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1 BACB General CEUs $25 55 min On-Demand

General CEU: Translating Medical Necessity Criteria

Translating Medical Necessity Criteria is the kind of topic that looks straightforward until it collides with the speed, ambiguity, and competing demands of clinic sessions and day-to-day service delivery. In Translating Medical Necessity Criteria, for this course, the practical stakes show up in safe, humane intervention that respects health variables and daily-life feasibility, not in abstract discussion alone.

Provider: BehaviorLive — via Women in Behavior Analysis

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Course Description

Research on the effects of ABA services for the treatment of ASD indicate that response to treatment in children may be influenced by treatment intensity, therefore clinicians should carefully calibrate and adhere to dosage recommendations. Studies found that adhering to prescribed dosages, aligned with published research, improves outcome mastery and increases adaptive skills. Despite best practice standards and research supporting proper dosage recommendations, variability in dosage recommendations can be negatively influenced by a variety of factors, including a complex language barrier among stakeholders, lack of clinician training in medical necessity and dosage recommendations, and limitations in applied research. To continue conversations related to the medical necessity of autism treatment, the development of a medical necessity review tool may lend guidance in developing training opportunities for clinicians in consistency of considerations of medical necessity and how to effectively communicate ABA dosage recommendations to health plans, families, and other stakeholders.

What You'll Learn

  1. Identify current best practices for documenting medical necessity in autism treatment.
  2. Identify necessary components of effective staff training and supervision of ABA dosage recommendations.
  3. Identify current best practices around communicating dosage recommendations with key stakeholders.

CEU Credits Earned

Certification BodyCreditsType
BACB® 1 General

About the Instructor

DD
Diana Davis Wilson

Dr. Diana Davis-Wilson, DBH, LBA, BCBA, IBA is an Arizona Licensed Behavior Analyst with extensive experience in providing consultation and training to families, school districts, and organizational personnel across the nation. For several years, Dr. Davis-Wilson held a leadership position at an autism provider organization based in Arizona. In this role, she oversaw applied behavior analysis programs for numerous children throughout the state. Driven by her commitment to professional development and sustainability within the field of behavior analysis, she created an inclusive curriculum-based supervision program that provided employment opportunities and training for aspiring professionals and students. In addition to her clinical leadership roles, Dr. Davis-Wilson has actively contributed to various boards both in Arizona and on a national level. Her positions have included AzABA (Association for Behavior Analysis), the Autism Advisory Council of the Arizona Health Care Cost Containment System (AHCCCS), Glendale Community College's Behavioral Health Sciences Occupational Advisory Board (BHS-OAB), the Behavioral Health Centers of Excellence Scientific Advisory Board (BHCOE), and the Development Disabilities Safety Council. Furthermore, she has been appointed by the Governor as a board member with the Arizona Board of Psychologist Examiners. Dr. Diana Davis-Wilson is also a university professor. She actively collaborates with other professional organizations to provide education, advocacy efforts, and guidance on early access to care, best practices, and evidence-based treatment methods. Additionally, she is deeply passionate about offering law enforcement training regarding autism developmental disabilities, crisis response, and behavior analysis.

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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.

60+ Free CEUs — ethics, supervision & clinical topics