PATTERNS ABA COMPANY LLC provides Applied Behavior Analysis (ABA) services in compliance with federal and state regulations, insurance payer policies, and professional ethical standards. All services are medically necessary, evidence-based, and designed to address functional deficits associated with Autism Spectrum Disorder and related developmental conditions.
Treatment is individualized, data-driven, and supervised by qualified clinical professionals to ensure effectiveness, accountability, and compliance with coverage requirements.
Clinical Oversight & Professional Standards
- All ABA programs are developed, supervised, and regularly reviewed by a Board Certified Behavior Analyst (BCBA).
- Direct services are provided by trained behavior technicians under BCBA supervision in accordance with payer and regulatory guidelines.
- Treatment goals are measurable, observable, and clinically justified, with ongoing data collection used to monitor progress and guide treatment decisions.
PATTERNS ABA COMPANY LLC adheres to the BACB Ethical Code for Behavior Analysts and maintains a commitment to ethical, responsible, and client-centered care.
Medical Necessity & Documentation Standards
Services begin with a comprehensive behavioral assessment to determine medical necessity and establish baseline functioning. Individualized treatment plans are developed based on assessment results and are aligned with insurance authorization criteria.
Clinical documentation includes:
- Initial and ongoing assessments
- Individualized treatment plans
- Session notes and data summaries
- Periodic progress reports and reauthorization documentation
Treatment plans are reviewed and updated regularly based on progress, clinical judgment, and payer requirements. Services may be modified, reduced, or discontinued when goals are met or when medical necessity criteria are no longer met.
Medicaid-Specific Compliance (Oklahoma)
PATTERNS ABA COMPANY LLC complies with Oklahoma Medicaid and Medicaid-managed care organization (MCO) requirements for ABA services. This includes:
- Adherence to medical necessity criteria
- BCBA supervision requirements
- Documentation and service authorization standards
- Delivery of services within approved scopes and limits
Services are provided only as authorized, and all billing reflects services rendered accurately and in compliance with Medicaid regulations.
HIPAA & Confidentiality Notice
PATTERNS ABA COMPANY LLC is committed to protecting the privacy and confidentiality of client health information. We comply with all HIPAA privacy and security regulations and maintain safeguards to protect personal and medical information. Client information is used and disclosed only as permitted by law and for purposes of treatment, payment, and healthcare operations.
Insurance Coordination & Billing Disclaimer
PATTERNS ABA COMPANY LLC assists families with insurance benefit verification and authorization coordination; however, coverage and reimbursement are determined by individual insurance plans and payer policies. Authorization does not guarantee payment.
Families are responsible for understanding their benefits, including deductibles, copays, coinsurance, and non-covered services. Services are billed in accordance with payer guidelines, authorization limits, and documented medical necessity.
Ethical Billing & Audit Readiness Statement
PATTERNS ABA COMPANY LLC is committed to transparent, ethical billing practices. Claims are submitted accurately and only for services rendered, documented, and authorized. The clinic maintains records in accordance with payer, state, and federal requirements and cooperates fully with audits, reviews, and quality assurance processes.
PATTERNS ABA COMPANY LLC 