Category Archives: Private Practice

• More CPT Code Information – New Codes Active Jan 2019

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

  From APBA: As you may know, the American Medical Association (AMA) has approved eight new Category I and two revised Category III CPT® codes to report applied behavior analysis (ABA) services (termed “adaptive behavior assessment and treatment services”) to health insurance plans. Those codes take effect January 1, 2019. The new codes resulted from a code change application […]

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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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• Medicaid – Residential Treatment Services and ABA

  Posted on May 24, 2018 by CDEvanko in Policy, Private Practice, RBT, State Resources

  See this memo about reimbursing for ABA in Residential Treatment Services. Note these instructions especially: “Providers who have previously billed for these services using psychotherapy CPT codes should bill using the ABA CPT codes effective June 1, 2018. Note: These codes are not open for outpatient services and providers must follow the current requirements in the […]

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• Change in CEU Requirements for VA Board of Medicine

  Posted on March 6, 2018 by CDEvanko in Policy, Private Practice, State Resources

  In July 2016, the Governor approved a change to the Board of Medicine (BOM) Regulations that govern behavior analysis with respect to the number of continuing education credits needed.  When the regulations were first approved, they followed the BACB requirements.  The BACB changed their requirements in December 2014 which no longer matched the BOM regulations.  […]

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