Sorry to hear they were not more responsive. It is true that some states have more restrictive criteria (and allow less comprehensive assessments to be sufficient; I would not consider the CogAT to be a good assessment of cognitive ability, nor would grades be an objective enough quantitative measure, but some states have policies that would deem those sufficient).
If your PCP writes the referral up as medically-focused, rather than educational in nature, you are more likely to get prior authorization from the insurance company. Since he has both medical (anxiety, social skills, fine motor skills) and educational (written expression) areas of suspected need, this is entirely legitimate. You should get the same kind of diagnostic information and recommendations regardless.
