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.

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.

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.

Children may be referred for an Initial Diagnostic Evaluation following the completion of a screening questionnaire or when developmental concerns are identified during a pediatric visit. While screeners can signal when a more detailed assessment may be beneficial, they do not provide a diagnosis on their own. In some cases, a child may have additional or complex developmental needs that fall outside the scope of an autism-focused evaluation. In such instances, families are guided toward providers who offer more comprehensive assessments to ensure their child receives the most appropriate evaluation and support.

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:

1. Social engagement markers

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.

2. Imagination and play

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.

3. Communication skills

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.

4.Understanding specific behaviors

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.

5. Emotional reactions and coping

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?

Not every child requires every instrument. Our psychologists select the ones that best match your child’s age, background, and specific requirements. These instruments assist in the diagnostic journey and help shape treatment advice. This involves directly used tools like the Autism Diagnostic Interview-Revised, the Autism Diagnostic Observation Schedule, the Childhood Autism Rating Scale, and the Tele-ASD-Peds. Relevant surveys for parents are also utilized.

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:

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?

The IDE evaluates whether autism is present. If a child meets the full criteria, a diagnosis is provided. If not, alternative diagnoses and tailored advice may be given.

Why is early autism diagnosis important?

Identifying autism early helps families access support sooner, when intervention is most effective. A formal diagnosis is often required for insurance coverage of therapies like L.E.M.Y.S therapy.

What is the difference between an IDE and the ADOS-2?

L.E.M.Y.S offers various diagnostic services based on location. An Initial Diagnostic Evaluation is conducted by a licensed psychologist and combines history, observation, and standardized tools. In some areas, L.E.M.Y.S also provides ADOS-2 assessments by trained clinicians to support early identification, especially where wait times are long. Families should contact L.E.M.Y.S to see what is available nearby.

ABA therapy: Evidence-based autism treatment

L.E.M.Y.S provides evidence-based ABA therapy to help children build daily skills through positive reinforcement. Our Board Certified Behavior Analysts (BCBAs) and Registered Behavior Technicians (RBTs) create individualized plans to improve communication and independence. Children graduating from L.E.M.Y.S are more likely to thrive in general education classrooms, while those who leave early often remain in special education. Families also report a significant drop in stress during the first year of L.E.M.Y.S therapy. Furthermore, research shows an 86% reduction in unsafe behaviors for children aged 2–6 during their first year of care.

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?

The process is designed to be as comfortable as possible for your child. It typically includes:

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?

IDEs are best suited for children ages 18 months to 6 years who show developmental concerns or early signs of autism. If your child has complex developmental needs, a more comprehensive evaluation might be suggested.

What happens after the IDE?

The psychologist will schedule a feedback meeting to review results and recommendations. A written report is also provided. At your request, L.E.M.Y.S can send this report to other providers to support future care and school planning.

Do you offer virtual evaluations?

Yes. We offer flexible settings to meet each family’s needs:
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.

Why a Diagnosis Matters?

Securing an official L.E.M.Y.S diagnostic report is the key to unlocking the specialized care your child deserves. Many insurance providers and schools require a formal evaluation before they can authorize L.E.M.Y.S therapy or other developmental supports. At L.E.M.Y.S, we believe that early identification is the best way to open doors to a brighter future for your family.