HomeServicesAutism Evaluations
Diagnostic Services

Autism Evaluations in North Carolina

Waiting months for an autism evaluation is hard on any family. Sunny Skies ABA offers diagnostic evaluations for children who do not yet have a diagnosis, so you can get answers and start support sooner.

Who We Assess
Children & Teens
Diagnosis Needed First
No
Medicaid Families
Welcome
Benefits Check
Free
Service Area
North Carolina

What Is an Autism Evaluation?

An autism evaluation is a structured assessment that answers one central question: does your child meet the criteria for autism spectrum disorder? It combines a detailed developmental history from you, direct observation of your child, and standardized assessment measures. The result is a clear written report that explains what was found and what it means for your child.

A formal diagnosis matters for practical reasons as well as clinical ones. In North Carolina, a documented autism diagnosis is what unlocks insurance coverage for ABA therapy, opens the door to school-based supports and an IEP, and gives every professional working with your child a shared starting point.

Many families tell us the hardest part is not the evaluation itself. It is the waiting. Appointments for autism assessments in North Carolina are often booked months out, and Medicaid families frequently wait the longest. That delay costs children some of the most valuable months of early intervention.

You do not need a diagnosis to contact us. If you have concerns about your child's development and are not sure where to begin, that is exactly the point at which we can help. Our team can either conduct the diagnostic evaluation in-house or refer you to a trusted local diagnostician, whichever gets your family answers faster.

When Should You Consider an Evaluation?

Parents are usually the first to notice that something feels different. You do not need to be certain, and you do not need to wait for a teacher or doctor to raise it first. An evaluation is worth considering if you notice signs like these.

In toddlers and preschoolers

  • Limited or delayed speech, or a loss of words your child previously used
  • Little eye contact, or not responding consistently when you call their name
  • Repetitive movements such as hand flapping, rocking, or spinning objects
  • Strong distress with changes in routine, textures, sounds, or foods
  • Playing alongside other children rather than with them

In school-age children and teens

  • Difficulty making or keeping friendships despite wanting them
  • Trouble reading social cues, tone, or unwritten social rules
  • Intense, focused interests that dominate conversation and time
  • Meltdowns or shutdowns after school that the school day does not explain
  • Anxiety, rigidity, or sensory sensitivities that affect daily life

None of these signs on their own mean a child is autistic. Together, they are a good reason to get a professional opinion rather than wait and wonder.

What the Evaluation Includes

A thorough evaluation looks at your child from several angles, because no single test can identify autism on its own. Depending on your child's age and needs, the assessment may include:

Parent and Caregiver Interview

A detailed developmental history covering milestones, communication, play, behavior, and daily routines.

Direct Observation

Structured and play-based interaction with your child to observe communication, social response, and behavior.

Standardized Measures

Evidence-based assessment tools appropriate to your child's age and profile, chosen by the evaluating professional.

Adaptive Functioning

A look at everyday skills such as self-care, communication, and independence compared with same-age peers.

School and Provider Input

With your permission, we gather relevant input from teachers, pediatricians, or other providers involved in your child's care.

Written Report

A clear report with findings and recommendations that you can use with insurance, your school district, and other providers.

How the Process Works

We keep the path from first phone call to first therapy session as short and as clear as we can.

1

Reach Out and Tell Us What You Are Seeing

Call (919) 502-1112 or send us your details through our contact form. Share your concerns and your child's age. There is no cost for this conversation and no obligation.

2

We Check Your Coverage

Our intake team verifies your insurance or Medicaid benefits at no cost and explains in plain language what is covered before anything is scheduled.

3

Evaluation Is Scheduled

We schedule the assessment as soon as availability allows and tell you honestly what the current timeline looks like. If another provider can see your child sooner, we will say so.

4

Results, Report, and Next Steps

We walk you through the findings in person, give you the written report, and explain your options. If ABA therapy is recommended, we can begin the authorization process right away.

Insurance and Medicaid Coverage

Cost should not be the reason a child goes without answers. Diagnostic evaluations are covered by many North Carolina health plans, and children covered by NC Medicaid are generally entitled to medically necessary assessment and treatment services under EPSDT.

We work with families on NC Medicaid Direct, Medicaid Standard Plans, Tailored Plans, and a range of commercial plans. Before anything is scheduled, our team verifies your specific benefits and tells you exactly what to expect, in writing.

You can see the full list of plans we work with on our insurance page, or read more about how we help families navigate coverage in our insurance support service.

What Happens After a Diagnosis

A diagnosis is not an ending. For most families it is the moment the path forward finally becomes clear.

If your child is diagnosed with autism and ABA therapy is recommended, you are already with a provider who can start. There is no second waiting list, no new intake process, and no need to repeat your family's story to another organization. Our BCBAs build an individualized treatment plan and we handle the insurance authorization on your behalf.

Therapy is delivered where your child actually lives and learns: at home, in school, in the community, and through telehealth when that fits your family better. If your child is not diagnosed with autism, the report still has value. It documents what was assessed, what was ruled out, and what supports may help.

Explore what comes next: early learning, ready for school, teen and young adult services, and parent guidance.

Serving Families Across North Carolina

We support families with evaluations and ABA therapy in communities across the state:

Frequently Asked Questions

My child does not have a diagnosis yet. Can we still contact you?
Yes, and this is one of the most common reasons families reach out to us. If you have concerns about your child's development, you do not need a referral or an existing diagnosis to speak with us. Our team can either conduct the diagnostic evaluation in-house or refer you to a trusted local diagnostician.
How long does it take to get an autism evaluation in North Carolina?
Wait times vary widely across the state, and many families are told to expect several months. When you contact us we will tell you honestly what our current availability looks like, and if another provider can see your child sooner, we will point you there.
Does Medicaid cover an autism evaluation?
Children covered by NC Medicaid are generally entitled to medically necessary diagnostic and treatment services under EPSDT, which includes autism assessment. Coverage details depend on your specific plan, so our intake team verifies your benefits at no cost before anything is scheduled.
What ages do you evaluate?
We work with children, teens, and young adults. Autism can be identified in toddlers as young as 18 to 24 months, and it is also common for it to be recognized later in school-age children and teens whose difficulties were previously explained another way. If you are unsure whether your child is the right age, call us and ask.
What happens during the evaluation itself?
You will be asked about your child's development, communication, play, and behavior. The evaluating professional will interact with your child directly and use standardized assessment measures appropriate to their age. Nothing about it is painful or invasive, and most children experience it as playing and talking.
What do we receive at the end?
You receive a written report with the findings and recommendations, and we walk you through it so it makes sense. That report is what you use for insurance authorization, school supports such as an IEP, and any other providers involved in your child's care.
If my child is diagnosed, can they start therapy with you?
Yes. If ABA therapy is recommended, you stay with the same team. We build the treatment plan, handle the insurance authorization, and begin services at home, in school, in the community, or through telehealth, depending on what fits your family.
What if the evaluation shows my child is not autistic?
The report still gives you real answers. It documents what was assessed and what was ruled out, and it includes recommendations for supports that may help. Many families tell us that having clarity, either way, is a relief after months of uncertainty.

Concerned About Your Child? Start Here.

No diagnosis needed. No cost to ask. Free benefits check before anything is scheduled.

Request an Evaluation