The designation of ABA as a medically necessary treatment — formalized through the APBA's April 2020 position — brought ABA services into the managed healthcare infrastructure, with all of the reimbursement access and all of the structural constraints that designation entails. For clients and families, insurance coverage expanded access to services that had previously been out of reach.
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Join Free →The recent shift to define ABA as medically necessary (APBA, April 10, 2020) highlights the need for the professional practice community-at-large to understand the unique challenges facing providers working within the Managed Healthcare system. This is of particular concern for more recently certified practitioners who are expected to lead the case conceptualization process with potentially limited guidance from more experienced clinicians. Failure to establish and monitor related structured employee supports can erroneously encourage reliance on symptom-reduction approaches alone (i.e., service delivery practices primarily based on standardized developmental and psychoeducational "excesses/deficits" with no individualization). This presentation introduces The Risk-Driven Approach (Taylor et al., 2023) to address several crucial considerations for providing medically necessary ABA services, including related guidance for business leaders to further support the integrity of our profession.
| Certification Body | Credits | Type |
|---|---|---|
| BACB® | 0.5 | Supervision |
| COA | 0.5 | — |
Dr. Rachel Taylor (formerly Dr. Tarbox) has supported individuals diagnosed with neurodevelopmental disorders for more than 25 years. Dr. Taylor started her career working in several prestigious institutions including the New England Center for Children and the Kennedy Krieger Institute. She is the former Co-Director of Research and Development for CARD and the Founder and Director of CARDs Specialized Outpatient Services. In 2008, Dr. Taylor was the founding ABA Department Chair at The Chicago School Los Angeles and has also held faculty positions at California State University Los Angeles and Channel Islands. She has published numerous peer reviewed articles and book chapters, is a previous member of the Executive Council for ABAI and served as the 2020 CalABA Conference Chair. Dr. Taylor also serves on the Scientific Council for the Organization for Autism Research (OAR), and the Board of Directors for the Council for Autism Services Providers (CASP). She is the owner and former CEO for the Center for Applied Behavior Analysis (CABA), and her primary focus is supporting practitioners to produce meaningful service outcomes across the lifespan.
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
188 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.