One Less Thing to Deal With
Having a child with autism means wanting the best support so they can shine the way you know they can. At Connect n Care ABA, we ensure Optima coverage won't stand in the way of your child's progress. You need a reliable team that understands your child's needs and takes care of the insurance process, so you can focus on the only thing that counts.
Verify benefits before your first appointment
Submit authorizations and handle follow-ups
Manage claims, reauthorizations, and appeals
At Connect n Care ABA, we manage the insurance process so you can focus on what really matters: your child's therapy. We handle the paperwork, approvals, and everything in between, ensuring you don't waste time on confusing billing codes or authorization requirements.
Give us your Optima details, and we'll confirm exactly what's covered before you commit to therapy. No surprises later about what Optima will or won't pay for.
Optima requires prior authorization for ABA therapy. We know exactly what paperwork they need, how to format it, and who to follow up with when they're slow to respond.
Before therapy begins, you'll know exactly what Optima will cover and what you'll need to pay. Real numbers, not estimates.
Submitting claims, resubmitting when paperwork is missing, appealing denials — Connect n Care ABA handles everything so you don't have to.
One-on-one therapy with a trained RBT, right in your home. Your child works on communication, behavior regulation, and skill-building in the environment they need it most.
Learn moreStructured, individualized therapy delivered at our dedicated clinic. Your child receives focused support with a team of trained professionals, access to specialized materials, and a consistent therapy setting designed for growth.
Learn moreTherapy during your child's school day — in the classroom, during lunch, and at recess. We help them succeed in real situations: participating in group work, managing frustration, and navigating peer relationships.
Learn moreYou'll learn the same strategies our therapists use, so you can reinforce skills at home. You'll know how to support your child's progress between sessions.
Learn moreCall us or fill out our contact form. We'll need your Optima member ID and your child's autism diagnosis documentation.
We verify your benefits directly with Optima to give you clear answers and coverage.
We prepare and submit the prior authorization request with all required clinical documentation. Then we follow up with Optima until they process it.
Once Optima approves coverage, we schedule your child's first session, in your home or at school, based on your family's needs and schedule.
We know how Optima works. We've processed hundreds of Optima authorizations and understand their documentation.
You don't need to become fluent in insurance terminology. We manage the whole process — from verification to final claims.
You'll know your costs upfront before therapy begins, not vague estimates that turn into surprise bills later.
Whether in your home or at school, therapy happens in real settings, with real-world challenges.
If Optima denies coverage, we'll explain the real reason and appeal with the right documentation.
Not officially. Optima Health was rebranded as Sentara Health Plans, and the Medicaid product is now Sentara Community Plan. Many families in Hampton Roads and southeastern Virginia still know it as Optima, which is why this page is still here. The coverage did not change with the name.
Either works — they are the same company. If your card says Sentara, that is the current name. If it says Optima, your coverage moved across with the rebrand and nothing about your benefit changed. We verify it either way.
For most families on Optima Health, nothing. Medicaid does not carry the deductibles and coinsurance that commercial insurance does. If your plan applies any cost-sharing at all, you get the figure in writing before the first session rather than on a bill after it.
Yes. Optima Health funds ABA on the basis of an autism diagnosis from a qualified provider. If your child has already been evaluated, that report is usually enough. If you are still waiting on an evaluation, call us anyway and we will tell you what the plan will need.
That comes out of the assessment rather than a fixed rule, and any provider quoting a number before meeting your child is guessing. A comprehensive program commonly runs 25 to 40 hours a week; a focused program targeting specific skills usually runs 10 to 25. You will know the approved figure before sessions start.
We appeal, and we write the appeal. A denial is usually about documentation or the number of hours rather than whether your child qualifies for ABA at all. Virginia gives you the right to appeal and to ask that services continue while it is decided. We prepare the clinical justification ourselves, and we will tell you honestly if we think an appeal is unlikely to succeed.
Yes, and in most cases it should. Optima Health covers ABA in each setting on the same basis. Many families use a combination and change the balance as their child progresses.
We're with you every step
Navigating insurance can be overwhelming. That's why we're here to help you every step of the way. Let's make sure your child gets the ABA therapy they need without the insurance headaches.
