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Pricing

Plans, insurance & medical approval

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.

  • Understanding Autism (full course)
  • Social Stories Library (full course)
  • Crisis & Overload Support (full course)
  • First lesson free in every paid course
  • Progress tracking on completed lessons
Start free
Most popular

Family Access

$29per month

Full library, Nuvio, games, and rewards. Many private plans reimburse $150–$400/mo when billed as parent training (CPT 97156) — ask your BCBA.

  • All courses and lesson plans unlocked
  • Unlimited child profiles + My Space games
  • Nuvio voice & chat coaching
  • Monthly progress summary PDF for clinicians
  • Cancel anytime · HSA/FSA eligible (verify with plan)
Subscribe monthly

Family Access Annual

$249per year (~$21/mo)

Same full access — save two months. Often submitted for annual prior auth under autism benefit packages.

  • Everything in Family Access
  • HSA/FSA eligible (verify with your plan)
  • Priority email support
  • Annual progress report for care teams
Subscribe annually

Insurance Documentation

+$9per month add-on

For self-pay families who also need clean paperwork for reimbursement or tax records.

  • Monthly superbill (PDF)
  • Medical necessity letter template
  • CPT/HCPCS reference sheet for your clinician
  • Caseworker-ready session logs
  • Quarterly authorization summary
Add documentation

For health plans & Medicaid MCOs

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.

  • Unlimited caregiver accounts per member
  • Monthly outcome & utilization reports
  • Prior auth packet templates (97156 / 97157 aligned)
  • HIPAA-ready role-based access audit logs
  • Dedicated payer success manager
Request payer demo

Prior Authorization — Per Family

$0member cost when approved

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).

  • Zero member copay with active authorization
  • Auto-generated session logs for re-auth
  • Meltdown frequency & skill acquisition trends
  • Caregiver sustainability metrics
  • Quarterly medical director summary PDF
Download auth packet

Enterprise — State / MCO

Customannual contract

Multi-county Medicaid MCOs, regional center networks, and TRICARE contractors. Volume pricing from $8 PMPM with SLA, custom integrations, and white-label reporting.

  • API export to claims / care management systems
  • Custom CPT/HCPCS mapping for your billing team
  • Member stratification dashboards
  • 24-hour payer support line
  • Pilot cohort with matched controls (optional)
Contact partnerships

Reference reimbursement codes (USA)

For medical directors — not a guarantee of payment.

CodeServiceTypical 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

  1. 1Download the Vendor Information Packet and Prior Authorization Request form.
  2. 2Submit to your managed care case manager or PCP care coordination team.
  3. 3We respond to payer inquiries within 2 business days.
  4. 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.

Request approval for this path

$0 with IPP amendment or vendor auth

California regional center

Lanterman Act vendor authorization

Best for: Clients with an active IPP and regional center service coordinator

How it works

  1. 1Share the Home-Program Vendor Packet with your service coordinator.
  2. 2Request IPP goal alignment for parent training / home program.
  3. 3Regional center reviews vendor credentials and service description.
  4. 4Upon authorization, access unlocks under vendor billing.

Documents included

  • IPP goal alignment worksheet
  • Quarterly report template (regional center format)
  • Fidelity checklist for parent implementation
  • Vendor W-9 and service rate sheet (on request)

Regional center purchase-of-service decisions are made by your service coordinator and regional center — not by Family Support.

Request approval for this path

Pay upfront · submit for reimbursement

Private insurance

Reimbursement & prior authorization

Best for: PPO plans, autism mandates, TRICARE, or out-of-network benefits

How it works

  1. 1Enroll in Family Access + Documentation add-on (or annual plan).
  2. 2Complete lessons — session data auto-logs to your account.
  3. 3Download monthly superbill; have your treating clinician sign the medical necessity letter.
  4. 4Submit to insurer. For some plans, we can submit prior auth on your behalf (demo workflow).

Documents included

  • Monthly superbill with reference CPT codes
  • Medical necessity letter template (clinician-signed)
  • Treatment plan alignment summary
  • Appeal support letter if claim denied (template)

Reference codes (e.g. 97156 family guidance, S5110 family training) must be verified by your billing provider. Reimbursement is not guaranteed.

Request approval for this path

Varies · authorization packet included

Medicaid & HCBS waivers (50 states)

Waiver caregiver training authorization

Best for: EPSDT, Katie Beckett, HCBS waiver, or state DD programs outside California

How it works

  1. 1Select your state — we load payer-specific contact and form hints.
  2. 2Download the Waiver Service Justification packet.
  3. 3Submit through your waiver case manager or MCO care coordinator.
  4. 4Upon approval, access unlocks under vendor or FMS billing.

Documents included

  • 50-state payer contact directory (updated quarterly)
  • HCBS caregiver training service description
  • Person-centered goal documentation
  • HIPAA-compliant progress exports

We are not enrolled as a vendor in every state Medicaid program. The documentation package supports caseworker review regardless of enrollment status.

Request approval for this path

Foundations free · district licenses available

School district & IEP

Home-program coordination

Best for: Parents aligning home practice with IEP/IFSP team goals

How it works

  1. 1Share the Home-Program Alignment Summary with your case manager.
  2. 2Map library lessons to current IEP goals.
  3. 3Export monthly progress for IEP meetings.
  4. 4Districts can purchase multi-family licenses (contact us).

Documents included

  • IEP goal mapping worksheet
  • Parent training attendance record
  • Home-program implementation log
Request approval for this path

No cost for verified caseworkers

Caseworker & county review

Free access for authorized workers

Best for: County social workers, IHSS assessors, and managed care care coordinators

How it works

  1. 1Caseworker submits agency email for verification.
  2. 2Read-only access to assigned family's progress dashboard.
  3. 3Download authorization recommendation memo.

Documents included

  • Caseworker summary view
  • Authorization recommendation template
  • Fidelity checklist (parent completed steps vs. plan)
Request approval for this path

Medical approval request

Prior authorization, letters of medical necessity, regional center IPP alignment, and superbill reimbursement — submit one form and our enrollment team builds your packet.

Request medical / insurance approval

Submit this form to start a prior authorization, regional center vendor review, or reimbursement packet. Our enrollment team responds within 2 business days.

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.