For many behavior analysts, the peer review process with insurance companies ranks among the most stressful and frustrating aspects of clinical practice. A well-designed treatment plan, supported by thorough assessment data and clear behavioral targets, can be reduced or denied by a reviewer who may have limited understanding of ABA methodology, apply medical necessity criteria developed for other disciplines, or operate under pressure to control utilization.
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Join Free →Related Ethics Codes: • 2.01 Providing Effective Treatment • 3.08 Responsibility to the Client with Third-Party Contracts for Services • 3.12 Advocating for Appropriate Services The peer review process with a funding source can often be a difficult and frustrating experience for a behavior analyst. It takes skills to advocate for the treatment plan created with the goal of increasing positive outcomes for the client, while also respecting the boundaries of the payor contracts and guidelines. However, success in a peer review relies on relationships. We plan to provide strategies for navigating this process while also bringing levity to the topic by drawing parallels between the peer review process and common dating pitfalls. We will highlight 4 common struggles that behavior analysts have during the peer review process through the lens of dating pitfalls, and provide strategies directly related to our ethical code for behavior analysts to use in their conversations with funding sources.
| Certification Body | Credits | Type |
|---|---|---|
| BACB® | 1 | Ethics |
Alexandra is a dedicated professional with a passion for child and youth development with over 15 years of experience in the field of Applied Behavior Analysis (ABA). She has worked with small and large organizations and currently works to elevate standards of care and create pathways to clinical supports. In addition to her clinical work, Alexandra contributed significantly to the governance of a local K-12 charter school, serving on the board as secretary for 4 years. She has participated in the development of or directly authored published works in the topic areas of public policy, advocacy, treatment quality, school services, ethics, and artificial intelligence. In 2024, Alexandra was elected to a term on the COABA board and served for 2 years as the Chair of the Professional Development Committee. Post her board service, she continues to serve COABA as the Conference Coordinator, leading all aspects of the COABA annual state conference. She also supports public policy initiatives in the state through the public policy committee and was part of the COABA public policy team that won the Autism Law Summit award for excellence in advocacy in 2023.Currently, Alexandra serves as the Director of Clinical Standards for BlueSprig. In this role, she collaborates across departments to establish clinical standards and operating procedures, ensuring that the organization delivers the highest quality clinical services to their clients and families. She coordinates all the clinical committees (Grand Rounds, Safeguarding, Ethics, Advocacy, and Research), ensuring there are multiple psychologically safe pathways for support to any and all clinical needs and supports measurement and reporting on clinical outcomes. Alexandra also serves on many CASP SIGs and SAGs (including co-leading the AI Workgroup and Ethics SIG), and serves as a public policy SME for APBA. She also holds the credential of Lean Six Sigma – White Belt, earned in October 2025, and an AI in Healthcare Certificate from Stanford Online, earned in January 2026, further demonstrating her commitment to process improvement and operational excellence.
Dig into the research behind this topic — plain-English summaries written for BCBAs.
280 research articles with practitioner takeaways
279 research articles with practitioner takeaways
258 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.