Category Archives: Private Practice

• LBAs Now Included in Human Rights Regulations

  Posted on November 14, 2018 by CDEvanko in Miscellaneous, Policy, Private Practice, State Resources

  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 […]

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• More CPT Code Information – Provider Rates

  Posted on November 4, 2018 by CDEvanko in Private Practice

  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 […]

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• More CPT Code Information – New Codes Active Jan 2019

  Posted on September 5, 2018 by CDEvanko in Policy, Private Practice, State Resources

  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, […]

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• CPT Code Changes Coming Soon (Jan 2019)

  Posted on August 17, 2018 by CDEvanko in Private Practice

  Thank you to APBA and the Steering Committee for helping behavior analysts get new billing codes for ABA!  Here is some information they recently sent to members. VABA is an affiliate of APBA.  For more information about APBA or to join, see www.apbahome.net.   “On behalf of the Steering Committee for the project that developed […]

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• Training for Medicaid Providers

  Posted on August 12, 2018 by CDEvanko in Private Practice, State Resources

  Edit 8/23/18: Wow these filled up quickly!  DMAS says they will be posting the recording.  Stay tuned!   CMHRS Provider Training The Department of Medical Assistance Services will be hosting three webinars for CMHRS Providers. The focus of the training will be on submitting initial and continued stay authorizations and submitting relevant information to successfully […]

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• Information for TRICARE Providers

  Posted on July 24, 2018 by CDEvanko in Private Practice

  ATTENTION ALL HUMANA (TRI-CARE) PROVIDERS! Member Craig Marrer recently had two re-authorizations denied by Humana as the clients did not have updated Vineland 3 or SRS-2 assessments. After seeking clarification, he was informed that it was his responsibility (as the BCBA) to acquire and complete these assessments. If you are serving clients with Humana coverage […]

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• Medicaid Reimbursement Issues?

  Posted on June 24, 2018 by CDEvanko in Private Practice, State Resources

  If you are having trouble with reimbursement from any of the six Medicaid MCOs (Aetna Better Health, Anthem Healthkeepers, Magellan, Optima, United Healthcare, Virginia Premier) here is a new form to use to alert DMAS.  The information should be sent to cccpluscmhrs@dmas.virginia.gov. Ignore the Nursing Center language.  It was developed for them but can be used […]

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• BA Regs Public Comment Due 6/27/18!

  Posted on June 19, 2018 by CDEvanko in Policy, Private Practice, State Resources

  Attention VABA Members! The Department of Health Professions (DHP) through the Board of Medicine (BOM) does perodic reviews of regulations.  Our behavior analyst licensure regulations are currently up for review; they can be found by going to this link and scrolling down: https://www.dhp.virginia.gov/medicine/medicine_laws_regs.htm.  It is very important that we  Licensed Behavior Analysts and Licensed Assistant Behavior […]

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• Guidance on ISPs for Waiver Recipients

  Posted on June 16, 2018 by CDEvanko in Private Practice, State Resources

  DBHDS has issued a guidance document on writing goals for ISPs for those with the DD waiver.  This applies to Therapeutic Consult and any other DBHDS licensed service for waiver recipients.

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• CMHRS Calls Moving To BiWeekly Schedule

  Posted on May 31, 2018 by CDEvanko in Private Practice, State Resources

  Click here for a memo about the change.  

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