Medical Necessity is the kind of topic that looks straightforward until it collides with the speed, ambiguity, and competing demands of home routines, treatment sessions, interdisciplinary consultation, and health-related skill support. In Medical Necessity, for this course, the practical stakes show up in safe, humane intervention that respects health variables and daily-life feasibility, not in abstract discussion alone.
Provider: BehaviorLive — via Kadiant
Take This Course →Including ethics, supervision, and topics like this one. New live CEU every Wednesday.
Join Free →Historically, behavior analytic services were funded by educational institutions. Over the last 10 years, legislation has opened the door for behavior analysis to be covered as a medically necessary health care benefit. While health plans have an obligation to meet the medical needs of patients, there are many factors that need to be considered in the realm of medical necessity including cost efficiency, patient satisfaction and preventative medicine. In order to understand the component of medical necessity it is critical that behavior analysts establish internal quality assurance process, enhance treatment development policies and train students of behavior analysis in medical necessity. Learning Objectives Participants will be able to identify the core components of medical necessity. Participants will be able to list ethical considerations related to care coordination and collaboration. Participants will be able to develop strategies in treatment planning and training to enhance coordination of care
| Certification Body | Credits | Type |
|---|---|---|
| BACB® | 1 | General |
Dr. Diana Davis-Wilson, DBH, LBA, BCBA, IBA is an Arizona Licensed Behavior Analyst with extensive experience in providing consultation and training to families, school districts, and organizational personnel across the nation. For several years, Dr. Davis-Wilson held a leadership position at an autism provider organization based in Arizona. In this role, she oversaw applied behavior analysis programs for numerous children throughout the state. Driven by her commitment to professional development and sustainability within the field of behavior analysis, she created an inclusive curriculum-based supervision program that provided employment opportunities and training for aspiring professionals and students. In addition to her clinical leadership roles, Dr. Davis-Wilson has actively contributed to various boards both in Arizona and on a national level. Her positions have included AzABA (Association for Behavior Analysis), the Autism Advisory Council of the Arizona Health Care Cost Containment System (AHCCCS), Glendale Community College's Behavioral Health Sciences Occupational Advisory Board (BHS-OAB), the Behavioral Health Centers of Excellence Scientific Advisory Board (BHCOE), and the Development Disabilities Safety Council. Furthermore, she has been appointed by the Governor as a board member with the Arizona Board of Psychologist Examiners. Dr. Diana Davis-Wilson is also a university professor. She actively collaborates with other professional organizations to provide education, advocacy efforts, and guidance on early access to care, best practices, and evidence-based treatment methods. Additionally, she is deeply passionate about offering law enforcement training regarding autism developmental disabilities, crisis response, and behavior analysis.
Dig into the research behind this topic — plain-English summaries written for BCBAs.
258 research articles with practitioner takeaways
252 research articles with practitioner takeaways
244 research articles with practitioner takeaways
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All behavior-analytic intervention is individualized. The information on this page is for educational purposes and does not constitute clinical advice. Treatment decisions should be informed by the best available published research, individualized assessment, and obtained with the informed consent of the client or their legal guardian. Behavior analysts are responsible for practicing within the boundaries of their competence and adhering to the BACB Ethics Code for Behavior Analysts.