Frequently Asked Questions (FAQs)

What services does PrimeKids Home Therapy provide

We offer a range of pediatric therapy services, including Occupational Therapy, Physical Therapy, and Speech Therapy, tailored to children from birth to 21 years old. Our therapists work with children in their homes or other convenient locations, focusing on areas like motor development, communication, feeding, and more.

How do I get started with your services

To begin, you can contact us directly or have your child’s doctor refer you. We’ll guide you through our 5-step process: contact us, obtain the referral, perform the evaluation, submit an evaluation to the doctor and insurance company, and start therapy.

Do you provide therapy in my area

PrimeKids Therapy provides services throughout Houston, Texas, and surrounding areas. We offer in-home therapy as well as services in other locations, such as daycare centers and schools.

What conditions do you treat

We treat a wide variety of conditions, including but not limited to:
Congenital Disorders:
• Structural Congenital Disorders: These involve problems with the formation of body parts, such as:
o Congenital Heart Defects: Abnormalities in the heart’s structure (e.g., atrial septal defect, ventricular septal defect).
o Cleft Lip or Palate: Incomplete formation of the lip or roof of the mouth.
o Spina Bifida: Incomplete development of the spinal cord or its coverings.
o Clubfoot: A deformity affecting the foot and ankle.
• Genetic Congenital Disorders: These result from abnormalities in genes or chromosomes, such as:
o Down Syndrome: A condition caused by an extra copy of chromosome 21.
o Fragile X Syndrome: A genetic condition leading to developmental delays and intellectual disabilities.
o Sickle Cell Anemia: A genetic disorder where red blood cells become misshapen, causing health complications.
• Premature birth and Developmental delays
• Autism Spectrum Disorder (ASD)
• Cerebral Palsy
• Attention Deficit Hyperactivity Disorder (ADHD)
• Sensory Processing Disorder (SPD)
• Feeding and Swallowing Disorders
• Intellectual and Developmental Disabilities (IDD)
• Learning Disabilities (e.g., dyslexia, dysgraphia)
• Torticollis
• Orthopedic injuries
• Medical Equipment
These are just a short list of disorders that we treat

What age groups do you work with

We serve children from birth through 21 years of age. Our therapy programs are customized to meet the developmental needs of each child, whether they are infants, toddlers, children, or young adults.

Do I need a doctor’s referral

Yes, we do require a signed referral from your child’s doctor to begin therapy. If you don’t have one, we can help you obtain one.

Will my insurance cover the cost of therapy

We accept a variety of insurance plans and offer private pay options. Our team will help you navigate insurance and verify your benefits before therapy begins. Contact us for more details about your specific coverage.

How long does the evaluation and onboarding process take

The evaluation and onboarding process typically takes a few weeks, depending on the referral and insurance approval process. Once everything is in place, therapy sessions can begin promptly. Our therapists are always ready to start.

Can parents or caregivers participate in therapy sessions

Absolutely! We encourage parents and caregivers to participate in therapy sessions. This helps you learn techniques to continue supporting your child between sessions and fosters a collaborative approach to therapy.

What should I expect during my child’s therapy sessions

During therapy sessions, our therapists will use play-based activities, exercises, and hands-on interventions tailored to your child’s goals. Sessions typically last 30-60 minutes and focus on improving functional skills, communication skills, social skills, mobility, or other targeted areas.

Billing & Insurance

At PrimeKids Therapy, we are committed to making our services both accessible and affordable for all families. We understand that navigating insurance and payment options can be overwhelming, so our team is here to guide you through every step of the process. Below is an overview of our insurance and billing procedures, along with available payment options.

Insurance Plans We Accept We partner with multiple insurance plans to ensure that your child’s therapy services are covered. Our administrative team manages the insurance process on your behalf—from verifying benefits to submitting claims—so you can focus on what matters most: your child’s care. Currently, we accept the following: Medicaid, Children’s Health Insurance Program (CHIP), Blue Cross Blue Shield (BCBS), Superior HealthPlan, UnitedHealthcare (OON), HealthSmart, and Ancillary Care Services (ACS).

We currently accept following insurances

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Private Pay Options

For families without insurance or those with limited coverage, we offer private pay options. Please contact our office to discuss our current rates and payment plans.

Don’t See Your Insurance Provider Listed?

If your insurance provider is not listed above, please call us at 713-665-8655. Our team will help verify your insurance benefits and determine if coverage is available for your child’s therapy services.

How the Billing Process Works

  1. Verification of Benefits
    Before therapy begins, our billing team will verify your insurance benefits to determine which services are covered. We will inform you of any applicable co-pays, deductibles, or out-of-pocket expenses based on your specific coverage.
  2. Claims Submission
    Our team will handle all claim submissions and communicate directly with your insurance provider to ensure accurate and timely billing for your child’s therapy services. You will receive a detailed statement outlining the services provided, the amount billed to your insurance, and any remaining balance.
  3. Co-pays and Deductibles
    Depending on your insurance plan, you may be responsible for co-pays or deductibles. These responsibilities will be discussed with you prior to the start of therapy to avoid any unexpected charges.

Contact Us for Insurance and Billing Questions

If you have any questions about your insurance coverage, the billing process, or available payment options, please don’t hesitate to reach out. Our dedicated billing team is here to support you and help you navigate the financial aspects of your child’s therapy with confidence.

Phone: 713-665-8655
Email: Office@primekidstherapy.com

We are committed to providing clear, transparent information so you can make informed decisions and feel assured about your child’s care.

Resources

Helpful Resources for Families

Here are some valuable resources to support families. Click on the organization’s name to learn more

Physical Therapy Resources

Speech Therapy Resources

Occupational Therapy Resources

American Occupational Therapy Association (AOTA)

Resources on occupational therapy, including tips for parents on how therapy can support children’s daily functioning and independence.

Developmental Milestones

  • CDC Developmental Milestones

    This resource provides detailed developmental milestones by age, helping parents understand typical child development from birth to age 5.

  • Milestone Checklist

    Offers interactive milestone checklists and videos to guide parents in tracking their child’s development.

Cerebral Palsy Resources

Autism Spectrum Disorder (ASD) Resources

  • Autism Speaks

    Provides information on autism, early signs, treatment options, and community support for families and caregivers.

  • National Autism Association

    Offers resources for autism advocacy, awareness, and support, with a focus on safety and education.

Intellectual and Developmental Disabilities (IDD)

  • The Arc

    A leading advocacy organization for people with intellectual and developmental disabilities, providing family support and resources.

  • National Down Syndrome Society (NDSS)

    Offers resources on Down syndrome, including educational tools, healthcare support, and advocacy information.

Feeding and Swallowing Disorders

Local and National Support Groups

  • Parent to Parent USA

    A network that connects parents of children with special needs to other parents for support, sharing experiences, and resources.

  • Texas Parent to Parent

     A statewide parent support organization for Texas families with children who have disabilities, chronic illnesses, or special healthcare needs.

Therapy Tools and Apps for Families

Milestone Tracker App

  • CDC Milestone Tracker App

    A mobile app that helps parents track their child’s developmental milestones, with tips for promoting development.

Proloquo2Go

  • Proloquo2Go Communication App

    A symbol-based communication app designed to help children with speech or communication difficulties express themselves.

Goally - Visual Schedules

  • Goally

    An app offering visual schedules and tools to support children with autism and other developmental disabilities with daily routines.

Education & Training for Parents

  • Wrightslaw Special Education Resources

    Provides expert legal advice and advocacy resources for parents navigating special education services.

  • Understood.org

    Offers resources and support for parents of children with learning and attention issues, including ADHD, dyslexia, and more.