Baby Boy Playing Toys

Frequently asked questions

1. Is teletherapy effective?


Speech Therapy, Occupational Therapy and Physical Therapy Associations have endorsed teletherapy as an effective mode of treatment.

www.apta.org/apta-and-you/leadership-and-governance/policies/telehealth

www.asha.org/practice-portal/professional-issues/telepractice

ajot.aota.org/article.aspx?articleid=2719223




2. Do I need a prescription?


Most professionals have direct access, however if you're not sure about your state practice guidelines, please reach out to us and we'll confirm that for you.




3. I’d like to set up an appointment, what happens next?


Once you’ve consulted with one of our clinicians and you’ve decided that we’re a good fit, you’ll be provided with a link to our electronic patient portal. This system is HIPAA Secure and encrypted. You will receive a personalized link to your patient portal in order to request an appointment. It’s that simple!!!

Prior to your first appointment, you’ll receive new intake forms, a copy of our privacy policies, and a consent to care form. I would highly encourage you to share any pertinent videos or pictures of skills, toys, or room setup that you would like us to address during the session.

We use videos and photos to gather information about the child’s skills and abilities. They will be stored in your child’s electronic health records. You will always have access to these files. Please complete these forms ASAP, looking forward to working with you!




4. Do you accept insurance?


We specifically decided not to accept insurance because we don’t want insurance companies telling us how and when to see you and your child. We want to support you and your child when you want it and how you want it.

We will, however, provide you with a superbill upon request to submit to your insurance company for your reimbursement.




5. What do I do to prepare for our teletherapy session?


You just need Wifi and a laptop or phone. In order to get the best view, we encourage caretakers to avoid scheduling appointments around nap time or mealtime (unless you're working on feeding). We would benefit most from observing the baby/child while they interact with you so place the laptop beside wherever you usually spend your time together, approximately a foot and a half away. We can adjust it as needed during our session.

During each session, we reassess the baby’s/child’s movement, exploration of their environment, and communication (yes, even babies communicate!!). During subsequent sessions, we will build on skills or concerns noted from previous sessions and outline next steps for your little one, and how to help them get there.




6. How long are the sessions?


The initial evaluation will take around an hour depending on our conversation and the child’s participation.

Each subsequent session will be 30 minutes..




7. What forms of payment do you accept?


We accept all major credit cards. You can also pay through your flexible spending account. We would be considered an out-of-network provider for any insurance carrier. At the end of the month, we can provide you with a superbill for reimbursement.

We cannot provide you with details about your reimbursement rate as there are many different plans with each insurance carrier. You are responsible for understanding your benefits.




8.We don’t live in Maryland, can we still work with you?


There are state practice regulations that must be adhered to for each discipline. State guidelines are changing all the time so please check with us to see if telehealth is an approved service in your state. If we cannot work with you, we will try to recommend local resources for you.




9. When should I speak with a speech and language pathologist?


- Feeding Issues - Does your child have a history of reflux? - Would your child benefit from working with a speech pathologist? - Your child uses less than 20 words at 18 months and less than 50 words by age 2. - Has your child had frequent ear infections? - By age 2, most children understand more than 300 words. If your child has trouble understanding simple sentences, such as “get your coat,” it may be time to see a speech therapist. - Can you identify your baby’s communication cues? - Would you like to know if your toddlers listening and understanding skills are age-appropriate? - Can your child follow a single-step or a two-step command? - Can most people understand your child when they’re speaking? - Can they answer simple yes/no questions?




10. When should I speak with a physical therapist?


Your child may benefit from physical therapy services if they are having difficulty with movement as compared to other children their age. Some areas of concern may include the following:​ - Medically fragile - Yoga for kids - Yoga for Kids with Special needs - Prematurity - Torticollis - Flat head syndrome - Hypotonia - Toe walking - Orthotic recommendation - Gait abnormalities - Neurological conditions - Poor head control - Floor mobility - Tummy time - Posture in sitting or standing - Developmental delays - Flat feet - Genetic conditions - Infant Massage - Does not actively participate in activities




11. When should I speak with an occupational therapist?


An occupational therapist can work directly with your child and/or consult with the parent to provide strategies and tools to help your child function more independently in their daily activities. - Trouble manipulating and playing with toys purposefully

- Poor posture resulting in a child leaning into surfaces and having difficulty sitting upright

- Poor grasp on markers, crayons, and pencils affecting writing, scribbling, and coloring

- Difficulty using two hands together to cut with scissors, write and hold the paper, and pull apart resistive toys.

- Difficulty moving both sides of the body in a coordinated manner and appearing clumsy

- Trouble processing sensory information in the areas of touch, sound, vision, oral motor, and movement
- Seeking excessive movement and navigating the environment unsafely

- Low frustration tolerance and having big reactions to small problems

- Difficulty socializing with peers and noticing social cues

- Difficulty attending and following directions

- Needing help with feeding, dressing, hygiene, and tying shoes,

- Difficulty throwing and catching a ball




12. When should I speak with an early intervention special educator?


- Our early intervention special educators are available for consultation and staff trainings in your daycare or preschool

- Night time routines

- Children with intellectual disabilities

- Recommended play activities and materials, by stage of development

- Language stimulation training

- Social-emotional development support

- Pre-K readiness skills

- Behavior and social-interaction strategies

- Sleep and bedtime routines