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Frequently Asked Questions

  • No — not to get started.
     

    In Virginia, Direct Access allows parents to self-refer for physical therapy.

    • CPTS can treat for up to 60 days from your child’s evaluation without a prescription.

    • If care continues beyond 60 days, CPTS will coordinate with your child’s pediatrician and request a prescription at that point.

    • Your pediatrician is still an important part of your child’s team — but you don’t have to wait to be seen first if you have concerns about motor development.


    Ready to get started? Click Request Info and we’ll help you with next steps. It takes a village. 

  • CPTS is out of network with all insurance companies and is a cash-based practice.
     

    That said, we can provide a superbill after your visit that you may submit to your insurance company for possible out-of-network reimbursement (if your plan offers it).

  • A cash-based practice means you pay CPTS directly for services instead of CPTS billing your insurance.

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    Why families choose cash-based care:

    • Faster access to get started (no referral or insurance approvals needed in many cases)

    • More individualized time and attention based on your child’s needs

    • Less paperwork and fewer insurance restrictions

    • Clear, transparent pricing up front

     

    If your plan has out-of-network benefits, CPTS can provide a superbill you can submit for possible reimbursement.

  • Yes — for many families, it can be. We know it can sound scary and expensive upfront, but your time matters and the hidden costs of travel and scheduling add up quickly.
     

    A real-life example: Let’s consider Sarah, a mom of 3. Her youngest has a developmental delay, and the closest pediatric therapy center is 30 minutes away. The clinic recommends 2 visits/week, but the only available time is 2:30. Sarah now has to take 2–3 hours off work twice a week, pay a $35 copay per visit, and coordinate a babysitter for her older kids (about $40/day). That’s about $75/day plus using time off she may not have or want to use — and that’s on top of waiting a month just to get the initial evaluation.
     

    At CPTS, we come to you, so therapy can fit into real life. When appropriate, you can continue your day (work from home, laundry, cooking, or being with your other children) while your child receives care. CPTS also focuses on episodic care, meaning we address current concerns intensely to meet goals, then recommend breaks in therapy to allow independent progression.
     

    Why cash-based care can be more cost-effective: It can reduce travel and missed work time, lower scheduling and childcare conflicts, avoid delays from insurance approvals, and keep costs more transparent with fewer surprise bills. It also allows more flexibility in pricing and scheduling and keeps the focus on patient care.
     

    If cash-based isn’t an option: Not every model works for every family, and CPTS is committed to children in our area. If this model isn’t the right fit for you right now, we’d still love to support you and help you find a clinic or program in the community that works best for your family.

  • Pricing in a cash-based practice is based on a few practical factors, including:

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    • Time and expertise involved in your child’s care

    • Overhead costs (travel time, supplies, business expenses)

    • Location and service area

    • Type of services provided and what’s included in a visit

    • Local market research and what’s typical in the area

    • The overall value of the service and family needs

     

    CPTS is committed to transparent communication about pricing, so you’ll understand costs up front before moving forward.

  • Episodic care is an approach where therapy focuses on a specific concern or developmental stage for a period of time — instead of ongoing, continuous therapy with no clear end.

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    With episodic care, CPTS will:

    • Focus on the current goals (a specific milestone, skill, or concern)

    • Create a targeted plan for your child and family

    • Teach strategies and home practice so progress continues between visits

    • Recommend breaks in therapy when appropriate to allow independent progression

    • Re-check and start another “episode” of care if a new concern comes up later

     

    Episodic care often means shorter, more goal-focused phases of treatment designed to fit real life and support long-term progress.

  • Getting started is simple — just reach out.

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    Blair will guide you through a free consultative screening to help determine whether your child would benefit from an evaluation. From there, she’ll walk you through the next steps.

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    That’s it — just reach out. She’ll do the rest.

More Questions?

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