FAQs

If your intuition tells you that therapy could benefit your child, reach out to us! We'll collect some basic info, understand your concerns, and set up an evaluation if needed. Most insurance companies require a physician's prescription for occupational and speech therapy, so give your child's pediatrician a ring and request a referral to FUNctional Kids Pediatric Therapy. Once we receive it, we'll send you the rest of the paperwork through our online portal. If you have questions about the referral process, we're here to help!

Before the evaluation, we'll send you some questionnaires to fill out, helping us understand your child's strengths and challenges. We'll also ask for a snapshot of your insurance card via our online portal. On evaluation day, we kindly request that you're available to answer therapist questions with minimal distractions.

We offer a unique approach to our therapy locations and prefer to see the child in their most natural environment and where their difficulties arise. Whether this be at home or daycare, we can come to you. If you prefer clinic sessions or if your therapist feels that is most appropriate, we can arrange that as well.

Every child's journey is unique, and the severity of challenges varies. That's why there's no one-size-fits-all answer to treatment duration. At the initial evaluation, your therapist will decide the frequency (sessions per week) and duration (in months) for your child's therapy. If you're billing insurance, the duration may depend on your insurance's authorization periods. When those periods end, insurance might require a re-evaluation or progress update for more visits.

We’re currently welcoming Sanford Health Plans, Avera Health Plans, SD Medicaid, Wellmark/BCBS, Cigna, and Health Partners Commercial Plans. We’re also working on partnering with additional insurance companies and will keep you updated.

No worries, we're here to help. We can work with you and your insurance plan on an out-of-network basis. You'll pay in full at the time of service and we'll provide you with a super bill for reimbursement from your insurance carrier. We also offer a prompt pay discount for self-paying clients who are able to pay at the time of service - we'd love to share more about this if you give us a call! Know your medical billing rights: https://www.cms.gov/medical-bill-rights

Absolutely! We accept HSA, FSA, credit & debit cards, cash, or checks. If you need a different payment method, please reach out to billing@functionalkidssd.com to discuss your concerns.

Remember, patients are responsible for all costs not covered by insurance. If a third-party payer denies therapy services, you'll be responsible for the outstanding charges. Payment (including session fees and co-pays, if applicable) is due at the time of service.

Consistency is key to progress. Your child's appointment is personalized, so if there are frequent no-shows or cancellations, we may need to adjust the schedule to accommodate other children. We'll provide our attendance policy before you start.