Schools that partner with us are invoiced for the activities therapists complete both ON and OFF camera. This includes:

• Direct time spent with students meeting IEP minutes
• IEP meeting attendance
• Paperwork completion for IEPs
• Session planning 
• Documentation of session completion
• Medicaid billing
• Communication with teachers, parents, and relevant team members
• Progress report completion
• Assessment administration and report write up
• Clinical coordination of services
• Additional duties as assigned by school personnel (i.e., newsletters, team meeting attendance, etc.)

Lighthouse Therapy invoices are broken down by individual student so schools can easily monitor and verify billable activities. Our goal is to be as transparent as possible. However, if you have a question, you’ll have the contact information of our billing team so you can get a quick resolve to any concern you may have.

Absolutely. Every therapist we contract with (no matter the discipline) has to navigate a maze of regulations, requirements, and certifications to be fully licensed to work with students. It’s complex, but we make it simple for schools.

At Lighthouse Therapy, our clinical and HR teams stay on top of all licensure requirements. We track, monitor, and verify that every provider is current with state and institutional standards. If a therapist ever needs to update or obtain a new license, we guide them step by step until it’s complete.

We don’t stop there. We also track licensure expiration dates, require copies of all valid licenses and certifications on file, and can share electronic copies with your school whenever you need them.

And one more thing: every therapist completes a certified background check before they’re cleared to work—at no cost to you. We cover that, because peace of mind shouldn’t come with a price tag.

If Lighthouse Therapy does not have a therapist ready for immediate placement, then it typically takes  45-60 days. However, time of year and therapy discipline play a major role in how long it may take. Between the months of January and March it may take over 90 days to recruit, contract, and place a therapist for your school.

We completely understand that many districts prefer in-person therapy when it's available. At Lighthouse Therapy, we get it. If you find that perfect in-person candidate down the road, our contract gives you options.

Here's how it works: After the first 30 days of service, our agreements ask for a 90-day termination period. Why? Two big reasons:

1. Stability for your therapist. The provider assigned to your school may need reassignment. That takes time. We believe in taking good care of our therapists and their families, because when they're supported, your students get the best care. Sudden disruptions create unnecessary stress and uncertainty.
2. Investment costs. Recruiting, interviewing, onboarding, and licensing a therapist costs us about $4,000 per provider. We absorb that cost up front, so schools don't have to. But if a contract ends abruptly, we have to repeat that process, which adds additional strain.

These reasons are why the 90-day notice exists. It's about being fair to schools, fair to therapists, and fair to Lighthouse. If for any reason a school can't provide that notice, the contract simply outlines the financial obligations for that term. And when that happens, our billing team works closely with your staff to make the process clear and smooth.

At the end of the day, we want districts to have the best possible fit for their students.

Yes! Most of our therapists come with about 16 years of experience working in public schools all across the United States. Some of them come with experience working on many different IEP systems. If they're unfamiliar with your specific system, they can be available for training.

Yes—and here’s why. Having a facilitator or paraprofessional in place isn’t just a nice-to-have, it’s best practice. Students may need help getting to and from sessions, logging in, troubleshooting tech, or simply staying focused and on track. And above all, it’s about safety—we want every student to be safe while they’re in a session.

We also know schools are stretched thin. Paraprofessionals, nurses, bus drivers, even teachers—everyone is in high demand. If staffing feels like a barrier, don’t worry. Our team will work with you to find creative, workable solutions so students still get the care they need.

Lighthouse Therapy charges a one-time, per-student annual Administrative Fee, which you’ll see on your first invoice.

This fee covers the behind-the-scenes setup that makes services run smoothly from day one. It allows us to:

• Accurately invoice schools

• Pay therapists promptly for completed work

• Track attendance and sessions

• Securely store documentation

• Schedule sessions efficiently with school staff

• Generate clear progress and compliance reports

Every piece of student data we handle is both HIPAA and FERPA compliant. Protecting confidentiality isn’t just a requirement—it’s a commitment we take seriously.

At Lighthouse, Clinical Coordination means you get a lead provider—your Clinical Coordinator (CC)—who serves as the main point of contact between your school and our therapy team. Their job is simple: keep everything running smoothly so students get the services they need and make real progress. Many times, your CC is also part of the therapy team, actively serving students.

Here’s what your Clinical Coordinator does:

• Quickly problem-solve issues with providers, team members, or students

• Coordinate referrals so new students are scheduled without delay

• Mentor both your onsite team and assigned therapists when needed

• Monitor documentation and session completion to keep you compliant

• Support communication across the whole team

Why does this matter? Because starting teletherapy can feel overwhelming. Without strong coordination, small challenges can snowball into bigger issues that impact students. With a CC in place, those pieces stay aligned—and when we’re successful as a team, students thrive.

What does it cost?
Clinical Coordination typically accounts for about 5% of your total invoice. Schools usually need more support at the start of the year, and then costs taper off as routines become second nature.

Absolutely. While every school’s needs are unique, we make sure you have a clear, straightforward cost breakdown before any decisions are made. Here’s what that typically includes:

• Per-student service costs based on the average minutes of therapy needed each week

• One-time administrative fee that covers setup, onboarding, and reporting systems

• Clinical coordination costs (usually a small percentage of the invoice) to ensure smooth communication, compliance, and quick problem-solving

• Optional add-ons (like extended services or specialized support) if your school needs them

We lay it all out in plain English—no hidden fees, no surprises. Once we understand your caseload and service requirements, we’ll build a tailored proposal that your board can see line by line, making it simple to compare and budget with confidence.

Due to the nature of online therapy services, Lighthouse Therapy can provide services to any state in the United States. Our therapists are licensed and credentialed in the state in which they live and in the states in which they provide services.

(Lighthouse therapy also maintains the NPA certification requirement in California.)