Year: 2018

Behavior Analysts as LMHPs

In 2018, Sen. Barker initiated a bill to change the regulations to classify Licensed Behavior Analysts as Licensed Mental Health Practitioners (LMHP). The bill passed into law and the Commonwealth took the necessary steps to make the change.  As of 11/29/18, the changes have been made: https://law.lis.virginia.gov/admincode/title12/agency35/chapter105/section20/ and http://register.dls.virginia.gov/details.aspx?id=7135 are the applicable Web sites. “Licensed […]

More CPT Code Information – MUE

Please see this important message from APBA: December 19, 2018 Dear colleague: If you bill health insurance, please read this message carefully. It contains very important information about implementation of the 2019 CPT® codes for adaptive behavior services. Medically Unlikely Edits. As we have noted in several webinars, presentations, and Q&A sessions, the Medically Unlikely Edits […]

2018 Survey about Licensure in VA

Were you certified as a BCBA or BCaBA between August 2017 and December 2018? If so, please take our license survey by December 31!  Pass it on to those you know that qualify: https://form.jotform.com/virginiaaba/2018-virginia-licensing-survey Thank you for helping us serve you!

More CPT Code Information – Medicaid

Magellan recently sent the message below, and this is consistent with what was said in the 11/1/18 Webinar with DMAS.  Stay tuned for changes from Medicaid as the redesign happens, but you will not be able to bill DMAS for the new CPT codes in January through any of the six MCOs.  Just continue using […]

LBAs Now Included in Human Rights Regulations

Effective 11/01/2018, LBAs have been added to the list of people who can conduct and assessment that would allow restraint or time out to be in a behavioral treatment plan.  Please note that plans that include restraint or time out must be submitted to an IRC (independent review committee) prior to implementation.  If you need […]

Behavior Analysis In Schools

VABA worked with BCBAs who provide services in schools to learn more about what makes them successful.  Check out these papers from Clarke County and Campbell County for best practices! Campbell County Clarke County Have your own success story?  Contact VABA about sharing – admin@virginiaaba.org  

More CPT Code Information – Provider Rates

APBA sent more information about provider rates.  The AMA has determined that they will be set by the insurance companies.  Now is a good time to negotiate!  APBA has information on their site about negotiation tactics for their members – www.apbahome.net  Here is the email sent on 11/4/18: On November 1, 2018 the Centers for […]

Behavioral Health Redesign

Official DMAS website Memo from DMAS about service shortages Here is the first formal communication from DMAS related to Behavioral Health Enhancement (BHE). VABA has been participating in regular meetings hosted by DBHDS and DMAS on the redesign of behavioral health services in Virginia. Official Web site: https://www.dmas.virginia.gov/#/behavioralredesign This is the presentation from the first […]

Behavior Analysis Regulations

The Behavior Analysis Regulations went through a periodic review recently.  Thank you to those who made comments.  Unfortunately, the Board of Medicine has decided not to make any changes. Here are the notes on the discussion in the advisory board meeting Here is the information on the periodic review

Medicaid GAP Member Information

With Medicaid expansion, the GAP program is going away by March 2019 (to be replaced by Medicaid for most).  Here are some letters that may be sent to your clients mid September 2018. Letter for those who will transitioning out. Letter for those who will transition to Medicaid.   For more information about Medicaid Expansion […]

More CPT Code Information – New Codes Active Jan 2019

Note, a revision was sent out in mid October: In September the Steering Committee for the national workgroup comprising representatives of the organizations shown above distributed a code conversion table showing the most common HCPCS and 2014 Category III CPT codes that have been used to report applied behavior analysis (ABA) services to health plans, […]

VDOE/CSA Private Day Outcomes Workgroup

A workgroup was convened through legislation to study CSA funding that is used to send students to private schools.  The specific goal for the workgroup is to look at outcomes.  More information can be found on the first document (agenda) below.  Our lobbyist has been attending the meetings, and here are some documents with more […]
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