The intersection of insurance law and behavior analytic practice is one of the most consequential yet underdiscussed topics in the field. This workshop, led by Attorney Dan Unumb, addresses the Mental Health Parity and Addiction Equity Act (MHPAEA), its requirements regarding quantitative treatment limitations (QTLs) and nonquantitative treatment limitations (NQTLs), and the practical strategies ABA providers need to navigate insurance disputes effectively.
Provider: BehaviorLive — via Florida Association of Behavior Analysis
Take This Course →Including ethics, supervision, and topics like this one. New live CEU every Wednesday.
Join Free →In this workshop, Attorney Dan Unumb will review the latest in the insurance world. He will review the CASP 3.0 Guidelines, medically necessary services funded by health insurance, updates to the SMMC Health Plan requirements (AHCA policies), MHPAEA requirements including NQTLs, QTLs, and behavioral health versus medical surgical services. Medicaid network inadequacy, and reimbursement rates are just some of the challenges that arise between ABA providers and insurance companies. A point of contention often arises during the prior authorization/review process, but an open dialog between all parties can result in improvements that ultimately enhance the quality and outcomes of medically necessary services for patients/clients with ASD/IDD. This panel will discuss points of convergence as well as potential solutions to overcome barriers and points of disagreement. Attendees will be asked to submit questions and share their experiences.
| Certification Body | Credits | Type |
|---|---|---|
| BACB® | 3 | Ethics |
| COA | 3 | — |
| FL MH/PSY | 3 | — |
Dan Unumb is an attorney and the parent of a child with autism. As President of the Autism Legal Resource Center, a national law and consulting firm, he represents professional associations, autism service providers, and individuals with autism spectrum disorders and their families seeking access to services and has briefed autism issues in state and federal courts, including the U.S. Supreme Court. Dan previously served as Executive Director of the Autism Speaks Legal Resource Center. Before beginning full-time autism advocacy, Dan was the Director of Litigation for South Carolina Legal Services, a 10-office, statewide legal aid program. He has served as an adjunct professor in Legal Writing and Advocacy at George Washington University Law School and the Charleston School of Law, and as an instructor at the Justice Department’s National Advocacy Center. Dan graduated from Northwestern University School of Law, and previously practiced with law firms in Boston, Washington, D.C. and Charleston, SC, as well as the Civil Division of the U.S. Department of Justice. Dan is co-author of the law school casebook “Autism and the Law,” and has presented on legal topics pertaining to autism at numerous conferences and trainings including the National Legal Aid and Defenders Association, the Autism Society of America, the Autism Law Summit, the Association of Professional Behavior Analysts, ABAI, and the Council on Autism Services. Dan is the 2020 recipient of the Behavior Analyst Certification Board’s Michael Hemingway Behavior Analysis Award for his work in developing public policy related to behavior analysis and increasing access to behavior-analytic services.
Dig into the research behind this topic — plain-English summaries written for BCBAs.
233 research articles with practitioner takeaways
194 research articles with practitioner takeaways
172 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.