Association for Behavior Analysis International

The Association for Behavior Analysis International® (ABAI) is a nonprofit membership organization with the mission to contribute to the well-being of society by developing, enhancing, and supporting the growth and vitality of the science of behavior analysis through research, education, and practice.

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43rd Annual Convention; Denver, CO; 2017

Event Details


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Panel #305
CE Offered: BACB
Providing Clinically and Ethically Sound Services Within Managed Care Contracting
Sunday, May 28, 2017
5:00 PM–5:50 PM
Convention Center Mile High Ballroom 4C/D
Area: AUT/PRA; Domain: Service Delivery
CE Instructor: Jill E. McGrale Maher, M.A.
Chair: Lorri Shealy Unumb (Autism Speaks)
JILL E. MCGRALE MAHER (Autism Learning Partners)
STEVEN WOOLF (Beacon ABA Services)
IAN MELTON (Endicott College, Hopebridge Pediatrics)
Abstract:

More than 40 states now mandate coverage of applied behavior analysis (ABA) services for children with autism spectrum disorder (ASD) from most insurance companies, including publically funded plans. Insurance companies have very clear parameters regarding the number of sessions and maximum benefits approved as well as what is required for authorizations. Moreover, many funding sources dictate what are considered acceptable and unacceptable skill domains for inclusion on treatment plans. As practitioners, while navigating these benefits can be daunting, our most critical task and responsibility is the provision of the highest quality of clinical care with the best outcome. This panel will discuss the topic and viable solutions within behavioral frameworks including strategies to ensure clinical integrity of programming, meet clinical prescription, maximize potential benefits of insurance coverage, ensure skilled direct service staff, and maintain the highest quality of supervision standards. Sufficient time will be provided for discussion with the audience.

Instruction Level: Advanced
 

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