Clinic disagreeing with ASD dx and insurance issues

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Stuck_in_the_80s
Emu Egg
Emu Egg

Joined: 5 May 2017
Age: 43
Gender: Female
Posts: 1

05 May 2017, 10:01 pm

I know that this is a silly question, but there is a clinic that wants to re-evaluate my daughter before offering her services. They do this with all of their clients.

My 7 year old received her medical diagnoses of ASD from a reputable clinic last fall. She also has an IEP under ASD at school.

She can make decent eye contact and there are days where I think she could go through an ADOS eval and wind up not scoring high enough for a dx. However, nobody who has worked with her for any significant period of time has ever questioned if she's autistic.

Since she can be very social and I know that girls are often misdiagnosed - if this clinic decided that she doesn't fit the criteria of ASD - would that cause issues with insurance covering her supportive services? She had medical assistance as a back up funding source.