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Does my child need therapy?
Every child develops at different rates. However, research shows that the earlier a disorder or delay is diagnosed and treated, the better (and possibly quicker) the outcome. If you have specific questions, feel free to call our office to talk directly to a therapist.
How do I get my child started with therapy?
If you think your child needs therapy, give us a call! We will gather some basic demographic information, ask for a little information on your main concerns, and get you scheduled for an evaluation if appropriate. Most insurance companies require a physician prescription for occupational and speech therapy services, so we ask that you would then call your child's pediatrician and request a referral be sent to FUNctional Kids Pediatric Therapy. Once we receive the referral, we will send you the rest of our intake paperwork via our online portal prior to the appointment. If you have any questions about the referral process, please contact our office.
What do I need for the evaluation?
Prior to the evaluation you'll receive some questionnaires to fill out that will help us determine your child's strengths and challenges. You'll also be asked to upload a picture of your insurance card to our online portal. On evaluation day we ask that you be available to answer therapist questions with minimal distractions.
Where will my child be seen?
We are passionate about providing services in the child's natural environment, which is why we come to your home or your child's daycare/preschool. We are able to provide services in a clinic setting upon request.
How long will my child be in therapy?
Each child has different challenges and severity can vary greatly. Because of this, there is no standard treatment duration. At the initial evaluation, your therapist will decide the frequency (sessions per week) and duration (in months) for your child’s therapy. If you are billing insurance for therapy sessions, treatment duration may depend upon each insurance’s authorization periods. At the end of these authorization periods, a re-evaluation or progress update may be required for insurance to approve more visits.
Do you accept my insurance?
We currently are accepting Sanford Health Plans, Avera Health Plans, Dakotacare, SD Medicaid, and Wellmark/BCBS, Cigna, Tricare, and UnitedHealth Care Commercial Plans. We are in the process with additional insurance companies and will continue to update our list.
You don't accept my insurance, what are my options? Will insurance pay for my therapy?
FUNctional Kids will work with you and your insurance plan to provide services on an out of network basis. or out of network clients, the client is responsible for payment in full at the time of service. FUNctional Kids will then provide you with a Super Bill which is a formal receipt of therapy services which includes all necessary information for you to seek reimbursement from your insurance carrier. FUNctional Kids offers affordable rates for those having to pay out of pocket.If we are not contracted with your insurance company, we can help you look into your out-of-network benefits or self-pay options.
Do you accept other methods of payment?
We accept HSA, FSA, credit & debit cards, cash, or checks. We offer a "prompt pay" discount for individuals who choose to self-pay and pay the same day of the service provided. We offer a sliding scale for our services based on financial need upon request.
What is your payment policy?
Patients are responsible for all costs not covered by insurance. In the event that a third-party payer source determines that rendered therapy services are “not covered” or otherwise denied, patient will be responsible for all outstanding charges. If fees are not paid in full, treatment sessions may be postponed or cancelled until payment is received. Payments (including session fees and/or co-pays, if applicable) are due at the time of service.
What happens if I miss/cancel a therapy appointment?
Consistent attendance is necessary for growth and progress. Your child’s appointment is reserved specifically for him/her, and much planning goes into each session. If frequent no-shows and cancellations are made, your child may be removed from the schedule to allow another child an opportunity to receive therapy. You will be provided with our attendance policy prior to starting services with us.
What if my child receives services at school?
Great! Just because a child receives therapy at school, that does not mean that he/she cannot receive additional therapy outside of the school setting. In fact, it may be beneficial for the patient to receive both. Think about it: more therapy = more practice = quicker progress.
In addition, the private practice setting has unique benefits that a school setting may not be able to offer. This includes:
One-on-one therapy is provided. This means that the child receives undivided attention from the therapist leading to more practice and repetition.
Children are typically able to be evaluated and treated immediately, pending insurance approval.
During school therapy sessions, your child may miss important academic class time. At our clinic, appointments can be scheduled before or after school, ensuring that no class is missed.
Feedback and progress from the sessions are provided from the therapist immediately after.
Children with all levels of severities (mild to profound) and diagnoses can be seen.
Therapy can be justified based on any need seen in the child, not just an academic concern.
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