Frequently Asked Questions

How soon can I get an appointment?

If we have a provider in your area who meets your needs, we will be able to schedule you for an initial appointment within 2 weeks.

How long and how frequently will my child receive services?

The duration of therapy services for your child is dependent on their needs and the goals for therapy. Treatment length and frequency is discussed with you during the initial visit. Typically, sessions are held on a weekly basis; however, based on clinical need ,we can provide services several times per week, once every two weeks, or even monthly. The duration of each session is 45 minutes.

How can a physical therapist help my child?

A pediatric physical therapist helps children improve their range of motion, strength, endurance, flexibility, body awareness, movement patterns and gross motor skills. Gross motor skills include things like sitting upright, standing, crawling, walking, running, or jumping.

How can an occupational therapist help my child?

A pediatric occupational therapist helps children perform daily activities and function to the best of their ability safely and independently. OTs can help children with fine motor skills, social skills, sensory processing, picky eating, emotional regulation, social emotional learning, using adaptive equipment, life skills and activities of daily living. Daily activities include dressing, grooming, feeding, and playing with peers.

Can I access the provider's clinical notes for my child's therapy sessions?

Your child’s HIPAA compliant digital folder will be shared with you after your first completed session with Coral Care. You will be able to access your child’s clinical notes within this folder at any time. Clinical notes are made available to you within this folder within 48 hours of each therapy session.

How is progress measured and communicated?

Progress may look differently for every child. Your provider will establish specific, measurable, achievable, relevant, and time bound goals with you in the beginning of your therapy relationship. As treatment continues, the therapist will communicate verbally and within their clinical notes the progress made toward the established goals. They may use standardized assessment scales and tools to quantify and track improvements. Your provider will re-evaluate the goals throughout treatment; this way you and the provider can establish new goals together as your child’s needs evolve and change.

Does my child need an evaluation to begin care with Coral Care?

If you choose to use your insurance coverage to pay for the services; your child must have a completed evaluation for each discipline (Occupational Therapy, Physical Therapy, Speech Therapy) they are enrolled in with Coral Care to be eligible for insurance coverage for the sessions. Past evaluations from school, clinics, or other practices are not transferable when using insurance. If you are paying out of pocket, we encourage you to schedule an evaluation with us to ensure that we have a reliable baseline of your child’s needs and can develop clear goals and plan for treatment with your provider. However, we will accept evaluations completed within the year from other locations. If the evaluation provided does not assess your child’s needs for the goals you would like your child to achieve, we will request for an evaluation to be completed within Coral Care prior to treatment.

How do insurance eligibility checks work?

Our team conducts eligibility checks on your behalf before your first appointment. We'll verify your coverage and let you know exactly what you'll owe so there are no surprises.

How often are sessions scheduled?

Sessions can be weekly or bi-weekly, depending on your child's needs and your schedule. We'll work with you to find a consistent time that works best for your family.

How does out-of-network reimbursement work?

We provide monthly superbills that you can submit to your insurance company. Many insurance plans offer out-of-network benefits that can help reduce your out-of-pocket expenses. Contact your insurance provider to understand your specific out-of-network coverage.

What is a superbill?

A superbill is a detailed receipt that a patient receives from a healthcare provider that includes information about the services provided, the costs, and the patient's and provider's information.

How soon can we start therapy?

We aim to match families with a therapist within two weeks or less.

What areas do you service?

Our services are available wherever our providers are located. We have providers throughout Massachusetts, Texas, Pennsylvania, the Chicago area, and Southern New Hampshire. Once you complete a search, we will be able to match you with a provider in your area. If we are unable to find a provider match for you, we will work quickly and diligently to obtain one that fits your needs and will contact you once we do.

How do I know if my child needs therapy?

It’s a common question — and an important one. The truth is, you don’t need a diagnosis to consider therapy. If something feels off, or you’ve noticed your child struggling with communication, motor skills, emotional regulation, or daily routines, it’s worth looking into. For example, if your child isn’t talking as much as peers, melts down easily, avoids certain textures, or has trouble with running, climbing, or balance, those could be signs that therapy might help. You might hear, “Let’s wait and see,” but parents are often the first to notice when something’s different. And the earlier support begins, the better. A quick screening or consult can give you peace of mind — and if therapy is needed, we’ll guide you every step of the way.

How can a speech therapist help my child?

A pediatric speech therapist, also known as a speech language pathologist (SLP), can help children communicate freely and clearly whether it be with their voice, their body, or an Augmentative and Alternative Communication (AAC) device. SLPs may work on a child’s articulation, fluency, voice, language, or social communication skills. SLPs also support feeding challenges.

How does my child benefit from in-home therapy compared to outpatient services in clinics for speech, occupational, or physical therapy?

In-home therapy offers a unique advantage by meeting your child where they’re most comfortable — at home. This allows therapists to incorporate your child’s actual environment, toys, routines, and challenges into each session, making therapy more personalized and immediately practical. Instead of practicing stairs in a clinic, they’re climbing the ones to their bedroom. Instead of general sensory activities, they’re learning to manage textures at their own dinner table. In-home care also reduces stress and transitions for children, supports stronger parent involvement, and removes the need for travel — all of which can lead to faster progress and more meaningful outcomes.

How are the providers at Coral Care vetted?

At Coral Care, we take provider vetting seriously to ensure every family receives expert, compassionate care. All of our therapists are fully licensed in their field and have pediatric experience. Before joining our network, each provider completes a multi-step vetting process that includes background checks, reference checks, and a clinical review by our internal Clinical Quality Committee. This includes case discussions, documentation review, and evaluation of their approach to family-centered care. Once onboarded, providers receive ongoing support and mentorship from clinical leads and are regularly reviewed to ensure they continue to meet our high standards of care.

What will I need for the first appointment?

For your child’s first appointment, you don’t need much — just a quiet space where your child feels comfortable. Before the visit, we do ask that you complete a brief intake form so your therapist can review key details about your child’s development, routines, and goals. During the session, your therapist may observe your child in different parts of the home — at the table, on the floor, or going up stairs — depending on their needs. Having a few favorite toys or everyday items nearby can help make the session more engaging and relevant. Your therapist will guide the visit, explain what they’re observing, and answer any questions you have. Most importantly, we want you and your child to feel at ease — this first session is about connection and understanding how we can best support your family.

What is the difference between Occupational Therapy and Physical Therapy?

Occupational Therapy (OT) and Physical Therapy (PT) both support your child’s development, but they focus on different areas. OT helps children build the skills they need for everyday activities — like using their hands to feed themselves, get dressed, write, or play. It also supports sensory processing, emotional regulation, and routines. PT, on the other hand, focuses on gross motor skills — helping kids develop strength, balance, coordination, and movement confidence for things like walking, running, climbing stairs, or navigating the playground. Many children benefit from both services, depending on their needs, and our team can help determine the right fit for your child.

Do you accept insurance?

Yes — Coral Care partners with several major insurance providers, and most families pay just $20–40 per visit when using in-network coverage. Our current partners include: Massachusetts: Blue Cross Blue Shield of MA, Cigna, Mass General Brigham, Harvard Pilgrim, and Tufts New Hampshire: Harvard Pilgrim and Anthem of NH Texas: Blue Cross Blue Shield of TX, Baylor Scott & White, and Curative Health Plan Pennsylvania: Highmark, Independence Blue Cross, and Capital Blue Cross Coverage varies by state and plan, and we’re always expanding our insurance partnerships to serve more families. If your plan isn’t listed, reach out — we’d be happy to check your specific coverage and keep you updated on new additions.

What should I expect from an evaluation?

An evaluation is a comprehensive first step to understanding your child’s strengths and areas where they may need support. During the session, your therapist will use a combination of observation, standardized assessment tools, and parent input to get a full picture of your child’s development. Depending on the type of therapy, they may look at things like speech clarity, motor skills, sensory responses, feeding, or social interaction. You’ll be an active part of the process — your insights and concerns matter. After the evaluation, the therapist will walk you through their findings and recommend next steps, which may include a personalized therapy plan tailored to your child’s goals and needs.

What payment methods do you accept?

We’re in-network with several major insurance providers, and most families pay just $20–40 per visit when using their insurance benefits. We also accept HSA and FSA payments for all services. For families paying out of pocket, our self-pay rates are $250 for an evaluation and $125 per session. We’re committed to making care accessible and will work with you to find the best payment option for your family.

Why can't so many OT goals be addressed virtually?

Because the work happens through the body, not through a screen. An OT working on handwriting can feel how a child grips a pencil and physically correct their hand position — a camera cannot. An OT working on feeding can assess oral motor function and texture responses up close in ways video cannot replicate. An OT working on sensory integration delivers deep pressure, vestibular input, and tactile stimulation that require physical contact. An OT working on dressing guides a child's hands through the motor sequence of buttoning, zipping, and fastening. Across almost every OT goal area, the most important clinical tool is the therapist's physical presence and hands — neither of which travels over a video call.

My child is older — does virtual OT work better for school-age kids?

No. The need for physical guidance doesn't diminish as children get older. A seven-year-old working on handwriting, an eight-year-old with feeding challenges, a nine-year-old building fine motor strength — all of them need hands-on intervention. Virtual OT advocates sometimes frame older children as better candidates for telehealth because they can follow instructions. But following instructions and receiving therapy are two different things.

What does the research say about virtual OT outcomes?

The honest read is mixed. The clearest post-pandemic data point: when researchers surveyed 132 pediatric OTs after restrictions lifted, the median rate of telehealth use had dropped to just 10% of their services. These are clinicians who did both. When they had a choice, nine out of ten went back in person. That is the research that matters most.

Is virtual OT actually effective for kids?

For a narrow set of goals, yes. Telehealth OT works for teaching parents strategies, checking in on home programs, and maintaining skills a child already built through in-person work. For everything else — sensory integration, fine motor development, feeding, handwriting, self-care skills, motor planning, regulation — the research is less encouraging. The clearest finding across multiple studies is that virtual OT's strongest evidence is in coaching parents, not in treating children directly. Those are not the same thing.

What actually happens during a virtual OT session?

Mostly, you become the therapist. The OT watches through a camera and directs you — how to move your child's body, what input to provide, how to respond to what you're seeing. That coaching has value. But you were not trained to deliver occupational therapy, you cannot feel what a trained clinician feels, and you are also trying to be the parent at the same time. Research confirms this burden is real — studies found some caregivers reported increased stress and burnout from managing virtual OT sessions. For a child with active therapy goals, this model asks too much of parents and delivers too little to kids.

What does an occupational therapist actually work on with kids?

A lot more than most people expect. OT covers the full range of what children need to do every day: getting dressed, holding a pencil, eating without distress, sitting still long enough to learn, navigating a playground, regulating emotions when a plan changes. Specifically, pediatric OTs work on sensory processing, fine motor skills, gross motor development, handwriting, feeding and oral motor function, self-care, attention, emotional regulation, visual-motor integration, motor planning, and daily living skills. Most of these goals have one thing in common — they require a therapist whose hands are in the room.

Virtual OT is more convenient — doesn't that count for something?

Convenience matters, which is exactly why in-home therapy exists. When a therapist comes to your home, you get everything telehealth promises — no commute, no waiting room, therapy in your child's natural environment, real family involvement — and your child still gets actual therapy. In-home in-person care is not a compromise between convenience and quality. It is both.

Does insurance cover in-home OT?

In most cases, yes. Coral Care accepts most major insurance plans across our nine states. Coverage varies by plan and state — contact us and we'll check your benefits before your first session.