1. Notice and share your concerns
Every child develops at their own pace. Some early signs parents notice include limited eye contact or response to their name, fewer gestures such as pointing or waving, delayed speech, repetitive movements, strong focus on specific interests, or difficulty with changes in routine. If you have concerns, share them with your child’s pediatrician.
2. Developmental screening
Pediatricians routinely screen young children for developmental differences, including autism-specific screening at the 18- and 24-month well-child visits. A screening is not a diagnosis, but it can lead to a referral for a full evaluation.
3. Early intervention and Child Find
You do not need a diagnosis to request a free developmental evaluation through public programs. Children under 3 can be referred to their county’s Infants and Toddlers Program. Children from about age 3 until kindergarten can be evaluated through the local school system’s Child Find office. These programs determine eligibility for early intervention or special education, which is separate from a medical diagnosis.
4. A comprehensive diagnostic evaluation
Insurance plans, including Maryland Medicaid, generally require a medical diagnosis before they authorize ABA. In Maryland Medicaid, a qualified professional, such as a developmental pediatrician, pediatric neurologist, child psychiatrist, psychologist, neuropsychologist, pediatrician, or nurse practitioner, completes a comprehensive diagnostic evaluation that includes a caregiver interview, developmental history, direct observation, and a written diagnosis.
5. From diagnosis to ABA
After a diagnosis, a BCBA completes an ABA assessment and builds a treatment plan, and the plan is submitted to your insurance for authorization. Learn more in how to start ABA therapy and Maryland Medicaid and ABA.
How Side by Side helps
- Explain the diagnostic process and what to expect
- Connect you with a qualified provider for a comprehensive diagnostic evaluation
- Coordinate referrals with your child’s pediatrician
- Prepare insurance documentation so services can begin promptly
This page is general information, not medical advice. If you have concerns about your child’s development, talk with your child’s doctor.