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the pistol Amanda I wanted to discuss the insurance usage for your child and our direct services are subject to insurance usage and fees so I understand that you have an HMO insurance okay one of the things with an HMO is that we have to use in network providers a lot of HMOs have restrictions other can only use a certain provider or a provider who to provide the services what we would do in early intervention is the first step is we would verify your benefits the central billing office which is an insurance unit for the state would look at your insurance and look at what providers are in network for your insurance we would also work with your pediatrician to make sure that we can get a referral for your insurance um to go to an approved provider once that happens once we check and lets say for example we cannot find a provider that is in your network that is also in your network and enrolled in early intervention at that point we would issue something called a waiver where we would u
