Center for Autism and Developmental Disabilities (CADD) Applied Behavior Analysis (ABA) CADD Referral Information Packet
|
|
- Oswald Potter
- 8 years ago
- Views:
Transcription
1 Center for Autism and Developmental Disabilities (CADD) Applied Behavior Analysis (ABA) CADD Referral Information Packet Thank you for your interest in the Center for Autism and Developmental Disabilities Applied Behavior Analysis (ABA) Program. This packet includes information on the following topics: ABA Program Information ABA Service Process CADD Policies and Procedures Services and Fees Contact CADD For more up-to-date information about our services, our locations, and our staff, please visit our website. We can also be reached by phone and answer any questions you may have. Website Phone (248) Mailing Address Attn: CADD ABA Intake Henry Ford Health System Pediatric Administration, Suite 4B One Ford Place Detroit, MI Fax Attn: CADD ABA Therapy Program (248) SUBJECT: Intake Packet E N V I S I O N the next 100 years. Page 1
2 Applied Behavior Analysis (ABA) Program Information Center for Autism and Developmental Disabilities (CADD) What is ABA? Applied Behavior Analysis (ABA) is an evidence-based approach to creating meaningful or socially significant behavior change. New skills and behaviors are taught while any problem behaviors are minimized. ABA focuses on behaviors that are observable and measurable, with respect to their antecedents and consequences, which are events that occur directly before and after the behavior of interest. This approach utilizes principles of reinforcement, which typically involves providing rewards to increase skills that are functional and socially significant throughout the child s daily life (as noted below). ABA not only teaches these skills, but also promotes maintenance and generalization of the skills. Maintenance is used to determine whether or not the child can still perform the skill after a given amount of time has passed. Generalization requires that the child not only learns a particular skill in a structured 1:1 teaching environment, but ensures that the skill transfers to different people, materials, instructions, and environments. ABA also serves to decrease behaviors that may interfere with learning, such as tantrums, aggression, or stereotypy (hand flapping, spinning, etc.). Individualized curricula are developed to facilitate learning and develop appropriate programming for each child. Areas that we work on include (but are not limited to): History Language and Functional Communication: Communicating needs/wants to others Independent Play: Playing alone without assistance Social Skills: Interacting with others Imitation: Imitating behaviors or vocalizations of others Gross/Fine Motor Skills: Control over balance and body movement Listener Responding: Attending and responding to spoken words Visual/Perceptual Skills: Interpreting things he/she sees visually Self-help Skills: Skills such as dressing, grooming, feeding, toilet training The Center for Autism and Developmental Disabilities (CADD) originated in 2008, as the need for a multi-disciplinary diagnostic team developed. The diagnostic teams consist of various combinations of Developmental Pediatrician, Geneticist, Genetic Counselor, Neuropsychologist, Speech-Language Pathologist, Neurologist, and Pediatric Psychiatrist. The team evaluates each child through parent interview, direct observations, and diagnostic tools. A feedback session is also provided in which the family receives reports based on the evaluation, the diagnosis, and recommendations for services. In March 2011, CADD developed an intervention program which currently consists of providing centerbased ABA services. Children with a diagnosis of Autism or a developmental disability are assessed by a BCBA and receive 1:1 ABA therapy to increase skills and decrease problem behaviors. E N V I S I O N the next 100 years. Page 2
3 Types of Services CADD Provides Center-based 1:1 Programming CADD provides a center-based program in which basic skills are taught to each child to enhance learning. Each child has 1:1 sessions with an ABA Implementer based upon his or her individual programming created by the BCBA. Once the child masters the prerequisite skills in the center-based environment, these skills will be tested for generalization in the home and school environment. Requirements for this program include: assessment, program development, Implementer services, and consultative services. For every 10 hours of direct service provided by an Implementer, hours of consultation by a BCBA is required. Functional Behavior Assessment (FBA) and Treatment This is designed for children who may have behaviors that are interfering with their ability to learn. An analysis of the behavior of concern will be completed via parent interview and direct observation. Once the analysis is conducted, a plan will be written in which parents receive training by the BCBA. Teaching of the plan includes modeling of the behavior plan and observation of implementation of the plan with direct feedback for learning purposes. Requirements for this program are: assessment of behavior, program development, and ongoing consultation by a BCBA until the behavior has reduced to an appropriate level as identified by the BCBA. Parent Training All ABA services include a component of parent training. In order for center-based ABA therapy to have lasting effects, parents must assist the child with bringing the skills he or she learns at the center to other natural environments, especially in the home and community settings. This may include making changes to the physical environment, changing the way family members interact with the child, and practicing and rewarding skills learned at the center. Parents of children receiving services will participate in parent education and training related to their child s individualized programming. Participation by parents and significant family members is not only encouraged but expected for any program to be successful. Staff Director, Therapy Services ABA Therapy is a growing team of people expanding to meet the needs of children with Autism Spectrum Disorder in the metro-detroit area. The therapy director works closely with our Board Certified Behavior Analysts and Implementers (Therapists) to provide a growing variety of services in an expanding number of locations. Board Certified Behavior Analyst (BCBA) The BCBA will be responsible for conducting the initial evaluation/assessment, program development, initial parent training, and overseeing the program for each child. This includes periodic direct supervision of Implementers during sessions and parent training. A BCBA is a master s level clinician who has undergone ABA course work, on-site practice, and supervision, and has passed the Behavior Analyst Certification Board exam. E N V I S I O N the next 100 years. Page 3
4 ABA Implementer The Implementers are responsible for the implementation of the program. They will be working 1:1 with the child. Implementers have at least a Bachelor s in Psychology or a related field and have received formal training in ABA through CADD. Implementers also receive intensive training by a BCBA prior to working with any child, and continuous supervision once assigned to a child. Teaching Methodologies Our program is comprised of a variety of teaching methodologies within the field of ABA to enhance the teaching of skills and decreasing problem behavior. The methodology used will be determined by how the child best learns. Methodologies include, but are not limited to, Discrete Trial Teaching (DTT), Incidental Teaching, and Pivotal Response Treatment (PRT). DTT allows us to break the skill down into very small units of learning and provide repetition to increase correct responding and ensure success. DTT is very common in traditional ABA approaches to learning. Incidental Teaching allows us to capture and contrive opportunities to learn throughout the day. For example, putting cookies on a shelf where the child cannot reach provides an opportunity to teach the child to request cookies. PRT involves teaching the child pivotal behaviors that create opportunities for the child to learn other more complex behaviors. The Verbal Behavior Approach is also utilized throughout each child s program to increase functional communication, whether it is vocally or through the Picture Exchange Communication System (PECS). Data-based Decision Making ABA is a field in which data is important in making decisions with each targeted skill. It gives us an objective way to assess progress for each child. It allows us to identify what learning strategies are most effective and those that are not. We can readily track progress to determine rate of learning and when the team may need to make changes to a child s program. The BCBA will create periodic progress reports and update programming as necessary to best support the child. Positive Reinforcement Positive reinforcement is used throughout each child s program to increase appropriate behaviors. Rewards (not bribes) are given to the child when we observe these behaviors. This increases the child s motivation for learning, as they are more likely to respond correctly with higher motivation. Once the child has mastered a particular skill, we systematically decrease the number of rewards to foster generalization of the skill using natural reinforcement. Additionally, if there are any behavior problems, we teach the child appropriate replacement behaviors to get the specific want or need met instead of using the problem behaviors. These replacement behaviors are then increased through reinforcement and thereby reducing the problem behaviors. Individualized Curriculum Each program is individualized for each child s needs and level of learning. This is determined via parent interview and directly testing the child s skills using assessment tools. Assessment reports are generated by the BCBA to give an explanation of the child s current skill levels and create goals for increasing socially significant skills. E N V I S I O N the next 100 years. Page 4
5 Generalization Each program involves a generalization program to foster independence and ensure that learning is occurring in the natural environment. Once the child has learned a skill in a structured setting, the clinician ensures that the skill is generalizing to different people, materials, instructions, and environments. This may include parent participation in having the child practice skills and behaviors at home and in the community and taking data on the child s responding. Additional Programs Social Skills Group In the social skills group children practice social skills in a structured setting with peers of similar ages and communication style. Groups meet once a week for 6 weeks at a time and are supervised by a BCBA. Each child receives a brief social skill assessment to identify individual targets to work on throughout the group. Implementers lead the group through different activities that allow opportunities for children to interact with peers to practice skills and receive support as necessary. Please refer to our website for more information about upcoming social skills groups. Parent Training Workshops Workshops are periodically held by CADD staff to provide education and about a place to discuss relevant topics for parents of children with a diagnosis of autism or a developmental disability. Each workshop covers a different topic such as dealing with a new diagnosis, learning the basics of ABA, or the basics of toilet training your child. Please refer to our website for more information about upcoming parent training workshops. Locations and fees may vary. CADD Sib-Support: Supporting Individuals who have a Sibling with a Diagnosis Siblings of children with autism or developmental disabilities may struggle with having a brother or sister that is different from their friends brothers and sisters. Our sibling workshops are meant for children without a diagnosis who have a sibling with a diagnosis. Topics for sibling workshops cover a range of topics that address the needs of siblings, like dealing with a new diagnosis in the family or handling peer reactions to their brother or sister. This group also gives children the opportunity to talk to others and receive support for those who have a sibling with a diagnosis of autism. E N V I S I O N the next 100 years. Page 5
6 ABA Service Process This chart outlines the necessary steps of the intake process to obtain ongoing ABA therapy Attends Diagnostic Clinic - ABA Therapy recommended Patient Responsible to call CADD ABA Therapy ( ) PCP/Patient Responsible for referral and if applicable insurance verification Confirmation of patient information CADD Location on wait list if applicable Contact patient with potential start date PCP/Patient If applicable insurance authorization for aniticipated start date Assessment CADD Assessment/Treatment Plan written, recommendations for treatment CADD/Patient Schedule set for sessions Implementers trained on programming Ongoing ABA sessions Monthly progress reports Periodic reassessments by BCBA E N V I S I O N the next 100 years. Page 6
7 CADD Policies and Procedures Updated 4/22/2014 D E P A R T M E N T O F P E D I A T R I C S 1. For initial assessments, CADD reserves the right to discontinue services or return a client to the wait list if the guardian does not inform the Board Certified Behavior Analyst (BCBA) of the cancellation within 24 hours of the scheduled assessment. 2. If a child is sick, the session should be cancelled. Staff will not work with a child who has any contagious illness (vomiting within the past 12 hours, infection, rash, fever, etc.). If a staff member notes any of these symptoms, the session will be cancelled for that day. 3. Please alert CADD staff prior to the start time if the child will be late for the assigned session or will be missing the session out of courtesy. If you child will be missing a significant portion of the session the session may be cancelled at the discretion of the BCBA. Sessions that start late will end at their scheduled time and will not be extended to complete the full scheduled duration. 4. Parents need to arrive at least 10 minutes before the end of the scheduled session to talk with the Implementer about the session and any other programming information. Late pick-ups may delay the start of another session and CADD staff must be notified if a parent will be arriving late. If the child is late being picked up by the parent, the additional time will still be billed. 5. If there are 3 consecutive cancellations/late arrivals, or 3 cancellations/late arrivals within 1 month, then treatment continuation will be reviewed by the BCBA. Consistent attendance for sessions is important for progress toward treatment goals. Lapse in treatment attendance inhibits the progress of therapy. 6. Sessions cancelled 24 hours or more in advance may be able to be rescheduled. However, this needs to be done in accordance with the clinic and staff schedule. The BCBA will determine if/when the hours can be made up. 7. CADD encourages staff to continue with professional development. CADD may hold in-service days and/or staff meetings for professional development. During such, Implementers do not provide treatment. 8. Program modifications should be made through the BCBA only. If guardians or Implementers have changes that need to be made, this should be discussed with the BCBA. If it is urgent, the BCBA should be called immediately. 9. CADD policy is to avoid dual relationships between clients (including their families) and staff. Please do not ask our staff to engage in tasks/activities outside of their CADD role/responsibilities (i.e., babysitting, attending birthday parties or other events, giving/receiving gifts, privately paying for ABA services outside of CADD, etc.). E N V I S I O N the next 100 years. Page 7
8 10. Confidentiality is important. Please do not discuss any known information about other children or families receiving services through CADD to others outside of the facility. 11. CADD will attempt to keep consistent staff with each client; however, this will vary across services with the child. Some reasons include scheduling changes, promotions, illness, etc. This may benefit the child in that it allows him/her to work on generalizing learned skills to other staff. 12. In the event of inclement weather, we will make every effort to provide services. However, there may be hazardous conditions that result in the cancellation of a session. A decision will be made by the BCBA to reschedule the session. 13. For a center-based program to be most effective, it is essential that the guardian/caregiver implement the strategies outside of the session. To facilitate the child s progress, the BCBA will make recommendations, parent goals, and staff will provide parent education. 14. Due to the nature of CADD services, parent education is essential. The BCBA reserves the right to discontinue services if recommendations are not being carried over in the home setting (e.g., behavior intervention plan, data collection, etc.) by the child s parent/guardian. 15. CADD encourages collaboration with other service providers. Third party observations are permitted one time on a quarterly basis for a maximum of 30 minutes, unless otherwise specified by the BCBA. Proper release forms must be on file before an observation is scheduled. Parent observations and recordings of full sessions for parents can be arranged with the BCBA in advance. 16. All CADD staff members are mandated reporters. If any staff believes there is any cause to suspect abuse and/or neglect, the Health Center reporting procedure must be followed in accordance with Michigan s Child Protection Law and HFHS Policy # CADD staff members are not responsible for the outcome of the investigation. E N V I S I O N the next 100 years. Page 8
9 Services and Fees The following services are subject to fees at the rates listed below. Functional Behavioral Assessment Skills Assessment (e.g., VB-MAPP, DAYC-2, SIB-R, Social Skills) Behavioral Intervention Plans Behavioral Consultation Telephone Consultation (in excess of 15 minutes) BCBA Supervision Direct ABA Therapy Preparation of reports, Protocols, and Program Materials Goal Development Data Analysis and Graphing Implementer Training Parent Training Social Skills Group Hourly Rates for Payment at Time of Service All services are billed on an hourly basis and rounded to the nearest quarter hour. All payments are due at time of service. Patients privately paying for services receive a 40% discount. Board Certified Behavior Analyst: ABA Implementer: Social Skills Group $ (or $75.00 with the 40% discount) $50.00 (or $30.00 with the 40% discount) $70.00 (or $42.00 with the 40% discount) Payment Options These are the most common companies we work with. Eligibility for ABA Therapy through CADD is not guaranteed and will need to be verified by your insurance company and CADD. Health Alliance Plan (HAP) Blue Cross Blue Shield Blue Care Network Medicaid (Wayne County Only)* Other Health Insurance Private Pay IMPORTANT: It is important that you always verify coverage with your insurance company to avoid medical bills that will become your responsibility. The patient will continue to be responsible for all co-pays and deductibles. *Medicaid eligibility for ABA services ends on the child s 6 th birthday. E N V I S I O N the next 100 years. Page 9
Center for Autism and Developmental Disabilities (CADD) Applied Behavior Analysis (ABA) Referral Intake Packet
Center for Autism and Developmental Disabilities (CADD) Applied Behavior Analysis (ABA) Referral Intake Packet Thank you for your interest in the Center for Autism and Developmental Disabilities Applied
More informationApplied Behavioral Analysis Therapy (ABA)
Applied Behavioral Analysis Therapy (ABA) For all Group Health plans with a benefit (except Microsoft) ABA requires preauthorization for initial and continued therapy. Specific coverage may be defined
More informationApplication for Services Checklist
Application for Services Checklist This form is not required, but rather is meant to help families gather all required information and documentation required to start ABA services at Behavior Analysts
More informationAutism Spectrum Disorder: ABA Services Delivery Model for Medicaid & PEBB Gail Kreiger, BSN Manager, Healthcare Benefits and Utilization Management
Autism Spectrum Disorder: ABA Services Delivery Model for Medicaid & PEBB Gail Kreiger, BSN Manager, Healthcare Benefits and Utilization Management Health Care Services May 2, 2013 What: A benefit for
More informationApplied Behavior Analysis Provider Treatment Report Guidelines: Initial Authorization Request
Applied Behavior Analysis Provider Treatment Report Guidelines: Initial Authorization Request The following is a guide to what is expected in the individual assessment treatment plan for members with Autistic
More information14. A comprehensive medical record is submitted by the ABA provider documenting the course of ABA treatment that includes all of the following
Blue Cross Blue Shield of Michigan / New Directions Applied Behavior Analysis Medical Necessity Criteria for Autism Spectrum Disorder Effective 1/1/16 Admission/Severity of Need Criteria New Directions
More informationsad EFFECTIVE DATE: 10 01 2013 POLICY LAST UPDATED: 06 02 2015
Medical Coverage Policy Autism Spectrum Disorders Mandate sad EFFECTIVE DATE: 10 01 2013 POLICY LAST UPDATED: 06 02 2015 OVERVIEW Applied behavioral analysis (ABA) is the process of systematically applying
More informationApplied Behavior Analysis (ABA) Provider Network Eligibility & Enrollment
An Independent Licensee of the Blue Cross Blue Shield Association. APPENDIX H AUTISM GUIDELINES Acknowledgement: Current Procedural Terminology (CPT ) is copyright 2015 American Medical Association. All
More informationATAP, which began as a pilot in 2007, has had significant growth.
32 6 ATAP, which began as a pilot in 2007, has had significant growth. Increases in the number of children served Development of plan types to ensure each individual child s needs are being met and cost-sharing
More informationApplied Behavior Analysis for Autism Spectrum Disorders
Applied Behavior Analysis for Autism Spectrum Disorders I. Policy University Health Alliance (UHA) will reimburse for Applied Behavioral Analysis (ABA), as required in relevant State of Hawaii mandates,
More informationBoard Certified Behavior Analyst and Approved Autism Evaluation Centers. Blue Cross Blue Shield of Michigan Blue Care Network Provider Outreach
Board Certified Behavior Analyst and Approved Autism Evaluation Centers Blue Cross Blue Shield of Michigan Blue Care Network Provider Outreach September 2015 Enrollment Process 2 Enrollment Available networks:
More informationCONSULTATIVE BEHAVIORAL INTERVENTION (CBI) SERVICES SPC 512.10. Applies to CLTS (SED, DD only)
CONSULTATIVE BEHAVIORAL INTERVENTION (CBI) SERVICES DEFINITION SPC 512.10 Applies to CLTS (SED, DD only) Consultative Behavioral Intervention (CBI) Services use behavioral treatment methods to change socially
More information4/18/2014. Medicaid/MIChild Autism Benefit Eligibility Criteria
Community Mental Health: Autism Services Nicole Dwyer, Autism Benefit Administrator Macomb County CMH Brandy Kreisler, Supervisor of Applied Behavioral Science, Shiawassee County CMH 1 Medicaid/MIChild
More informationDisorders Mandate. Medical Coverage Policy Autism Spectrum EFFECTIVE DATE: 10/01/2013 POLICY LAST UPDATED: 08/05/2014
Medical Coverage Policy Autism Spectrum Disorders Mandate EFFECTIVE DATE: 10/01/2013 POLICY LAST UPDATED: 08/05/2014 OVERVIEW Applied behavioral analysis (ABA) is the process of systematically applying
More informationAutism Spectrum Disorder: ABA Services Delivery Model for Medicaid Gail Kreiger, BSN Manager, Healthcare Benefits and Utilization Management Health
Autism Spectrum Disorder: ABA Services Delivery Model for Medicaid Gail Kreiger, BSN Manager, Healthcare Benefits and Utilization Management Health Care Services Dec. 2012 What: A benefit for ABA services
More informationWVPEIA/AccessWV/WVCHIP Applied Behavior Analysis (ABA)
WVPEIA/AccessWV/WVCHIP Applied Behavior Analysis (ABA) Billing and Payment Policy The practice of Applied Behavior Analysis is defined as the application of the principals, methods, and procedures of the
More informationThe Department of Vermont Health Access Medical Policy
State of Vermont Department of Vermont Health Access 312 Hurricane Lane, Suite 201 [Phone] 802-879-5903 Williston, VT 05495-2807 [Fax] 802-879-5963 www.dvha.vermont.gov Agency of Human Services The Department
More informationAUTISM 1 I OVERVIEW 2 I CHARACTERISTICS 3 I TREATMENT 4 I TRAINING 6 I GIVING LEADERS IN INNOVATIVE TRAINING FOR THE NEW AUTISM SPECIALISTS
AUTISM 1 I OVERVIEW 2 I CHARACTERISTICS 3 I TREATMENT 4 I TRAINING 6 I GIVING LEADERS IN INNOVATIVE TRAINING FOR THE NEW AUTISM SPECIALISTS O V E R V I E W O F New Jersey has the highest incidence of Autism
More informationIntensity of Service Criteria
Blue Cross Blue Shield of Michigan / New Directions Applied Behavior Analysis Medical Necessity Criteria for Autism Spectrum Disorder Effective 4/1/15 Admission/Severity of Need Criteria New Directions
More informationApplied Behavior Analysis Therapy for Treatment of Autism Spectrum Disorder
Applied Behavior Analysis Therapy for Treatment of Autism Spectrum Disorder Policy Number: Original Effective Date: MM.12.022 01/01/2016 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST Integration
More informationUsing ABA for the Treatment of Autism: The CARD Program
Using ABA for the Treatment of Autism: The CARD Program Autism Symposium Aruba 2010 Adel C. Najdowski, PhD, BCBA Center for Autism & Related Disorders, Inc. Presentation Outline Brief Introduction to CARD
More informationAlabama Autism Task Force Preliminary Recommendations
Alabama Autism Task Force Preliminary Recommendations Having reviewed the findings to date from the Alabama Autism Collaborative Group (AACG), The Alabama Autism Task Force proposes the following changes
More informationNovember 2014. Treatment Plan Guidelines for Providers of Intensive Behavior Therapy for Autism Spectrum Disorders
November 2014 Treatment Plan Guidelines for Providers of Intensive Behavior Therapy for Autism Spectrum Disorders Treatment Planning Each treatment plan should include all information indicated per the
More informationRegarding Applied Behavior Analysis Services in the. Mental Health Designated Agencies
Fiscal Year 2015 Interim Guidance Regarding Applied Behavior Analysis Services in the Mental Health Designated Agencies Integrated Family Services 329 Hurricane Lane Williston, VT 05495 1 1. Additional
More information2015 Summer Program Guide June 15 August 28, 2015
2015 Summer Program Guide June 15 August 28, 2015 2990 Cahill Main, Suite 204 Fitchburg, WI 53711 P: 608.819.6810 F: 608.819.6811 www.kghconsultation.org Specialized Summer Programs These specialized summer
More informationParent Information Package
Applied Behaviour Analysis Services and Supports Serving the Hamilton, Brant, Haldimand, Norfolk and Niagara areas Parent Information Package Dear Parent, Legal Guardian or Care Provider: Please read this
More informationPRE-SCREENING CHECKLIST
PRE-SCREENING CHECKLIST Please provide the following information and mail, email or fax to: Positive Synergy Corp. 45 Spring Hill Ave. Northbridge, MA 01534 Email: intake@positivesynergyasd.org Fax: (508)-401-2696
More informationAUTISM SPECTRUM DISORDER TREATMENTS
AUTISM SPECTRUM DISORDER TREATMENTS Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan. This Medical Coverage
More informationWVPEIA/WVCHIP Applied Behavior Analysis (ABA) Billing and Payment Policy
WVPEIA/WVCHIP Applied Behavior Analysis (ABA) The practice of Applied Behavior Analysis is defined as the application of the principals, methods, and procedures of the experimental analysis of behavior
More informationAUTISM SPECTRUM DISORDER RELATED SERVICES FOR EPSDT ELIGIBLE INDIVIDUALS
AUTISM SPECTRUM DISORDER RELATED SERVICES FOR EPSDT ELIGIBLE INDIVIDUALS I. GENERAL POLICY Autism Spectrum Disorder (ASD) Related Services are not covered benefits for Traditional Medicaid beneficiaries.
More informationJohn G. Youngbauer, Ph.D. MFT BCBA-D North Los Angeles County Regional Center. Copyright, 1996 Dale Carnegie & Associates, Inc.
Intensive Applied Behavior Analysis in the Treatment of Autism* * Smith, T (2001). Discrete Trial Training in the Treatment of Autism., Focus on Autism and Other Developmental Disabilities 16, 86-92. John
More informationMEDICAID SERVICES MANUAL TRANSMITTAL LETTER CUSTODIANS OF MEDICAID SERVICES MANUAL TAMMY MOFFITT, CHIEF OF PROGRAM INTEGRITY
MEDICAID SERVICES MANUAL TRANSMITTAL LETTER October 19, 2015 TO: FROM: SUBJECT: CUSTODIANS OF MEDICAID SERVICES MANUAL TAMMY MOFFITT, CHIEF OF PROGRAM INTEGRITY MEDICAID SERVICES MANUAL CHANGES CHAPTER
More informationCommonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid www.mass.gov/masshealth
Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid www.mass.gov/masshealth MassHealth TO: FROM: RE: s Participating in MassHealth Daniel Tsai, Assistant Secretary
More informationPARENT HANDBOOK. July 2011. Mission Statement:
PARENT HANDBOOK July 2011 Mission Statement: Behavior Matters LLC (BxM), is an organization committed to the treatment of children with special needs using empirically validated methods and strategies
More informationApplied Behavior Analysis (ABA)
MEDICAL POLICY POLICY RELATED POLICIES POLICY GUIDELINES DESCRIPTION SCOPE BENEFIT APPLICATION RATIONALE REFERENCES CODING APPENDIX HISTORY Applied Behavior Analysis (ABA) Number 3.01.510 Effective Date
More informationPromising Practices for Students with Autism. Dr. Heather Duncan
Promising Practices for Students with Autism Dr. Heather Duncan Agenda Autism: An Overview & Diagnostic Criteria A Comprehensive Approach to Intervention Environmental Structure Goal Development FBA Plan
More informationEastgate Early Childhood & Family Center
Eastgate Early Childhood & Family Center A seven member Board governs the Stark County Board of Developmental Disabilities: Robert Milliken, President Richard Hoffman, Vice President Carlene Harmon, Secretary
More informationAddressing Medical Necessity for Medicaid Funded Mental and Behavioral Health Services for Persons with Dual Diagnoses
Addressing Medical Necessity for Medicaid Funded Mental and Behavioral Health Services for Persons with Dual Diagnoses Contract Number 732HC08B Prepared by Human Systems and Outcomes, Inc. Edited by Celeste
More informationPolicies & Procedures
9141 Cypress Green Drive Ste 2 Jacksonville, FL 32256 (904) 647-1849 www.bloom-behavioral-solutions.com Policies & Procedures Please initial next to each section to acknowledge that you have read and agree
More informationJOHNS HOPKINS HEALTHCARE
Page 1 of 9 ACTION: New : Effective Date: 03/01/2013 Revising : Review Dates: 12/4/2015 Superseding : Archiving : Retiring : Johns Hopkins HealthCare (JHHC) provides a full spectrum of health care products
More information2015-2016 Academic Catalog
2015-2016 Academic Catalog Autism Behavioral Studies Professors: Kuykendall, Rowe, Director Assistant Professors: Fetherston, Mitchell, Sharma, Sullivan Bachelor of Science in Autism Behavioral Studies
More informationA guide to begin & monitor your child s treatment programs. where lives are changed { } CHECKLIST TO MONITOR PROGRESS
A guide to begin & monitor your child s treatment programs where lives are changed { } CHECKLIST TO MONITOR PROGRESS About BI MISSION Behavioral Innovations is committed to translating evidence based practices
More informationREGISTRATION AUTISM TREATMENT SERVICES
559 Zor Shrine Place Madison, WI 53719 P: 608.833.0123 F: 608.833.0126 www.ids -wi.com CLIENT INFORMATION (First, MI, Last) (Street, City, State, Zip) REGISTRATION AUTISM TREATMENT SERVICES of Birth Home
More informationIAC 2/19/14 Human Services[441] Ch 22, p.1 CHAPTER 22 AUTISM SUPPORT PROGRAM
IAC 2/19/14 Human Services[441] Ch 22, p.1 TITLE III MENTAL HEALTH CHAPTER 22 AUTISM SUPPORT PROGRAM PREAMBLE These rules provide for definitions of diagnostic and financial eligibility, provider qualifications,
More informationMichigan Association of CMH Boards 2014 Annual Spring Conference
Michigan Association of CMH Boards 2014 Annual Spring Conference Mindy Newhouse, MA, BCBA Becky Wiskirchen, MA, BCBA Treasure Rousselo, MBA, PMP Jessica Frieder, PhD, BCBA-D Goals Participants will be
More informationReferred to Committee on Commerce and Labor. SUMMARY Revises provisions relating to autism spectrum disorders. (BDR 54-67)
A.B. ASSEMBLY BILL NO. COMMITTEE ON COMMERCE AND LABOR (ON BEHALF OF THE LEGISLATIVE COMMITTEE ON HEALTH CARE) PREFILED DECEMBER, 0 Referred to Committee on Commerce and Labor SUMMARY Revises provisions
More informationBAY-ARENAC BEHAVIORAL HEALTH AUTHORITY POLICIES AND PROCEDURES MANUAL
Page: 1 of 6 Policy It is the policy of Bay-Arenac Behavioral Health Authority (BABHA) to provide services to children with Autism Spectrum Disorder in compliance with the requirements set forth in the
More informationProfessional Development: Applied Behavior Analysis Video Series
Autism Overview: Course 1 Autistic Spectrum Disorders, including Asperger s Disorder and Pervasive Developmental Disorder, are neurological disorders that can have a significant impact on all areas of
More informationExamining the Structure of your ABA Program William Frea, Ph.D. & Ronit Molko, Ph.D.
Compliments of Autism Asperger s Digest January-February 2004 issue Examining the Structure of your ABA Program William Frea, Ph.D. & Ronit Molko, Ph.D. One of the most difficult, if not painful processes
More informationJOHNS HOPKINS HEALTHCARE
Page 1 of 9 ACTION: New : Effective Date: 03/01/2013 Revising : Review Dates: 12/4/2015 Superseding : Archiving : Retiring : Johns Hopkins HealthCare (JHHC) provides a full spectrum of health care products
More informationInsurance Tips. Obtaining Services
Insurance Tips The information below is designed to provide an overview of how to obtain insurance coverage for speech-language pathology (speech therapy) and audiology services. The American Speech-Language-Hearing
More informationQuality Management. Substance Abuse Outpatient Care Services Service Delivery Model. Broward County/Fort Lauderdale Eligible Metropolitan Area (EMA)
Quality Management Substance Abuse Outpatient Care Services Broward County/Fort Lauderdale Eligible Metropolitan Area (EMA) The creation of this public document is fully funded by a federal Ryan White
More informationOur Staff Ani Nikolova, Ph.D., BCBA-D Clinical Director
Our Staff Ani Nikolova, Ph.D., BCBA-D Clinical Director Dr. Nikolova is Focus Director of school programs funded by Glendale Unified School District and home programs funded by North Los Angeles Regional
More informationAutism Spectrum Disorder
Autism Spectrum Disorder Benefit information Premera Blue Cross (Premera) administers the Autism Spectrum Disorder (ASD) benefit for all eligible members. This unique benefit provides coverage for behavioral
More informationMaking it happen HOW TO ACCESS BEHAVIORAL HEALTH TREATMENT SERVICES FROM PRIVATE HEALTH INSURANCE FOR INDIVIDUALS WITH AUTISM A GUIDE FOR PARENTS
Making it happen HOW TO ACCESS BEHAVIORAL HEALTH TREATMENT SERVICES FROM PRIVATE HEALTH INSURANCE FOR INDIVIDUALS WITH AUTISM SPECTRUM DISORDERS A GUIDE FOR PARENTS SECTION 1 SECTION 2 SECTION 3 SECTION
More informationCLINICAL CRITERIA FOR UM DECISIONS Autism Related Services
Overview This medical policy is used to review and make benefit and/or medical-necessity decisions for Autism Related Services, including Developmental Therapy Services and Applied Behavioral Analysis
More informationMISSOURI. 2. When did the law requiring insurance companies to cover services for children with autism spectrum disorder go into effect?
MISSOURI FREQUENTLY ASKED QUESTIONS ABOUT THE AUTISM INSURANCE REFORM LAW 1. Generally speaking, what does the Missouri law do? The law requires all group health plans to cover the diagnosis and treatment
More informationEducating Students with Autism
Educating Students with Autism The Rights of the Student with Autism A Child s Right to Public Education Free Appropriate Public Education (FAPE) Least Restrictive Environment (LRE) Special Education Services
More informationCARD Rochester Autism Conference. Successful Collaboration in Language Intervention for Children with Autism: A Team Approach to SLP and ABA
CARD Rochester Autism Conference Successful Collaboration in Language Intervention for Children with Autism: A Team Approach to SLP and ABA Katrina Lublin, M.S., CCC/SLP Rochester, NY October 28, 2009
More informationCALIFORNIA. 2. When does the law requiring insurance companies to cover services for children with autism spectrum disorder go into effect?
CALIFORNIA FREQUENTLY ASKED QUESTIONS ABOUT THE AUTISM INSURANCE REFORM LAW 1. Generally speaking, what does the California law do? The law requires that every health care plan contract that provides hospital,
More informationAdaptive Physical Education
Adaptive Physical Education Adapted Physical Education - APE Adapted physical education is a diverse program of developmental activities, exercises, games, rhythms, and sports designed to meet the unique
More informationMichigan Medicaid Applied Behavior Analysis and Autism Services Provider FAQ
To view the policy related to Michigan Medicaid Autism ABA services, please refer to MSA bulletin 15-59. This policy can be found at: http://www.michigan.gov/documents/autism/msa_bulletin_15-59_507763_7.pdf
More informationWhatever It Takes. DamarABA.org. A Damar Specialized Services, LLC Company
Whatever It Takes. DamarABA.org A Damar Specialized Services, LLC Company Everyone said he was just fine, but I knew my child was different. I knew he needed help. Autism. A small and often scary word
More informationAn initial course of ABA therapy is subject to PA and is covered when all the following criteria are met:
IHCP bulletin Note: This bulletin is obsolete. Please see BT201606 for the corrected version of this bulletin. INDIANA HEALTH COVERAGE PROGRAMS BT201605 JANUARY 15, 2016 IHCP adds coverage of applied behavioral
More informationFrancine B. Baffa, PhD, BCBA-D, LBA
Francine B. Baffa, PhD, BCBA-D, LBA Highly experienced, innovative, and student-focused professional and faculty member with proven success as a Board Certified Behavior Analyst and Special Education Teacher
More information2015 Annual Patient Paperwork Update for Existing Patients
2015 Annual Patient Paperwork Update for Existing Patients DATE: ͺͺͺͺ ŚĞĐŬ WƌĞĨĞƌƌĞĚ ůŝŷŝđ &ƚ tăljŷğ 'ƌğğŷǁžžě
More informationATTLEBORO PUBLIC SCHOOLS. Office of Special Education 2015-2016
ATTLEBORO PUBLIC SCHOOLS Office of Special Education 2015-2016 PROGRAM DESCRIPTIONS Page 1 Attleboro Public Schools Preschool Special Education Programs Special education regulations 603 C.M.R 28.04 govern
More informationABA & Teaching Methods
ABA & Teaching Methods C H A P T E R 7 E A S T E R S E A L S S O U T H E A S T W I S C O N S I N S T A R T E A R L Y, S T A R T S T R O N G P R O G R A M ABA ABA = Applied Behavior Analysis Science devoted
More informationServices. Learn about Intensive Behavioral Intervention (IBI)
Services Learn about Intensive Behavioral Intervention (IBI) The IBI program is a comprehensive treatment for children with autism using applied behavior analysis (ABA). This autism treatment is evidence-based
More informationSendan Center ABA Services Parent Manual
Sendan Center ABA Services Parent Manual Program Guidelines & Policies Page 1 of 12 Program Guidelines T hank you for choosing us to provide behavioral consultation/aba services for your child. The following
More informationApplied Behavioral Analysis Treatment Report Initial Authorization Request
New ABA CPT Codes Requested Start Date for this Authorization / / Initial Request Patient Name: Date of Birth: Age: M F Address (City/State only): Tel #: Patient s Insurance ID#: Patient's Employer/Benefit
More informationMagellan Behavioral Care of Iowa, Inc. Provider Handbook Supplement for Iowa Autism Support Program (ASP)
Magellan Behavioral Care of Iowa, Inc. Provider Handbook Supplement for Iowa Autism Support Program (ASP) 2014 Magellan Health Services Table of Contents SECTION 1: INTRODUCTION... 3 Welcome... 3 Covered
More informationAPPLIED BEHAVIOR ANALYSIS MEDICAL NECESSITY GUIDE
APPLIED BEHAVIOR ANALYSIS MEDICAL NECESSITY GUIDE te: If there is a discrepancy between this guideline and a member's plan of benefits, the benefits plan will govern. In addition, coverage (and coverage
More informationPhysical, Occupational, Speech & Developmental Therapy
Physical, Occupational, Speech & Developmental Therapy Let me begin by saying thank you for choosing Allied Therapy and Consulting Services as your child s therapy provider. We hope to make this a smooth
More informationMedical Policy Original Effective Date: 07-22-09 Revised Date: 01-27-16 Page 1 of 5
Disclaimer Medical Policy Page 1 of 5 Refer to the member s specific benefit plan and Schedule of Benefits to determine coverage. This may not be a benefit on all plans or the plan may have broader or
More informationTable of Contents. Welcome!... 3. Introduction... 3. Myths About Teacher Assistants... 3. Ethical Considerations for Teacher Assistants...
Table of Contents Welcome!... 3 Introduction... 3 Myths About Teacher Assistants... 3 Ethical Considerations for Teacher Assistants... 4 A Code of Ethics... 5 Do s and Don ts for Teacher Assistants...
More informationPolicy and Procedure Manual
Policy and Procedure Manual Resident Assessment (RA) Table of Contents RA-01 RA-02 RA-03 RA-04 RA-05 RA-06 RA-07 RA-08 RA-09 RA-10 RA-11 RA-12 Physical Health Services Dental Services Initial Nursing Summary
More informationEntered into this day of, 200 (the Effective Date ) between: Mr./Mrs./Miss/Ms., residing at
Consulting Agreement Entered into this day of, 200 (the Effective Date ) between: Mr./Mrs./Miss/Ms., residing at ( Parents ); and AUTISM OUTREACH, INC., a corporation organized under the laws of the Commonwealth
More informationSchool-based Support Personnel
L. SUPPORT SERVICES School-based Support Personnel Yukon Education provides both professional and paraprofessional support to schools to address the diverse learning of students. Learning Assistance Program
More informationNEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES 11 NYCRR 440 (INSURANCE REGULATION 201)
NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES 11 NYCRR 440 (INSURANCE REGULATION 201) PROVIDER REQUIREMENTS FOR INSURANCE REIMBURSEMENT OF APPLIED BEHAVIOR ANALYSIS I, Benjamin M. Lawsky, Superintendent
More informationYour Anthem Blue Cross HMO Plan Amendment
Your Anthem Blue Cross HMO Plan Amendment Anthem Blue Cross ( Anthem ) agrees to modify your Combined Evidence of Coverage and Disclosure (Evidence of Coverage) Form by this amendment. All other provisions
More informationTITLE 40, SOCIAL SERVICES AND ASSISTANCE PART 2, DEPARTMENT OF ASSISTIVE AND REHABILITATIVE SERVICES CHAPTER 105, AUTISM PROGRAM
TITLE 40, SOCIAL SERVICES AND ASSISTANCE PART 2, DEPARTMENT OF ASSISTIVE AND REHABILITATIVE SERVICES CHAPTER 105, AUTISM PROGRAM SUBCHAPTER A. GENERAL RULES... 3 105.101 Purpose... 3 105.103 Legal Authority...
More informationTENNCARE MEDICAL NECESSITY GUIDELINES Procedure: Applied Behavioral Analysis Page 2 of 5
Procedure: Applied Behavioral Analysis Origin Date: 1/10/2006, Revised 01/27/ 2015 Approved by: Vaughn Frigon, M.D. Page 1 of 5 Applied Behavioral Analysis Medical Necessity Guidelines I. Description of
More informationExpert Speaker Series for Behavior Analysts 2015-2016
Pennsylvania Expert Speaker Series for Behavior Analysts 2015-2016 Three BACB Type 2 Credits awarded to certificants per full presentation Events held in Melmark s Multi-Purpose Center Open to general
More informationOptum By United Behavioral Health. 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines
Optum By United Behavioral Health 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines Statewide Inpatient Psychiatric Program Services (SIPP) Statewide Inpatient Psychiatric
More informationSpeech and Language. Social Communication. Occupational Therapy. Self Regulation
Speech and Language Social Communication Occupational Therapy Self Regulation Executive Functioning Skills 4400 Keller Avenue, Suite 200, Oakland, CA 94605 (510) 639-2929 www.cwtherapy.com Experience Makes
More information1 The following is adapted from Division of Mental Retardation Services, State of Tennessee, Provider Manual,
Procedure: Applied Behavioral Analysis Origin Date: 01/10/06 / Revised 07/08/09 Approved by Wendy Long, M.D. Page 1 of 5 Applied Behavioral Analysis Medical Necessity Guidelines I. Description of Service
More information21 August 2015. www.auaba.com.au. This document was prepared by Alayna Haberlin, Alex Brown, and Jill Haberlin
Submission 180 Submission from the Association for Behaviour Analysis Australia to the Senate inquiry into the current levels of access and attainment for students with disability in the school system
More informationMEDICAL POLICY SUBJECT: APPLIED BEHAVIOR ANALYSIS FOR THE TREATMENT OF AUTISM SPECTRUM DISORDERS
MEDICAL POLICY SUBJECT: APPLIED BEHAVIOR ANALYSIS FOR PAGE: 1 OF: 7 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product covers
More informationBelmont Public Schools Special Education Programs
Belmont Public Schools Special Education Programs Preschool Program School: Belmont system wide Population Served: Special Education Students Aged 3 5 Grade: Pre K Program Description: This program is
More information1. Description of services at MOSAIC...4. 2. Parent responsibilities... 8. 3. Emergency procedures...12
Parent Handbook Table of Contents: 1. Description of services at MOSAIC....4 2. Parent responsibilities..... 8 3. Emergency procedures..........12 4. Policies and procedures protecting your rights.....12
More informationWhat Constitutes a Behavioral Approach to Autism Treatment?
What Are the Key Program Elements of an ABA Autism Treatment Program Vincent J. Carbone, Ed.D., BCBA-D NYS Licensed Behavior Analyst Carbone Clinic New York Boston Dubai www.thecarboneclinic.ae www.carboneclinic.com
More informationJOHNS HOPKINS HEALTHCARE
Page 1 of 5 ACTION: New Policy Revising Policy Number Superseding Policy Number Archiving Policy Number Retiring Policy Number Johns Hopkins HealthCare provides a full spectrum of health care products
More information7/17/2014. Applied Behavior Analysis (ABA) Therapy Overview. Applied Behavior Analysis Therapy. Ivan Petrovich Pavlov
Applied Behavior Analysis Therapy Continuum Autism Spectrum Alliance Presented: Tram Chum Newcomb B.A. ABA Program Coordinator and Junior Consultant www.autismspectrumalliance.com Applied Behavior Analysis
More informationAutism Care Demonstration Provider Frequently Asked Questions
Autism Care Demonstration Provider Frequently Asked Questions Why are there differences between what is published on the tricare.mil website and what UnitedHealthcare Military & Veterans (UnitedHealthcare)
More informationWhat Every Parent Needs to Know about Applied Behavior Analysis (ABA) David F. Bicard, Ph.D., BCBA-D Esther Plank, MS
What Every Parent Needs to Know about Applied Behavior Analysis (ABA) David F. Bicard, Ph.D., BCBA-D Esther Plank, MS Know Your Rights Six Major Principles of The Individuals with Disabilities Education
More informationADEPT Glossary of Key Terms
ADEPT Glossary of Key Terms A-B-C (Antecedent-Behavior-Consequence) The three-part equation for success in teaching. Antecedents (A) Anything that occurs before a behavior or a skill. When teaching a skill,
More informationHow To Get A Health Care Benefit Plan In New Jersey
State of New Jersey DEPARTMENT OF BANKING AND INSURANCE PO BOX 325 TRENTON, NJ 08625-0325 JON S. CORZINE NEIL N. JASEY Governor TEL (609) 292-7272 Commissioner BULLETIN NO: 10-02 TO: ALL HOSPITAL, MEDICAL
More informationARLINGTON PUBLIC SCHOOLS SPECIAL EDUCATION PROGRAMS AND SERVICES
ARLINGTON PUBLIC SCHOOLS SPECIAL EDUCATION PROGRAMS AND SERVICES Introduction The Arlington Public Schools provides a comprehensive array of programs and services from pre-school through grades 12 designed
More information