Home Based Therapeutic Services

Mission Statement

To support children and youth with developmental disabilities by partnering with families to provide effective therapeutic services and learning opportunities which promote greater independence in home and community settings.

Our Philosophy

Our Home-Based Therapeutic Service (HTS) programs are founded on the belief that there are significant, longer lasting benefits to children and youth when their families are active participants in their educational and therapeutic programs, and their communities are part of the learning environment. Consistent implementation of therapeutic programs across environments and throughout the day will enhance a child’s learning, behavior, and social competence. The HTS programs emphasize a family-centered approach to treatment with services and schedules flexible enough to meet individual needs.

CIT Program (ABA)

The Children’s Intensive Treatment (CIT) Program prepares young children behaviorally and academically for placement in the least restrictive school setting possible. To accomplish this,


  • Provides one to one behavioral programming with a focus on skill acquisition.
  • Offers up to 30 hours of structured learning opportunities weekly.
  • Supports families and children in transitioning to school programs.
  • Develops an Individualized Treatment Plan that includes self-control responses and behavioral modification goals, basic academics, play skills, language and communication skills, daily living skills, socialization, and parent education.

CIT serves children starting at 18 months of age who:

  • have medical needs covered through Medicaid or are covered by commercial insurance that provides the Enhanced Autism Benefit.
  • have home based services prescribed as “medically necessary.”
  • have a diagnosis of Autism, Developmental Disabilities, PDD-NOS, or Asperger’s Syndrome.

IST Program (HBTS)

The In-Home Support and Training (IST) Program helps families develop practical behavioral strategies that are effective with their children who may be challenged by serious behavioral concerns. To accomplish this, IST:

  • Provides after school support in behavior management and skill development.
  • Offers 10 to 25 hours of one to one direct support staff weekly.
  • Develops a Treatment Plan that includes a behavior management plan, communication training, functional life skills instruction, social skills training, self-control skills, and parent education.

IST serves children up to 21 years old who:

  • have medical needs covered through Medicaid.
  • have home based services prescribed as “medically necessary.”
  • have a diagnosis of Autism, Developmental Disabilities, PDD-NOS, or Asperger’s Syndrome.

Personal Assistant Supports and Services (PASS)

PASS is for parents who are ready to direct the development of their child’s service plan and to supervise its implementation. Objectives in PASS plans focus on three primary domains: personal care needs, safety, and social integration. PASS assists families in the supervisory role they assume in this consumer-directred program. Key PASS components are:

  • Serves children from 3 to 21 with a diagnosed developmental disability.
  • Families identify the goals and objectives for the service plan and the related activities.
  • Families required to recommend direct service worker.
  • Children can receive up to 20 hours weekly of direct support.
  • Typically community based although activities may take place at home.

Children’s Clinic

The HTS Program has a clinic for children. In order for parents to observe their children while they are in the clinic, a Clinic Observation Room for parents is located right next door to the Clinic. This allows parents to observe their children while attending to the needs of other siblings.

Referral and Intake Process

  • All IST and PASS referrals must originate through the Executive Office of Health & Human Services (EOHHS) Center and must be covered by Medicaid.
  • CIT referrals for children that are covered by Medicaid must also originate through a EOHHS Center. However, children that are covered by commercial insurance with the Enhanced Autism Benefit do not need to be referred by an outside agency. Parents & guardians must contact HTS at The Groden Center directly. ( Commercial insurance does not cover IST or PASS.)
  • A telephone interview will be conducted between a member of our staff and the family to determine if the services offered will meet the family and child’s needs. Once it is determined that the program is appropriate, the Clinical Team will meet with the family to identify appropriate goals for the Treatment Plan. HTS prepares the Treatment Plan and submits it with supporting documentation to the funding agency (Medicaid/commercial insurance) for approval. Once approved, services will begin.