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Please use this Q&A to assist in answering any questions you may have about Tiny Tots Therapy Services and information about your evaluations and treatments.

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Tiny Tots Therapy




I. Evaluation

II. Treatment

III. Parent Involvement

in Therapy

IV. Payment

V. Discharge

I. Evaluation:

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.

II. Appointments

Q: How frequent are treatments?
A: Treatment frequency is determined based on your child’s individualized medical necessity and is determined by the therapist. Options include but are not limited to 1x/wk, 2x/wk, biweekly, and monthly consults.

Q: Will my visits be covered?
A: Dependent on each person’s individual plan, however we do our best to justify insurance coverage. In the event, your visits are not covered, you are still welcome to bring your child to therapy at a discounted rate. Please see the office.

Q: How long is each appointment?
A: Each appointment is 30 minutes long, in a direct one-on- one session with a therapist. There are no breaks.

Q: Will I have the same therapist every time?
A: Continuity of care is very important to us here at Tiny Tots. Once you have a treating therapist, we try to keep it consistent for the relationship and the ability to see progress happening. If you need or wish to switch because of times or location, that is okay to do and the therapist will work together to make this transition as easy as possible.

Q: What will happen in each treatment?
A: Each treatment session, your therapist implements activities to assist your child in meeting their goals. And the best part is that it is disguised through play, however functional and skill oriented. It looks like play and is completely functional towards your child’s goals so that they enjoy learning.

Q: What do I do if I know I’ll be late or miss my appointment?
A: We understand that everyone has emergencies, however, if you know you are running late or will not be able to make your time, please call the Tiny Tots Therapy office as soon as possible. (908) 380-7715 Similar to your doctors’ appointments, we do have a 24 hours cancellation policy, in which there will be a $25 cancellation fee.

Q: When are your available hours?
A: Available hours are dependent upon which clinic and therapist availability. For further information please call and the office will be able to give you the most schedule opening and recent information. As for our office hours, they are 8am- 7pm.

Q: What should I be doing at home?
A: The therapist treating your child will assist you in creating a home exercise program to fit your child’s needs. Carryover to home is very important, as that is how you will see the best results of treatment.

Q: Can you communicate with my child’s teacher?
A: Yes! We encourage open communication between disciplines and different people involved in your child’s life with your permission. However please understand that we are a medical clinic and will discuss clinical observations based on the child’s medical status only.

Q: Are treatments individual or group?
A: They can be either, depending on the need of the child.

Q: What is the difference between my child’s school-based therapist and clinic based therapist?
A: School based therapist is directly correlated to the child’s functioning in the classroom, therefore their goals will be oriented around all school related tasks. (This includes writing, cutting, copying, pencil tracing, sorting etc.) In the clinic, we are medically based, so we are looking at your child as a whole from an anatomical perspective. Certain goals may appear to be similar; however overall, in the clinic we are looking to increase functioning in any environment by increasing medically based goals.

Q: Should I wait for my child during treatment? If so where?
A: Yes, there are several waiting areas and chairs. Some evenings it gets crowded, so you are welcome to wait where ever you like, as long as you return 5 minutes before the half hour is done.

Q: What time should I show up?
A: 5 minutes prior to appointment time

Q: What happens at the end of the session?
A: At the end of each session (usually the last 2 minutes) the therapist will recap briefly how your child performed and review ways to extend activities for home. If you wish to discuss for an extended period of time, please schedule a parent conference with the office staff and we would be happy to meet with you to talk in more detail.

III. Parent Involvement In Therapy

Q: Can I come in during the session with my child?
A: Not regularly, but therapists may ask to observe to support carry over to home and/or show new techniques.

Q: Is there anything I should bring with me to therapy?
A: Therapist shall direct you in any additional therapy tools that you may want to bring. For example, if your child has a difficulty time buttoning his dress shirt, the therapist may recommend you to bring in this dress shirt to practice. If your child is working on tolerating new foods, your therapist may ask you to bring in different foods.

Q: Do you give homework?
A: Physical “homework” may be given, however it is very important that your child is working on their skills at home, as this is where you will see the best carryover. A Home Exercise Program should be developed with you, your child, and therapist to maximize their time in therapy. It can also be altered as your child’s skills increase.



IV. Payment

Q: How can I pay?
A: We accept cash, credit cards, checks, and/or Tiny Tots specific gift cards.

Q: How much does each session cost?
A: Patient responsibility varies depending on a patient’s insurance. Often times a patient may have a copay, coinsurance, or deductible that may be required as part of their financial responsibility.
Out of pocket costs are as follows:
OT: $65 per session PT: $65 per session Speech: $75 per session

Q: Can I pay ahead?
A: Yes.



V. Discharge


Q: When and how does discharge happen?
A: Discharge is determined by the therapist and parent. Once goals have been met or your child has reached a plateau point, discharge may occur.

Q: What if I’m not ready for discharge?
A: If you are not ready for discharge yet, however think you are almost there, it is possible to take a month or two break and then come back to check in. This allows for a fresh start and a consult to be made if needed. It also means that your child’s file will remain active and the therapy treatment and implementation processes is still ongoing however at a less direct level.

Q: Once I’m discharged, can I come back if need be?
A: Yes, if you have new concerns, you are always welcomed to come back.

Q: I’m seeing new issues with my child that can be addressed at Tiny Tots, however my child was discharged, do I need a new evaluation/referral?
A: Once a certain amount of time passes, a new evaluation is required as your child has changed and a new baseline needs to be evaluated. We strongly recommend a new evaluation be completed after 3-6 months or more have passed since you’ve been receiving therapy.

Q: Do you offer anything more than therapy?
A: Social skills groups, workshops, parent support group, school based, free-play.