Getting Started With PBS

Who is eligible for our services? PBS Corp serves children and adults with behavioral challenges. Typically, we support individuals who require assistance in

  • developing or enhancing language skills to more effectively communicate their needs and functional skills (e.g., daily living, self-regulation) that will lead to greater independence
  • diminishing problem behaviors such as noncompliance, aggression, self-injury, elopement, and property destruction that limit their ability to develop skills and participate fully in integrated settings.

We accept a variety of funding sources including: Medwaiver : Medicaid (State-Wide), and Medwaiver (areas 2, 7, 9, 10, 11, 12, 15, and 23), United Healthcare, Aetna, Blue Cross Blue Shield, Cigna, Tri-Care, Humana, CMS and more. We also have private pay options for individuals who do not meet criteria for insurance or other funding sources.

Please note: Currently Medicaid and private insurance companies only recognize behavioral therapy as medical treatment for the diagnosis of Autism Spectrum Disorders (i.e., PDD-NOS, Asperger’s and Autistic Disorder). Individuals must be between the ages of 2-21 years of age, or maintain and active IEP and diagnosed by a medical doctor. If an individual does not have a diagnosis of ASD or falls outside these guidelines then he or she is not eligible for these services through these funding sources.

How do we get started? The first step in working with PBS Corp is to contact us to complete the on-line request for services form. In order to check benefits and obtain authorization, we will need to collect basic demographic information for the parent/caregiver and individual who will receive the services. In addition, you will have the opportunity to upload pictures of your insurance card (front and back) and any diagnostic reports related to ASD that will verify the diagnosis. This confidential information is maintained on a highly secure server owned and managed directly by Team PBS. Our website is secured by 256-bit encryption and our company and domain has been validated by a trusted third party.

Our clinical team will then work to evaluate the referral and obtain an authorization for services based on the individual’s current benefits. Our team will respond within two business days of being contacted to provide a status update.

Questions? - Live Chat about Eligibility by clicking chat on any staff member that has Available Status
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