ATAP Insurance Assistance Plan FAQ
What is the Autism Treatment Assistance Program?
The Autism Treatment Assistance Program (ATAP) is a temporary assistance program for children diagnosed with Autism Spectrum Disorder to receive funding for evidenced-based services such as Applied Behavior Analysis (ABA), Physical Therapy (PT), Occupational Therapy (OT) and Speech Therapy (ST).
My child has ATAP and another funding source, why can’t ATAP cover all costs?
ATAP is the payer of last resort, and any other available funding such as Nevada Medicaid or health insurance benefits must be utilized prior to ATAP funding. ATAP will cover up to $700/month month with a maximum of $8400/annually.
I have chosen a provider that is not in-network with my child’s private insurance, what does this mean?
Your child will be on an out-of-network insurance assistance plan type, receiving up to $700/month. There is a 2 year maximum with ATAP on an out-of-network insurance assistance plan.
What if my child has a primary insurance with ABA coverage and Medicaid as secondary?
Your child must be with a provider that accepts their primary insurance and accepts Medicaid.
Why does ATAP need my Explanation of Benefits (EOBs) for my child’s services?
Your Developmental Specialist will request copies of the EOBs you receive from your insurance company for your child’s ABA therapy to ensure that the funding ATAP provides is applied to patient responsibility.
My child has ATAP and a current Medicaid MCO insurance, what does this mean?
Nevada Medicaid MCO insurance companies provide ABA funding as well as case management. Therefore, ATAP funding and case management is not needed. If your child is currently with a provider that is accessing your Medicaid MCO, then your Developmental Specialist will exit you from the ATAP program no later than December 1st, 2018.
How does my child get materials?
Your child’s provider will complete a Materials Request Form which is then submitted for review to your Developmental Specialist for appropriateness of materials. Materials are for programming purposes only and are to assist your child in reaching their programing goals. *Materials are granted based upon availability of funding.
How much does my child get for materials?
Each child is allowed a maximum of $500.00 throughout the lifetime of their ATAP programming. Developmental Specialists will track your child’s ongoing materials budget. Any materials purchased using your child’s materials funding are your child’s property.
Does ATAP provide funds for Translation services?
Yes, up to $500 per month to be utilized during provider monthly supervision and parent training.