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.

Search

42nd Annual Convention; Downtown Chicago, IL; 2016

Event Details


Previous Page

 

Panel #413
CE Offered: BACB
Insurance and Autism Providers: Putting the Pieces Together
Tuesday, May 31, 2016
9:00 AM–9:50 AM
Roosevelt, Hyatt Regency, Bronze East
Area: AUT; Domain: Translational
CE Instructor: Teresa M. Boussom, M.S.
Chair: Howard Savin (Autism Services Group)
TERESA M. BOUSSOM (Beacon Health Options)
ADRYON KETCHAM (Goals for Autism)
Abstract:

The emergence of insurance funded Applied Behavior Analysis (ABA) benefits has introduced new requirements and complexity for providers of ABA services. Board Certified Behavior Analysts (BCBAs) are finding themselves in a new contractual relationship with health care plans without prior experience with utilization management and submission of claims. Managed care plans apply traditional insurance principles including medical necessity to the authorization of autism services to ensure appropriate treatment is being provided. They also demand knowledge of insurance terminology, billing practices and information sharing that may be outside the realm of a BCBA practitioners historical practice. The panelists will address the barriers that can arise between a managed care plan and ABA providers and focus on steps for facilitating the development of a collaborative relationship between provider and health plan. The panel will include professionals from managed care organizations that will discuss the importance of using data to inform and direct treatment progress, keys to obtaining authorization for treatment and critical information that is consistently reviewed by care managers. Other panelists will be ABA service providers who will share their perspective as to lessons learned and effective strategies used in their work with managed care organizations.

Keyword(s): autism providers, insurance, service delivery
 

BACK TO THE TOP

 

Back to Top
ValidatorError
  
Modifed by Eddie Soh
DONATE
{"isActive":true,"interval":86400000,"timeout":20000,"url":"https://saba.abainternational.org/giving-day/","saba_donor_banner_html":"Worldwide Giving Day is coming up on Tuesday, December 3! Find out how you can make a difference through SABA.","donate_now_text":"Donate Now"}