The legal and regulatory landscape governing insurance-funded ABA services is complex, evolving, and directly consequential for the clients behavior analysts serve. For many families, access to ABA therapy depends entirely on insurance coverage, making the intersection of law, insurance policy, and behavioral health a topic of immediate clinical significance.
Provider: BehaviorLive — via BehaviorBabe
Take This Course →Including ethics, supervision, and topics like this one. New live CEU every Wednesday.
Join Free →The second session of our six-class series will offer behavior analysts valuable insights into laws and legal structures related to providing insurance-funded ABA services. This session will explore federal mandates such as EPSDT and MHPAEA, which provide crucial protections for the clients under our care. Moreover, it will clarify essential aspects for analysts concerning Medicaid, fully-funded, and self-funded health plans. The goal of this class is to aid analysts in comprehending medical necessity, grasping the three branches of health insurance infrastructure, and accessing resources geared towards empowering them to advocate effectively for their clients. Learning objectives: Locate the medical necessity definitionsName 3 branches of the health insurance infrastructureList at least one resource that will with navigating advocacy issues related to this Class 2 of the 6-series course Click here to view and register for the full 6-Class Series
| Certification Body | Credits | Type |
|---|---|---|
| BACB® | 1.5 | Ethics |
Dr. Amanda N. Kelly, also known as Behaviorbabe, is a leading figure in behavior analysis, celebrated for her unwavering commitment to professional development and advocacy. As one of the first social media influencers in behavior analysis, Dr. Kelly embodies a tireless pursuit of innovation and excellence throughout her career, now spanning over two decades. Her scholarly pursuits include teaching ethics courses at several reputable academic institutions and co-authoring the influential textbook, "Back to Basics: Ethics for Behavior Analysts." Dr. Kelly's advocacy has been pivotal in advancing legislative reforms, notably in autism insurance reform and behavior analyst licensure in both Massachusetts and Hawaii. In 2016, after serving as President of the Hawaii Association for Behavior Analysis, Dr. Kelly became the first behavior analyst licensed in Hawaii. Over the past 15+ years, Dr. Kelly has provided freely available resources for students, practitioners, and consumers of behavior analysis. In addition to offering online resources, in-person events, and social media engagement, Dr. Kelly also hosted a popular podcast, where she shares insights and interviews with experts in the field. Her work has earned her numerous awards, recognizing her contributions to the field and her advocacy efforts to expand access to care for autistic individuals. Through her steadfast dedication to the community and commitment to excellence, Dr. Kelly continues to set new standards and lead the way in ABA advocacy and the autism community. Discover more about Dr. Kelly by visiting www.behaviorbabe.com and following @Behaviorbabe on social media.
Dig into the research behind this topic — plain-English summaries written for BCBAs.
279 research articles with practitioner takeaways
258 research articles with practitioner takeaways
233 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.