8 Tips for Navigating Insurance and Increasing Accessibility

Understanding ABA Therapy and Its Insurance Landscape

Definition and Benefits of ABA Therapy

Applied Behavior Analysis (ABA) therapy is a scientifically supported treatment aimed at helping children with autism develop essential skills such as communication, social interaction, and daily living activities. It also focuses on reducing challenging behaviors by using systematic reinforcement techniques tailored to each child's unique needs. This therapy is recognized for its positive impact and is frequently recommended by experts as an effective intervention.

Insurance Coverage Basics for ABA Therapy

Insurance coverage for ABA therapy varies widely across the United States, but most states require private insurers to include it as part of autism treatment. Coverage typically depends on having a verified autism diagnosis, a referral, and prior authorization from the insurance provider. Policies can differ on session limits, copays, and provider networks, so families are advised to review their specific health plans carefully. Medicaid and federal laws like the ACA also play critical roles in ensuring access to necessary therapies, often helping reduce costly out-of-pocket expenses.

Importance of Early Intervention and Family Involvement

Early intervention with ABA therapy, ideally starting before age five, significantly enhances developmental outcomes. Active family engagement, including involvement in therapy goals and caregiver training, ensures skills learned in sessions generalize to everyday life. Supportive communication between therapists and families and the use of practical strategies tailored to the child's environment foster consistent progress and sustainability of gains.

Autism Insurance Coverage and ABA Therapy Key Facts

1. All 50 US states require some form of insurance coverage for autism treatments, including ABA therapy.
2. Understanding your insurance plan type (fully insured, self-funded, Medicaid, TRICARE) is crucial for navigating coverage options.
3. Most insurance plans require pre-authorization for ABA therapy, involving documentation like diagnosis and treatment plans.
4. In-network providers have contracts with insurers, typically resulting in lower out-of-pocket costs and smoother claims processing.
5. Family involvement in ABA therapy aids in skill generalization, plan adherence, and effective reinforcement at home.
6. Secondary insurance and government programs like Medicaid EPSDT and CHIP can help offset therapy costs.
7. Documentation such as official diagnosis, doctor referrals, therapy plans, and communication logs are vital in insurance claims and appeals.
8. State-specific mandates vary widely, with recent laws removing caps and expanding coverage in some states.
9. Assistive technology and telehealth services enhance accessibility and communication for children receiving ABA therapy.
10. Early intervention, active family collaboration, and community resources significantly support successful autism therapy outcomes.

1. Tip 1: Verify Your Insurance Coverage Early and Thoroughly

Understanding Your Insurance Plan Type

Before starting ABA therapy, it is crucial to identify your insurance plan type. Plans can be fully insured, self-funded, Medicaid, or others like TRICARE. Fully insured plans are regulated by state laws mandating ABA therapy coverage and usually must comply with mandates. In contrast, self-funded plans fall under federal ERISA laws and may have different coverage rules. Knowing your plan category helps in navigating insurance denials for autism therapy and appeals effectively.

Familiarize Yourself with State and Federal Mandates

All 50 US states require some form of insurance coverage for autism treatments, including ABA therapy. However, specific age limits, session caps, and dollar maximums vary widely between states. Additionally, federal laws such as the Affordable Care Act and the Mental Health Parity and Addiction Equity Act ensure that autism therapy is covered comparably to other medical treatments, which can protect families from discriminatory insurance practices.

Check Pre-Authorization and Documentation Requirements

Most insurance plans require pre-authorization before ABA services can start. This usually involves submitting an official autism diagnosis requirement for ABA therapy from a licensed professional, a referral or prescription from a child's doctor, and detailed treatment plans. Early verification and preparation of documentation help avoid delays and simplify the approval process.

Review Coverage Limits and Out-of-Pocket Costs

Coverage specifics differ by insurance providers covering ABA therapy and plan. Some plans set session limits, impose copays and coinsurance for ABA therapy, or deductibles, while others may have annual or lifetime caps on ABA therapy. Knowing these limits upfront allows families to plan financially and advocate for needed services. Using additional resources like Medicaid or secondary insurance can help reduce out-of-pocket expenses.

2. Tip 2: Understand Key Insurance Terms to Advocate Effectively

What are deductible, copays, and coinsurance?

Deductible is the amount you must pay out of pocket before your insurance begins to cover costs. Copays and coinsurance for ABA therapy are fixed fees you pay for each therapy session or doctor visit. Coinsurance refers to the percentage of costs you share with your insurer after the deductible is met.

How does the pre-authorization process work?

Pre-authorization for ABA therapy requires approval from your insurance company before starting ABA therapy. This usually involves submitting your child’s Autism diagnosis requirement for ABA therapy and treatment plan. The timeline for approval varies by insurer but can take days to weeks, so initiating requests early is important.

What is the difference between in-network and out-of-network providers?

In-network provider requirements have contracts with your insurer, usually resulting in lower out-of-pocket costs and smoother billing. Out-of-network providers may cost more and require additional paperwork or upfront payments. Confirm your therapist’s network status to avoid unexpected expenses.

What are out-of-pocket maximums and Explanation of Benefits (EOB)?

Out-of-pocket costs for ABA therapy limit how much you pay annually for covered services, protecting families from unlimited expenses. The Explanation of Benefits (EOB) details what services were paid, denied, or require your payment, helping you track therapy costs and insurance reimbursements.

Understanding these terms empowers families to navigate ABA therapy insurance coverage confidently, ensuring better access and fewer surprises in coverage.

3. Tip 3: Choose Qualified and In-Network ABA Providers

Why Choose In-Network ABA Providers?

Selecting an in-network ABA therapy provider such as EverCare ABA offers several advantages for families navigating insurance coverage. In-network providers have established contracts with insurance companies, which typically results in lower out-of-pocket costs and smoother claims processing. Using these providers helps minimize surprise expenses, as insurance plans often cover a higher percentage of therapy costs when services are obtained from in-network professionals.

Impact of Provider Credentialing on Insurance Claims

Provider credentialing is a critical factor affecting claims approval and reimbursement rates. Credentialed providers meet the insurance companies’ qualifications and standards, reducing the risk of claim denials due to non-compliance. Since credentialing can take months to complete, choosing providers who are already credentialed streamlines the insurance process, expediting therapy initiation and continuation without administrative delays.

Importance of Verified Experience and BCBA Involvement

Experience and supervision by Board Certified Behavior Analysts (BCBAs) are vital indicators of quality ABA therapy. Families should verify that providers have qualified BCBAs managing treatment programs to ensure evidence-based and personalized interventions. Experienced providers are better equipped to adjust therapy approaches effectively and collaborate with families, improving overall outcomes.

Flexible Therapy Formats Make Access Easier

To accommodate families’ diverse needs, many providers offer flexible therapy formats. This includes both home-based and clinic-based ABA sessions which can be scheduled around family routines. Some agencies also utilize telehealth options, especially in underserved or remote areas, increasing accessibility while maintaining therapy quality. Choosing a provider offering such flexible options helps maintain consistency and supports better generalization of skills across different environments.

By focusing on qualified, in-network providers with strong credentials and flexible service delivery, families can maximize insurance benefits and support meaningful progress in ABA therapy for their children.

4. Tip 4: Partner with Therapy Providers Who Support Insurance Navigation

Providers That Assist with Benefit Verification, Pre-Authorization, and Claims

Navigating insurance coverage for ABA therapy can be complex, involving benefit verification, obtaining pre-authorization and managing claims submissions. Many families find this process overwhelming without professional support. Fortunately, several therapy providers offer direct assistance with these steps, easing the administrative burden on families. For example, Achievement Behavior Services insurance assistance helps families verify benefits and secure necessary authorizations to speed access to ABA therapy.

The Role of Dedicated Care and Benefits Teams

Providers with dedicated care and benefits teams, such as EverCare ABA and Hopebridge, play a pivotal role in guiding families through insurance plan requirements for ABA therapy. These specialized teams assist with verifying insurance coverage, coordinating pre-authorizations, and handling billing and communications with insurance companies. By managing these complex tasks, they reduce stress and confusion, allowing families to focus more fully on their child’s therapy and progress.

Streamlining Insurance Processes to Reduce Family Burden

Streamlining insurance processes is essential for families to access consistent ABA therapy. Therapy providers with established systems can monitor state laws on autism insurance coverage and compliance requirements across states and insurers, ensuring the right documentation is submitted on time. This ongoing support prevents delays in therapy start dates and interruptions in service delivery.

Advocacy and Appeal Support for Denials or Coverage Issues

Insurance denials or coverage limitations can be significant barriers to therapy access. Providers offering advocating for full ABA service coverage services assist families in appealing denials or negotiating with insurers. This advocacy is a vital resource that empowers families to secure the benefits their children need and prevents gaps in therapy services due to financial or administrative obstacles.

Partnering with therapy providers that actively support insurance navigation assistance creates a more accessible and manageable experience for families seeking effective ABA therapy for their children with autism.

5. Tip 5: Leverage Secondary Insurance and Government Programs

Utilizing Medicaid EPSDT Benefits for ABA Therapy

Medicaid’s Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit is a crucial resource that provides coverage for ABA therapy for children under the age of 21. This program ensures that low-income families have access to medically necessary autism services, enabling children to receive timely and effective interventions without bearing the full financial burden. For more information on Medicaid waivers and support services, see Autism spectrum disorder statistics.

Exploring State Medicaid Waivers and CHIP Coverage

Many states offer Medicaid waivers that expand support services for individuals with autism, including respite care, personal assistance, and additional therapies beyond standard Medicaid benefits. The Children’s Health Insurance Program (CHIP) also plays a vital role in covering autism-related treatments for eligible children, particularly for families who may not qualify for Medicaid but still require financial assistance. Learn more about autism insurance coverage.

Using Secondary Insurance to Offset Costs

Families often face significant out-of-pocket expenses even when primary insurance covers ABA therapy. Utilizing secondary insurance can help reduce these costs by covering copayments, deductibles, or services not fully paid for by the primary insurer. This two-tiered approach can make intensive therapy more accessible and manageable financially for many families. Refer to Autism spectrum disorder overview for guidance on maximizing autism insurance benefits.

Awareness of Military Insurance Options Like TRICARE

For military families, TRICARE provides coverage for ABA therapy through its Autism Care Demonstration program. This comprehensive plan requires pre-authorization and provider approval, but it offers vital support for children with autism in military households, ensuring access to essential therapies without prohibitive costs. Details can be found in Navigating insurance for ABA services.

By understanding and leveraging these government programs and secondary insurance options, families can significantly lessen financial barriers and enhance access to effective ABA therapies.

6. Tip 6: Prepare and Maintain All Necessary Documentation

Why is obtaining and updating an official autism diagnosis important?

Obtaining a formal autism diagnosis from a licensed professional is essential for ABA therapy insurance coverage. Most Insurance providers covering ABA therapy require this official diagnosis for ABA therapy as the first step before approving treatment benefits. Keeping your child’s diagnosis information current helps ensure uninterrupted access to services and supports eligibility for other therapies.

How essential are doctor referrals and treatment prescriptions?

Insurance companies typically require a referral or prescription from your child's primary care physician or specialist to authorize ABA therapy coverage. This documentation confirms the medical necessity of the treatment and supports Insurance plan requirements for ABA therapy. Regularly updating these referrals as treatment progresses may be necessary to maintain Insurance benefits verification.

Why should families keep detailed records of therapy plans and progress?

Comprehensive documentation of therapy goals, session plans, and progress reports is crucial. These records demonstrate the effectiveness and medical necessity of ABA therapy during insurance reviews and appeals. Keeping detailed data allows healthcare providers to tailoring interventions in ABA and provides families with evidence when advocating for continued or expanded coverage.

How can documenting communications with insurers assist in claims and appeals?

Maintaining a thorough log of all communications—phone calls, emails, letters—with insurance companies helps track claim statuses and decisions. Documenting dates, contacts, and outcomes ensures clarity and supports families during Insurance denials and appeals for ABA therapy. This systematic approach reduces stress and expedites resolution of Coverage for medically necessary autism treatments.

By proactively gathering and maintaining these critical documents, families strengthen their ability to navigate complex Autism health insurance coverage by state and secure consistent access to ABA therapy insurance coverage.

7. Tip 7: Stay Informed About State-Specific Coverage Mandates and Changes

Variations in Age, Dollar Limits, and Session Caps Across States

Insurance coverage for ABA therapy insurance coverage and other autism treatments varies significantly from state to state. While all 50 states have mandates requiring some form of autism insurance coverage, specifics such as age limits, annual dollar caps, and session frequency restrictions differ. For example, some states set age limits around 18 or 21 years, while others impose annual dollar limits that may cap coverage at $36,000 to $40,000 per year. These variations impact how much therapy families can access and at what cost.

Recent Legislation Removing Caps or Expanding Coverage

Several states have enacted new laws to reduce or eliminate previous coverage restrictions. Iowa’s House File 5 autism insurance changes is a notable example, which removed both age and financial caps on autism insurance benefits, expanding access to medically necessary therapies without strict limits. Such legislation helps families access more comprehensive care without encountering barriers like therapy hour limits or exhausting financial maximums.

Keeping Up with State Insurance Department Updates

State insurance departments regularly release updates about state laws on autism insurance coverage mandates and new regulations. Families are encouraged to monitor these announcements to stay informed about changes that may affect their benefits. Subscribing to state insurance bulletins or consulting with your therapy provider’s insurance specialists can help you keep up to date on evolving coverage details.

Advocating Locally for Policy Improvements and Accessibility

Parents and caregivers play an essential role in advocating for enhanced insurance reform for ABA coverage policies in their states. Engaging with local advocacy groups, contacting state lawmakers, and participating in public comment opportunities can drive improvements to autism insurance mandates. Strong local advocacy leads to broader accessibility, fewer out-of-pocket expenses, and better support services for children with autism.

8. Tip 8: Utilize Assistive Technology and Telehealth Services to Enhance Accessibility

How Can Assistive Technology Support Communication in ABA Therapy?

Assistive technology, particularly AAC devices and communication, has become an invaluable tool for children with autism. These devices—including Picture Exchange Communication Systems (PECS) and speech-generating gadgets—offer clear, functional means for children who face communication challenges. Visual supports like social stories and calendars also help convey important information clearly, making interactions less confusing and more predictable.

How Does Telehealth Improve Access to ABA Therapy for Families?

Telehealth services have expanded ABA therapy's reach, especially for families living in rural or underserved areas where trained therapists may be scarce. Virtual therapy sessions help bridge the distance gap, allowing children to receive consistent care in their home environment. This approach is especially vital during times when in-person therapy is difficult. For more on expanding access to ABA therapists and telehealth services, see addressing barriers in ABA therapy.

What Do Insurance and State Laws Say About Coverage for Assistive Technology and Telehealth?

Many states and insurance plans recognize the importance of assistive technologies and telehealth as part of autism treatment. Coverage often includes devices that enhance communication alongside traditional ABA services. Pre-authorization may be required, and coverage specifics can vary, so families should verify benefits and work with experienced providers to navigate insurance effectively. For detailed information on autism insurance mandates by state and navigating insurance for ABA services, consult those resources.

How Does Technology Complement ABA Therapy and Expand Service Options?

Incorporating assistive technology with ABA therapy enriches the treatment by facilitating communication and skill generalization across environments. Telehealth further broadens therapy options, ensuring that even families in remote locations can access evidence-based interventions. Together, these technologies support a more personalized and flexible approach to autism care, encouraging family involvement in ABA therapy goals and improving overall outcomes. Learn more about leveraging AAC devices for communication.

What is Applied Behavior Analysis (ABA) therapy and how does it benefit children with autism?

ABA as Evidence-Based Autism Treatment

Applied Behavior Analysis (ABA) therapy is a scientifically validated and evidence-based ABA treatment recognized as the gold standard for children with autism spectrum disorder (ASD). It utilizes principles of behavioral science to systematically promote positive changes in behavior.

Supported Skills Development and Behavior Reduction

ABA therapy helps children develop essential skills including communication, social interaction, and daily living activities. Therapists employ techniques like positive reinforcement to encourage desired behaviors while reducing challenging behaviors that interfere with learning and social engagement. This involves caregiver training in ABA principles to extend gains beyond therapy.

Individualized and Family-Centered Approach

A hallmark of ABA therapy is its customization; treatment plans are tailored to meet each child's unique needs. Families are actively involved in goal setting and receive training to reinforce techniques at home, ensuring learning extends beyond therapy sessions through family involvement in ABA therapy goals.

Impact of Early and Intensive Intervention

Research shows that early and intensive ABA intervention, particularly before the age of six, leads to the most significant developmental gains. Children often experience improvements in language, social skills, independence, and adaptive behaviors, allowing better integration in school and community environments. This aligns with promoting early intervention in ABA as a critical strategy.

ABA’s structured, data-driven methods empower children with autism to reach their full potential and support lasting improvements, fostering greater independence and quality of life.

How does EverCare ABA personalize therapy plans for each child?

Personalized Therapy Plans Led by BCBAs

At EverCare ABA, every therapy plan begins with a comprehensive assessment conducted by board-certified behavior analysts (BCBAs). This individualized evaluation identifies a child's unique strengths, challenges, and behavioral patterns to ensure that treatment is tailored specifically to their needs.

Using Functional Behavior Assessment (FBA) to Understand Behavior

A key component of the assessment process is the Functional Behavior Assessment (FBA). This tool helps determine the reasons behind challenging behaviors, enabling therapists to develop targeted interventions that address the root causes rather than just symptoms.

Tailored, Evidence-Based Interventions

EverCare ABA uses evidence-based methods like Discrete Trial Training and Natural Environment Teaching, carefully adapted to each child's developmental level and interests. These interventions focus on building vital communication, social, and daily living skills while reducing disruptive behaviors.

Family Involvement and Data-Driven Monitoring

Families are actively involved in setting therapy goals and learning reinforcement techniques to apply across home and community environments. Regular data collection during sessions allows therapists to monitor progress closely and adjust strategies based on measurable outcomes, ensuring continuous improvement and effectiveness.

EverCare ABA’s collaborative and data-driven approach creates a supportive framework where the child's unique needs are prioritized, and families feel empowered throughout the therapeutic journey.

What formats of ABA therapy services does EverCare ABA offer and how do they support families?

What formats of ABA therapy services does EverCare ABA offer and how do they support families?

EverCare ABA offers flexible therapy formats to best accommodate the varied needs of children with autism and their families. These include in-home, center-based, and virtual therapy options, each designed to provide effective, personalized support.

In-home therapy enables children to learn and develop skills in their natural environment. This format allows for increased generalization of skills to daily routines and real-life situations. Parents can actively participate during sessions, gaining training families in reinforcement techniques and strategies they can apply consistently outside therapy hours. This hands-on involvement strengthens the home environment's role in supporting continuous progress.

Center-based therapy offers a structured setting with access to specialized resources and peer interactions. Many children benefit from this social environment where they can practice communication and social skills alongside peers. The clinical setting also typically provides comprehensive tools and team collaboration, which can enhance focused skill-building.

Virtual therapy is an effective option for families who face barriers accessing traditional settings due to geography or health concerns. It maintains continuity of treatment by delivering personalized sessions remotely. Therapists engage with both children and caregivers through digital platforms, ensuring professional guidance while fitting therapy conveniently into family schedules.

Regardless of the format, EverCare ABA prioritizes deep family involvement. Family involvement in ABA therapy goals, caregiver training, and ongoing communication are emphasized to create a consistent, supportive learning environment. This family-centered approach empowers parents and caregivers to reinforce skills daily and advocate confidently for their child's needs.

Through diverse therapy delivery methods and strong family partnerships, EverCare ABA supports meaningful progress, tailored to each child's and family's unique circumstances.

Why is family involvement important in the ABA therapy process?

Reinforcement and generalization of skills

Family involvement in ABA therapy goals plays a critical role in reinforcing and generalizing the skills a child learns during therapy sessions. When parents and caregivers consistently practice interventions at home and other settings, children are more likely to apply new behaviors broadly, beyond the clinical setting.

Enhanced understanding of therapy techniques

Active participation helps families understand the fundamental ABA principles and techniques. This knowledge equips them to implement strategies properly, support learning, and react constructively to behaviors, thereby creating continuity between therapy sessions and daily life.

Collaboration and plan adjustments

Regular communication between families and therapists allows for ongoing assessment and modification of treatment plans. Families can provide insights into their child's responses and challenges, enabling therapists to tailor interventions that better fit the child's unique needs.

Parent training programs and consistent environment

ABA therapy often includes training families in reinforcement techniques, behavior management, and communication strategies. This empowers caregivers with practical skills and nurtures a consistent environment that supports skill acquisition and emotional well-being.

Engaging the family ensures that therapy is not isolated but integrated into everyday life, which significantly improves outcomes. This collaborative approach fosters motivation, trust, and emotional support essential for the child's growth and success in navigating social, communication, and daily living challenges associated with autism.

How does EverCare ABA assist families in navigating insurance and payment options for therapy services?

Insurance Benefits Verification Process

EverCare ABA offers dedicated support to families by thoroughly verifying insurance benefits with major providers such as Blue Cross Blue Shield, Anthem, and Medicaid. This ensures families have a clear understanding of what their insurance covers before therapy begins. The process involves confirming in-network provider requirements, treatment limits, co-pays, and any required pre-authorization for ABA therapy to streamline approval and reduce delays.

Understanding Out-of-Pocket Costs and Coverage

Families often face challenges understanding deductibles, co-insurance, and other out-of-pocket costs for ABA therapy. EverCare ABA works closely with them to break down these costs clearly and transparently. By explaining coverage details and highlighting any potential financial responsibilities upfront, families can plan accordingly and avoid unexpected expenses during their child’s treatment.

Availability of Financial Assistance and Grants

Recognizing financial barriers, EverCare ABA provides information on various financial assistance programs and grants that can help offset therapy costs. This support ensures families from diverse economic backgrounds can access effective ABA therapy coverage. The team guides families in applying for these resources, enhancing accessibility to essential treatment.

Support for Insurance Changes and Eligibility

Life circumstances and insurance policies often change, affecting therapy coverage. EverCare ABA maintains ongoing communication with families to manage changes in insurance benefits verification. They assist in updating documentation and coordinating with insurance companies to keep therapy accessible without interruption.

Through these comprehensive services, EverCare ABA empowers families with the knowledge and resources needed to confidently navigate the complexities of ABA therapy insurance coverage.

What practical advice can EverCare ABA offer to parents of children newly diagnosed with autism?

Importance of Early Intervention

EverCare ABA emphasizes the significance of starting therapy as early as possible. Early intervention, especially with evidence-based approaches like ABA therapy insurance coverage, can greatly enhance communication, social skills, and daily living abilities in children with autism. Engaging in therapy early sets a foundation for improved developmental outcomes.

Active Family Collaboration with Therapists

Families are encouraged to actively collaborate with their child's therapy team. Regular communication with therapists helps tailor treatment plans to the child’s unique needs and ensures the consistency of strategies across home and therapy environments. This collaboration fosters trust and maximizes therapeutic progress through building trust with families in ABA.

Maintaining Positivity and Resilience

Parents should focus on celebrating small victories and building on their child’s strengths. Maintaining a positive outlook helps families cope with challenges and nurture hope. Embracing patience and resilience is essential throughout the journey, enabling families to navigate ups and downs with confidence.

Utilizing Community Resources and Structured Routines

Leveraging community support networks and programs can empower families by providing education, social connection, and respite. At home, creating structured routines and using visual supports like schedules or social stories can offer predictability and comfort for children with autism through techniques such as using visual supports in ABA and PECS and social stories in ABA. These steps promote smoother transitions and reinforce skills learned in therapy.

By following these practical steps, EverCare ABA helps families of newly diagnosed children feel supported and equipped on their path toward meaningful growth and inclusion.

Empowering Families Through Informed Navigation and Accessible Care

Understanding Insurance Coverage and Navigating Benefits

Families should start by reviewing their specific insurance plans to identify coverage for ABA therapy, including any limits on sessions, age restrictions, and provider networks. Obtaining a formal autism diagnosis and ensuring pre-authorization are essential steps. Working with knowledgeable providers who assist with benefits verification can ease the process and reduce stress.

Importance of Personalized Therapy and Family Engagement

Effective ABA therapy is tailored to each child's unique needs and thrives with active family involvement. Training caregivers in reinforcement methods and behavior support creates consistency, enhancing progress. Incorporating visual aids and practicing skills in varied settings promote generalization, empowering children to apply learned skills broadly.

Supporting Families with Advocacy and Resources

Families are encouraged to proactively advocate for their children's coverage by understanding insurance terms and utilizing appeal processes when needed. Accessing support services, whether through Medicaid, private insurance, or community programs, improves affordability and care quality. Utilizing available resources and provider assistance strengthens families' ability to secure and maintain meaningful therapy.

Through informed navigation, personalized approaches, and strong advocacy, families can empower themselves to access the ABA therapy necessary to support their children's growth and well-being.