Initial Evaluation and Autism Diagnostic Support
L.E.M.Y.S offers diagnostic assistance for families looking for answers regarding their child’s growth. Our Initial Diagnostic Evaluations are created to help screen for autism spectrum disorder in toddlers and young children from 18 months to 6 years old. These assessments are conducted by licensed psychologists and can be done in person or via telehealth, based on what is available in your area.
Why families trust L.E.M.Y.S
L.E.M.Y.S has truly transformed the lives of our entire family. From the first diagnostic evaluation to the daily progress reports at the end of the day, the L.E.M.Y.S team has supported us. They even simplified the complex insurance process for us, which was a huge relief.
- Jennifer Matson
We are delighted with L.E.M.Y.S and their wonderful clinical staff. Every therapist is incredibly supportive and dedicated. My son is excited to visit his L.E.M.Y.S school every morning and has formed such a strong bond with his team. I feel completely confident that he is in the best hands.
- Lyssa Urias
Understanding the Initial Diagnostic Evaluation
There is no single assessment that determines whether a child has autism spectrum disorder. Instead, clinicians use multiple sources of information to understand a child’s development and determine whether diagnostic criteria outlined in the DSM-5 are met. An Initial Diagnostic Evaluation at L.E.M.Y.S is focused specifically on assessing for autism and is not intended to evaluate for all possible developmental or medical conditions. The evaluation process typically begins with a detailed conversation with parents or caregivers to better understand the child’s developmental history, health background, and everyday behaviors. This is followed by direct interaction between the psychologist and the child, using structured activities to observe communication, social engagement, play, and behavioral responses in real time. Autism-specific assessment tools may also be used to gather additional insight. After the evaluation is completed, families take part in a feedback session where the psychologist reviews the findings, explains whether diagnostic criteria for autism are met, and discusses recommended next steps. Families receive a written report summarizing the results, which can be shared with pediatricians, educators, or other providers to help guide future support and care.
Who is eligible for an IDE?
ABC provides Initial Diagnostic Evaluations (IDEs) for children between the ages of 18 months and 6 years who are exhibiting signs of autism, such as:
The M-CHAT-R
L.E.M.Y.S recommended online screener for toddlers
The CAST
L.E.M.Y.S recommended online screener for older children
Understanding the focus of an IDE:
The Initial Diagnostic Evaluation is designed to assess core developmental areas specifically associated with autism spectrum disorder, such as:
Our experts observe the way your child uses their eyes, hands, and expressions to connect. We look for those special moments where your child shares their joy or interests with our L.E.M.Y.S team.
We spend time seeing how your child interacts with different toys and whether they enjoy make-believe games. Our psychologists look at how they build little worlds or stories during their playtime.
Our experts look at how your child uses their voice to share thoughts and ask for things. We also focus on the L.E.M.Y.S receptive language markers, which show how well your child understands and listens to directions.
The L.E.M.Y.S team notes if your child has favorite movements they repeat or very intense hobbies. We also pay close attention to how they feel when their routine or environment changes.
The clinician monitors how a child navigates transitions, manages moments of frustration, and responds to unforeseen changes or unfamiliar situations.
Which instruments are used in an IDE?
Where are IDEs performed?
IDEs are offered in certain cities through telehealth and in-center visits. Regardless of the setting, our evaluations follow best practices for autism assessment and include a developmental talk with the caregiver, a direct study of the child, and the use of other information like surveys or medical records.
At-home via telehealth or in-person
Families can choose to finish an Initial Diagnostic Evaluation through a virtual format, which lets the child be seen in a familiar place. This method can provide great insight into daily interactions. During the session, the psychologist leads the caregiver through simple tasks while watching communication and behavior in real time.
Some families prefer an in-person visit. In this case, the psychologist leads the activities and watches the child’s reactions directly. Caregivers are encouraged to join in when helpful and provide details by completing reports as part of the process.
To learn more about autism assessment choices and see if virtual or in-person visits are available in your area, please reach out to the L.E.M.Y.S team.
Does insurance cover an IDE?
We bill insurance for IDEs and check insurance coverage prior to scheduling. Parents can check if we provide IDEs for their specific insurance plan by calling one of our offices. Please contact a local center to learn more about what insurance we work with in your state.
What happens after an IDE?
Following the evaluation, families meet with the specialist for a feedback session. During this meeting, you will receive:
- A comprehensive diagnostic report with test findings and clinical notes
- Diagnostic insights explaining whether your child displays traits of autism
- Specific advice for next steps, which might include L.E.M.Y.S therapy, speech therapy, occupational therapy, or other services based on the results.
If you wish, L.E.M.Y.S can share this report with your child’s pediatrician or other specialists to help with referrals and school planning.
Getting started with an Initial Diagnostic Evaluation (IDE)
Does an IDE diagnose autism?
Why is early autism diagnosis important?
What is the difference between an IDE and the ADOS-2?
ABA therapy: Evidence-based autism treatment
Ready to get started?
L.E.M.Y.S is here to help lead you through the diagnostic journey so your child can get the care they require, right when they need it. Complete our short online interest form, and a staff member will reach out to review your child’s needs at no charge.
FAQs about Initial Diagnostic Evaluations
What occurs during an IDE?
- Parent interview – You will share details about your child’s growth, daily life, and any specific concerns you have observed.
- Parent questionnaires – Families may complete standardized tools such as the Autism Diagnostic Interview–Revised (ADI-R) or the Autism Spectrum Rating Scales (ASRS).
- Child observation and testing – The psychologist will monitor your child’s play, communication, and social interaction using specialized tools like the CARS-2, ADOS-2, or Tele-ASD-PEDS.
Do I need to meet my deductible before insurance covers ABA therapy?
In most cases, yes. Families are responsible for their deductible and any copays until the plan’s maximum out-of-pocket (MOOP) limit is reached. After that point, insurance typically covers 100% of additional ABA therapy costs for the remainder of the year.
Who is eligible for an IDE?
What happens after the IDE?
Do you offer virtual evaluations?
- Parent interview – You will share details about your child’s growth, daily life, and any specific concerns you have observed.
- Parent questionnaires – Families may complete standardized tools such as the Autism Diagnostic Interview–Revised (ADI-R) or the Autism Spectrum Rating Scales (ASRS).