services, and practices under the direction and close supervision of an RBT Supervisor and an RBT Requirements Coordinator responsible for all work RBTs perform.
How do I pay for services?
Children’s Milestone requires participants to have health insurance. Financial obligations depend on your specific insurance. We participate in-network with some carriers and out of network with others. Please give us a call to discuss payment methods, if any, based on your specific needs.
For Maryland Medicaid Recipients: Who is a qualified health care professional (QHCP)?

Following are the qualified health care professionals (QHCP) that are approved under Maryland

Medicaid ABA benefit to complete a Comprehensive Diagnostic Evaluation (CDE) if they have the requisite training and experience to diagnose ASD.

  • Developmental Pediatricians
  • Pediatric Neurologists
  • Child Psychiatrists
  • Clinical Psychologists
  • Nurse Practitioners
  • Neuropsychologists
  • Pediatricians
For Maryland Medicaid Recipients: What is a Comprehensive Diagnostic Evaluation (CDE)?

A Comprehensive Diagnostic Evaluation (CDE) is a full psychological report. The components Maryland Medicaid looks for in a comprehensive diagnostic evaluation (CDE): Parent/Caregiver Interview, Direct Observation/Interaction (Identification of primary features of autism spectrum disorder), Developmental/Psychosocial history, Documentation of current functioning across significant development domains (skill deficits), Statement identifying diagnosis of Autism Spectrum Disorder, Signature by QHCP physical or electronic.

For Maryland Medicaid Recipients: Do I need a referral?
Yes, you will need an ABA Referral completed by an above listed Qualified Health Care Professional dated within the past six months.
For Maryland Medicaid Recipients: Why do I need an updated Clinical Confirmation of Continued Autism Spectrum Disorder Diagnosis every three years?
It is a requirement by the Maryland Medicaid. To continue services, the Maryland Medicaid requires the participant to provide a Clinical Confirmation of Continued Autism Spectrum Disorder Diagnosis Check List. The form confirms whether the participants continue to meet the criteria for an Autism Spectrum Disorder and require ABA services. This checklist should be used when it has been three years or more since the date of the patient’s most recent Comprehensive Diagnostic Evaluation. Children’s Milestone will provide the form and a friendly reminder when the time comes.