ABA Assessment in Aurora: What to Expect and How to Prepare

Updated October 25, 2026 · 5 min read · By the ABA Therapy Aurora team

The short version

  • An ABA assessment draws on more than one method: a review of existing records, interviews and rating scales with you, and direct observation of your child. That is the Council of Autism Service Providers' description of standard practice.
  • Common tools include the VB-MAPP (170 milestones plus a 24-item barriers assessment), the ABLLS-R (544 skills in 25 areas) and the Vineland-3 (an adaptive behavior interview and caregiver form). Which ones your BCBA picks depends on your child.
  • You help choose the goals. The guidelines say caregivers are included when treatment goals are selected, and each goal should be specific and measurable.
  • Insurance usually has to approve the plan before treatment starts. Health First Colorado approvals last up to six months. TRICARE authorizes six months at a time too.
  • Bring your child's past evaluations, IEP or IFSP, and a list of what motivates and upsets your child.

An ABA assessment in Aurora is a set of conversations, observations and short activities that ends in a written plan for your child. You are part of every stage. This guide walks through each stage in order, names the tools you may hear about, and ends with a list of what to bring.

Information current as of October 2026. Every provider runs its own process, so ask yours for the details.

What are the stages of an ABA assessment?

The Council of Autism Service Providers (CASP) says a developmentally appropriate ABA assessment identifies strengths, weaknesses and barriers to progress across several domains. It typically draws on multiple methods and multiple informants. (CASP) In practice the stages look like this:

  1. Records review. The BCBA reads what already exists: medical information, prior assessments, response to earlier treatment. CASP’s examples include intellectual and achievement tests, developmental assessments and evaluations of family functioning and needs.
  2. Parent interview and rating scales. You describe your child’s skills and the behaviors that get in the way. CASP says caregivers are included when goals are chosen, protocols developed and progress evaluated.
  3. Direct observation and structured tasks. The BCBA watches your child in natural settings and in structured interactions. CASP calls direct observation and data collection a defining characteristic of ABA.
  4. Functional assessment, when needed. If behavior is disruptive or dangerous, the BCBA looks at where, when and the likely reasons it happens, using caregiver interviews, rating scales and observation.
  5. Findings meeting and written plan. The BCBA reviews the results with you and writes the treatment plan.
  6. Insurance authorization. Your payer reviews the plan before treatment starts.

If information is incomplete, CASP says the BCBA should refer you to other professionals for needed assessments.

What happens at the first visit?

The parent interview carries much of the weight. A BCBA typically asks what your child can do now, which behaviors worry you most, what your family’s day looks like, and what has worked or failed before. The BCBA also needs time with your child. The goal is a baseline, not a pass or fail. See our comprehensive assessment page for our service.

The Medicaid billing code for this visit describes the same pieces: a face-to-face behavior identification assessment with patient and caregivers, standardized and non-standardized tests, a detailed behavioral history, observation and a caregiver interview, interpretation of the results, a discussion of findings with you, and a written report. (HCPF)

What are the VB-MAPP, ABLLS-R and Vineland?

These are the names you will see on a report.

  • VB-MAPP. Written by Mark Sundberg. The Milestones Assessment has 170 milestones across three developmental levels (0 to 18, 18 to 30 and 30 to 48 months). A Barriers Assessment looks at 24 common learning and language barriers, such as prompt dependency. A Transition Assessment covers 18 areas that help teams plan for a less restrictive setting. It also gives a baseline and a way to track skills. (Mark Sundberg)
  • ABLLS-R. A criterion-referenced tool by Partington (2006) covering 544 tasks in 25 categories across language, academic, self-help and motor skills. It is completed mainly through observation of the child and can be supplemented by caregiver interviews. It compares your child to a skill list, not to other children, and produces no standard scores. (Texas Statewide Leadership for Autism Training)
  • Vineland-3. An adaptive behavior assessment for birth through 90. It offers an Interview form and a Parent/Caregiver form, with a Teacher form for ages 3 to 21. It measures communication, daily living skills and socialization. (Pearson)

Your BCBA picks tools for your child’s age and needs. Published age ranges for the ABLLS-R vary by source, and the Texas page lists birth to 12 years, so ask your BCBA whether it fits your child.

Payers can ask for specific tools. Health First Colorado asks the provider to submit a standardized, norm-referenced assessment that measures adaptive behaviors, completed by the behavioral therapy provider, and says it will not mandate one tool over another. (HCPF) TRICARE requires four baseline measures before ABA starts: the PDDBI, the Vineland, the Social Responsiveness Scale and a Parent Stress Index. (TRICARE)

What goes into the treatment plan?

CASP’s “critical features” for a plan submitted for authorization include patient information, the reason for referral, background, a clinical interview, review of recent assessments, a description of each assessment with a summary of findings, operationally defined target behaviors with baseline levels, treatment procedures, data collection procedures, and proposed goals and objectives. (CASP)

CASP also says goals are prioritized by their implications for health and well-being, safety, and functional independence. Each should be specific and measurable. It warns that IQ and other global scores should not be the sole basis for deciding whether treatment is working. Bring your priorities to the findings meeting and say which goal would change your family’s week the most.

Plans also set the schedule. Our guide to how many hours of ABA children get covers that conversation.

How does insurance approval work?

  • Health First Colorado (Medicaid). A provider submits a prior authorization request through the state’s utilization management vendor, Acentra. The request includes the assessment, a referral for services and the plan of care. The PAR must be reviewed by licensed clinical reviewers, standard requests are decided in no more than 7 calendar days, and an approved authorization is valid for up to six months. Assessment or progress notes should not be more than 60 days old at submission. The assessment code can be billed once every 12 months. (HCPF providers page, HCPF January 2026 review) See our Health First Colorado guide.
  • Private insurance. Colorado’s autism mandate calls for a treatment plan from an autism services provider, prescribed by a licensed physician or psychologist after a comprehensive evaluation or reevaluation. (C.R.S. 10-16-104) See our private insurance guide.
  • TRICARE. You first receive an authorization letter covering the assessment. After the assessment and treatment plan, you receive a letter for six months of ABA. (TRICARE)

How do I prepare?

Gather these before the first visit:

  1. The diagnosis report and any other evaluation: speech, occupational therapy, psychological testing.
  2. An IEP or IFSP and recent progress notes if you have them.
  3. A one-page list of what your child likes, what calms them, what sets them off, and how they ask for things.
  4. A rough picture of a typical weekday: wake-up, meals, school or daycare, evening, bedtime.
  5. Your top three goals, in your own words.
  6. Questions about the process: how many visits, who will observe your child and where, and when you will see the plan.

For your child, use a picture schedule or a simple story: you will meet a new person, play, and then go home. Bring a favorite toy and snacks. Ask whether the first visit can be short.

Once the plan is approved, in-home or in-clinic sessions begin, and parent training gives you the same strategies the team uses. We take all major insurance including Medicaid, have no waitlist and start families within two weeks of approval. Contact us to schedule an assessment, or read how to choose an ABA provider first.

Sources

  1. Council of Autism Service Providers, ABA Practice Guidelines (Version 3.0)
  2. Mark Sundberg, VB-MAPP overview
  3. Texas Statewide Leadership for Autism Training, ABLLS-R overview
  4. Pearson Assessments, Vineland Adaptive Behavior Scales, Third Edition
  5. Colorado HCPF, Pediatric Behavioral Therapies Information for Providers
  6. Colorado HCPF, Pediatric Behavioral Therapy (PBT) Review, January 2026
  7. Colorado HCPF, Health First Colorado Criteria for Behavioral Therapies (November 2024)
  8. Colorado Revised Statutes 10-16-104 (autism spectrum disorders, subsection 1.4)
  9. TRICARE, Autism Care Demonstration

Frequently asked questions

What happens at an ABA assessment?

A BCBA gathers information from several sources: records you share, an interview and rating scales with you, and direct observation of your child. The results become a written treatment plan with specific, measurable goals. Many providers spread this over more than one session and review the findings with you, so ask yours how it works.

Does my child need to sit at a table and take a test?

Not necessarily. The Council of Autism Service Providers says behavior should be directly observed in a variety of relevant natural settings and structured interactions. Some tools, such as the ABLLS-R, are completed mainly by observing the child, and caregiver interviews can fill gaps.

Which assessment tools will be used?

Your BCBA chooses. Common choices are the VB-MAPP, the ABLLS-R and the Vineland-3. Health First Colorado asks providers to submit a standardized, norm-referenced assessment of adaptive behaviors with the authorization request, and does not require a specific tool. TRICARE requires four baseline measures: the PDDBI, the Vineland, the Social Responsiveness Scale and a Parent Stress Index.

Is the assessment just for children with an autism diagnosis?

ABA treatment under most plans needs a diagnosis or a qualifying condition, and the payer sets the rules. See our guide on starting ABA without an autism diagnosis in Aurora.

How often can Medicaid pay for an ABA assessment?

Health First Colorado's guidance says the behavior identification assessment code (97151) can be billed once every 12 months. A reassessment code allows 2 units per six months. Authorizations run up to six months.

How should I prepare my child for the visit?

Tell your child in simple words or pictures who they will meet and what will happen. Bring favorite items and snacks. Plan the visit around naps and meals when you can. If your child struggles with transitions, ask the team what a first short visit could look like.

What should the final plan include?

The Council of Autism Service Providers lists the critical features: your child's background, a clinical interview, review of recent assessments, assessment results with baseline levels, operationally defined target behaviors, treatment procedures, data collection methods and proposed goals. Ask for a copy and a plain-language walk-through.

Want to start ABA in Aurora?

Tell us about your child. Our intake team will look up your insurance and explain what happens next.

Get started with ABA Therapy Aurora