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1 BACB Ethics CEUs $ On-Demand

Ethics CEU: Homeostasis Navigating Payer Policy Adjustments

Insurance payer policies are among the most significant external forces shaping the delivery of applied behavior analysis services. When payers modify their authorization requirements, coverage criteria, or reimbursement structures, behavior analysts must navigate these changes while maintaining their ethical obligations to clients.

Provider: CASP CEU Center

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Course Description

Homeostasis: Ethical Guidance for Navigating Payer Policy Adjustments Original Webinar Date: December 2018 CEU offered: 2.0 Ethics CEU Short Title: Homeostasis: Navigating Payer Policy Adjustments Webinar Duration: 1 hour 52 minutes CE Instructors: Rebecca Womack, BCBA Michele Silcox This recorded webinar was originally presented by the Behavior Analysis Advocacy Network (BAAN). Upon BAAN's dissolution in June 2020, its CEU course library was transferred to CASP. Abstract: p.p1 { margin: 0.0px 0.0px 0.0px 0.0px; font: 10.0px Helvetica; color: #000000 } span.s1 { font-kerning: none } The Defense Health Agency, providing oversight of the TRICARE military benefit, released information on changes to the Autism Care Demonstration program. The modifications will require providers to make significant adjustments across the landscape of service delivery with clinical integrity. The Behavior Analysis Advocacy Network (BAAN) will share ways to ethically address concerns with funding sources, and effective processes to support this transition. Guidance will be given on methods for implementing practices associated with Category I CPT codes pertaining to applied behavior analysis (ABA) therapy. Recommendations will be aligned with the Behavior Analyst Certification Board (BACB) Compliance Code standards. Attendees will be equipped with ways to address concerns with this funding source, strategies for aligning business practices with the new requirements, and suggestions for maintaining the necessary supervision associated with the Registered Behavior Technician (RBT) certification. Participants will receive: p.p1 { margin: 0.0px 0.0px 0.0px 0.0px; font: 10.0px Helvetica; color: #000000 } A review of challenges being posed by the implementation of policy changes Ethical guidance for conflict resolution with funding sources Attendees will learn ways to apply TRICARE Operation Manual requirements to their session content and subsequent documenta

What You'll Learn

  1. Identify ethical guidelines relevant to navigating changes in payer policies and insurance authorization requirements.
  2. Describe the steps behavior analysts should take to maintain ethical service delivery when payer policies shift.
  3. Apply ethical decision-making frameworks to resolve conflicts between payer requirements and client treatment needs.

CEU Credits Earned

Certification BodyCreditsType
BACB 1 Ethics
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Clinical Disclaimer

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.

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