Q: What is included in an evaluation?
A: Once you have scheduled an appointment, pediatric specialists will talk to you to recap your child’s past medical history and reason for coming. They will then evaluate your child’s skills, depending on the corresponding discipline, whether it is occupational therapy, physical therapy, or speech therapy. The evaluating therapist will be assessing your child’s skills through play, so they will have fun!
Through this they will then use their clinical observation skills, standardized assessments, and/or clinical reasoning skills to determine if your child qualifies for therapy. If they qualify, the therapist and front office will work on scheduling an ongoing appointment. Start date will depend on if insurance authorization is required, however it should not take longer than 1-2 weeks.
Q: What time should I arrive for my evaluation?
A: It is strongly recommended that you arrive 15 minutes prior to your appointment time. Therefore you will have ample time to discuss any further concerns with the therapist prior to evaluation along with fill out any extra paperwork.
Q: What should I bring to my evaluation?
A: It is important that you bring the following items to your evaluation.
- Patient Intake Form, introduction letter, and video release forms filled out and signed. (These documents were emailed to you prior to assist in completing at your convenience.)
- Referral (if prescription from doctor was given)
- Drivers License
- Insurance card
- And of course your child ☺
Q: How long will the evaluation be and do I get to go with my child?
A: An evaluation begins once you meet the evaluating therapist and typically take between 30-45 minutes. We spend about 10 minutes talking to you about your child, reviewing past medical history and any concerns you may have. Then, we will transition with your child, one-on- one, to the therapy room to assess their current skills and areas of need. At the end, we will review our observations and findings with you and come up with an appropriate plan of care along with procedures following to schedule an appointment.
Q: Do you take insurance?
A: Yes! We currently accept Aetna, Horizon BCBS, Cigna, United Health Care, Direct Access and NJ Direct, and Medicaid.
Q: How much will my evaluation cost?
A: Your insurance should cover your evaluation, however it is dependent on your particular plan. We will contact your insurance to see what is covered. If you do not have insurance, we will still work with you! (Out of pocket rates are normally $350, but Tiny Tots discounts the rate to $150.)
Q: What do I do if I know I’ll be late or miss an evaluation?
A: We understand that everyone has emergencies, however, if you know you are running late or will not be able to make your evaluation, please call the Tiny Tots Therapy office as soon as possible. Similar to your doctors’ appointments, we do have a 24 hours cancellation policy, in which there will be a $25 hour fee.
Q: Can I schedule an appointment without an evaluation?
A: No, in order to take the best plan of action and make appropriate goals for your child, a new, recent evaluation by one of our pediatric specialists is warranted.
Q: Where is Tiny Tots Therapy located and can I pick my date and time?
A: We currently have 3 outpatient clinics: Scotch Plains, East Brunswick, and Edison. Evaluation locations are determined by therapist location and availability, however we try our best to work with you and your availability and preference of nearest location. In the rare occasion that the evaluation is completed at a further location, it does not mean that you won’t get your first choice when it comes to scheduling treatments. You ultimately have the choice of which clinic you would like to bring your child to for treatments.
Q: Why did I receive a photo release form?
A: At times, we take pictures of groups or other activities for our website or just to hang on our wall for parents to see what is happening during group or therapy. The photo release form gives Tiny Tots permission to take pictures with your child in them. If you do not wish your child's picture to be taken, please do not sign the photo release form.
Q: Why do you ask for my social security number?
A: In order to check benefits, the insurance will sometimes ask for the guarantor's social security number to verify. Also when we send in any claims for services, the guarantor's (insured) social security number is required on the claim form in order to process the claim.
Q: Do you address sensory needs?
A: Yes, occupational therapists are skilled in observing sensory regulation. In addition, if you have sensory concerns, please let the front office aware so that you can fill out a Sensory Processing Measure. This is a standardized assessment that breaks down the senses based on parent report, yet has comparative norms to assist in further analysis.
Q: What if my child’s evaluation is denied by insurance?
A: Just because your child did not qualify for therapy services, as per your insurance company does not mean they could not benefit. Our therapists do their best to outline areas that will warrant medical necessity to justify coverage by your plan, but there are many benefit exceptions and your child may still not qualify. Our office can work with you to provide the therapy services that are recommended outside of your insurance plan coverage. Please ask any of our office staff about details.
Q: What if therapy services are not recommended by the therapist?
A: There are two reasons why your therapist would not recommend services. One is that your child does not need the particular therapy that you brought them in for. In other words, their area of concern is not in line with the clinician’s scope of practice. Your therapist will then assist in recommending the next step in care. Second is that they do not need the intervention of a skilled therapist to address their need. In which practice will do it.