Category Archives: Policy

• Medicaid Raises Limits on Number of Service Units that can be Billed per Day

  Posted on June 22, 2017 by CDEvanko in Policy, Private Practice, State Resources

  APBA, ABAI, Autism Speaks, and the BACB have been working hard to address some of the billing issues with the new T Codes.  They recently made great strides in getting the CMS (Centers for Medicaid & Medicare Services) to increase the allowable (billable) units per day.  Please click here for more information.

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• 2017 QMHP Registry Bill Impact on LBAs and LABAs

  Posted on March 13, 2017 by CDEvanko in Policy, Private Practice, RBT, State Resources

  Attention Licensed Behavior Analysts and Licensed Assistant Behavior Analysts who provide behavioral therapy through Medicaid:Recently a bill passed both the Senate and the House and is ready to be signed by the Governor (by 3/27).  This bill, SB1020/HB2095 seeks to provide a registry for Peer Recovery Specialists and Qualified Mental Health Professionals (QMHPs).  The definition […]

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• Latest information on Tricare ABA therapy changes for 2017

  Posted on January 8, 2017 by CDEvanko in Policy, Private Practice

  In 2016, advocates worked for 9 months to fight the reduction in Tricare’s ABA reimbursement rates (that went into effect in April 2016). Congress voted to reinstate rates to previous levels, effective 12/23/16. The National Defense Authorization Act (NDAA) passed last year. Current rates for direct treatment, as of 1/8/17, are $125 for BCBA-level professionals, […]

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• Attention Medicaid Providers!

  Posted on October 4, 2016 by CDEvanko in Miscellaneous, Policy, Private Practice

  Magellan put this out today regarding member eligibility. This message is sent to help prevent claim denials for eligibility. It is very important to check member eligibility for services provided before each visit. Two options are available: DMAS offers a web-based Internet option, the Automated Response System (ARS) to verify member eligibility. The Virginia Medicaid Web […]

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  Information about EPSDT Diagnosis Code Changes

  Posted on October 1, 2016 by CDEvanko in Miscellaneous, Policy, Private Practice, State Resources

  Attention VABA members who provide EPSDT Behavioral Therapy-Outpatient ABA services: Recently, Magellan of Virginia released news that as of October 1, 2016, the new ICD-10-CM codes updated for the fiscal year 2017 are required for use for all service requests, discharges, and reimbursements. At this time, it appears that there are no changes in codes […]

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• Public Comment Needed – CEU Changes for Licensed Behavior Analysts

  Posted on August 20, 2016 by CDEvanko in Policy

  Behavior Analysts and Assistant Behavior Analysts, we need your help!  The continuing education requirements for a license in Virginia do not currently align with those of the BACB.  There is a proposal to rectify the situation and your public comment will help ensure the change goes through.  The VABA Policy committee has worked with APBA […]

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