Structured parent/caregiver training and home-program lesson plans designed for families supporting autistic children, teens, and adults. Content aligns with common prior-authorization documentation formats used by Medi-Cal managed care plans, California regional centers, Medicaid HCBS waivers, and private insurers.
Coverage depends on eligibility and documentation No guarantee of insurance approval Supportive technology, not medical advice
Direct pricing
Start immediately with self-pay, or use free foundations courses while waiting on authorization.
Foundations
$0always free
Core education courses every family can access without a credit card.
Bridge aligns to USA billing workflows for caregiver training (CPT 97156/97157) and digital mental health treatment management (HCPCS G0552–G0554). Plans typically authorize $165–$220/month per family or $8–$11 PMPM at population scale — final rates set by your contract.
Health Plan — Population
$11PMPM (per enrolled member)
Full Bridge access for members with autism or developmental disability diagnoses. Includes library, Nuvio (human-in-the-loop), games, outcomes reporting, and caseworker read-only access.
Families pay nothing when your plan authorizes caregiver training. Bridge bills the plan at an authorized monthly rate typically equivalent to $165–$220 (aligned with ~1 hr/week parent training + digital support).
Multi-county Medicaid MCOs, regional center networks, and TRICARE contractors. Volume pricing from $8 PMPM with SLA, custom integrations, and white-label reporting.
For medical directors — not a guarantee of payment.
Code
Service
Typical range
97156
Family adaptive behavior treatment guidance
Most common code for 1:1 parent/caregiver training by BCBA or qualified professional (USA, 2025–2026 fee schedules).
$45 – $175 / 15 min
97157
Multi-family group parent training
Group format; requires two or more families. Often capped separately on Medicaid plans.
$35 – $120 / 15 min
G0553
DMHT — initial 20 min/month treatment management
Digital mental health treatment when Nuvio augments a behavioral therapy plan (2025 CMS).
Medicare MPFS crosswalk
G0554
DMHT — each additional 20 min/month
Requires interactive communication with patient/caregiver each calendar month.
Medicare MPFS crosswalk
S5110
Family training & counseling (Medicaid)
Used by some state Medicaid programs for caregiver training hours.
State-specific
Insurance & public funding
Most families pay $0 out of pocket when prior authorization is approved. We provide the documentation packets caseworkers and service coordinators expect — Medi-Cal, regional centers, private insurance, and Medicaid waivers in all 50 states.
$0 with approved prior auth
Medi-Cal (California)
Managed care prior authorization
Best for: Families with Medi-Cal, CalAIM, or CCS coverage in California
How it works
1Download the Vendor Information Packet and Prior Authorization Request form.
2Submit to your managed care case manager or PCP care coordination team.
3We respond to payer inquiries within 2 business days.
4Upon approval, your account unlocks and we bill Medi-Cal directly.
Documents included
DHCS-compatible service description
EPSDT / benefit category justification
Quarterly progress report template
Session logs (date, duration, skill targeted)
Approval is determined by your Medi-Cal plan. We provide documentation to support your request — we do not guarantee authorization.
Prior authorization, letters of medical necessity, regional center IPP alignment, and superbill reimbursement — submit one form and our enrollment team builds your packet.
Prior authorization (PA)
Required by most Medi-Cal managed care plans and many private insurers before services begin.
Typical turnaround: 5–14 business days (payer dependent)
You provide
Insurance or Medi-Cal member ID
Child's diagnosis documentation (from your clinician)
Treating provider name and NPI (if applicable)
We provide
Completed PA request form with service description
Clinical justification narrative (parent education / home program)
Progress tracking methodology summary
Direct payer follow-up within 2 business days
Letter of medical necessity (LMN)
Signed by your child's treating clinician to support reimbursement or appeal of a denied claim.
Typical turnaround: 3–5 business days after clinician signature
You provide
Treating clinician contact (SLP, OT, BCBA, MD, or psychologist)
Current treatment plan or IEP summary (optional but helpful)
We provide
Pre-filled LMN template with skill targets and frequency
Session log summary for clinician review
Instructions for clinician signature and return
Regional center IPP authorization
California Lanterman Act — vendor authorization through your service coordinator.
Typical turnaround: 2–6 weeks (regional center dependent)
You provide
Regional center name and service coordinator contact
Current IPP goals related to parent training or home program
We provide
Vendor information packet
IPP goal alignment worksheet
Sample quarterly report
Participation in IPP meeting (on request, demo)
Superbill reimbursement
For families who pay upfront and submit to insurance for out-of-network or PPO reimbursement.
Typical turnaround: Available monthly · insurer processing 30–90 days
You provide
Active Family Access subscription
Completed lessons (logged automatically)
We provide
Monthly superbill PDF with dates of service
Reference CPT/HCPCS codes for your billing provider
Receipt suitable for HSA/FSA submission
Common questions
Does Family Support replace therapy?
No. We provide parent education and home-program lesson plans between clinical sessions. Your child's therapists, doctors, and school team remain primary for clinical care.
Are you 'approved' by Medi-Cal or insurance companies?
We do not claim universal payer approval. We provide documentation formatted for prior authorization and reimbursement workflows. Whether services are covered is decided by your specific plan and caseworker.
What happens after I submit a medical approval request?
Our enrollment team reviews your packet within 2 business days, contacts the payer if needed, and updates your portal with status. You can continue using free courses while waiting.
Can my caseworker see our progress?
Yes — verified caseworkers can receive read-only access to your family's progress dashboard and download authorization recommendation memos at no cost.
What do insurers typically pay for parent training platforms?
Private and Medicaid plans often authorize parent/caregiver training under CPT 97156 (individual) or 97157 (group), typically $45–$175 per 15-minute unit depending on region and provider type. Digital mental health treatment management (HCPCS G0552–G0554) may apply when Nuvio augments a clinician's treatment plan. Bridge provides documentation aligned to these workflows — final payment is always determined by the payer.