Category Archives: Private Practice

• 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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  TRICARE Humana Information

  Posted on February 8, 2018 by CDEvanko in Private Practice

  Humana held a Webinar on 2/8/18 to discuss the changes from HNFS to Humana for Tricare.  Click here for the slides. Here are some highlights. Check out the operations manual for all of your questions: Chapter 18; Section 4 The Autism Demonstration will continue until 2023 Certification is separate from credentialing.  Go to the Humana […]

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• Information About EPSDT from Virginia Premier

  Posted on January 29, 2018 by CDEvanko in Private Practice, State Resources

  Christy Evanko recently spoke with some people at VA Premier, and we worked together to put out the following.  Please email admin@virginiaaba.org if you have any questions or John Strube at Va Premier as indicated below.  John and Andrew were happy to work with us and would like us to bear with them as everything […]

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• Behavior Analysts as LMHPs – Bill in 2018 Session

  Posted on January 25, 2018 by CDEvanko in Miscellaneous, Policy, Private Practice, State Resources

  VABA has asked Senator Barker (via our lobbyist) to put in a bill that amends the DBHDS regulations to include licensed behavior analysts as licensed mental health professionals (LMHP).  It will be heard in the Senate Health and Education Committee on February 1, 2018.  YOU CAN HELP! Write your Senators and tell them about our […]

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• TRICARE and ABA in VA

  Posted on January 9, 2018 by CDEvanko in Policy, Private Practice

  Attention TRICARE ABA providers You are probably aware that providers in Virginia are no longer working through TRICARE North (managed by Health Net Federal Services) and are now in TRICARE East (managed by Humana). Here is some handy contact information: Humana: 1-866-258-0942 credentialing Claims, Eligibility, etc.  1-800-444-5445 2 (provider), 2 (not hospital), 7 (other) then […]

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• Public Comment on EPSDT Regulations – Due 12/15/17

  Posted on December 5, 2017 by CDEvanko in Policy, Private Practice, State Resources

    DBHDS is currently doing a periodic review of its regulations: http://www.townhall.virginia.gov/l/ViewPReview.cfm?PRID=1613 This gives the public a chance to formally comment on the regulations. The VABA Public Policy Committee has produced the following public comment. You are welcome to use this to make comment or develop your own comment. It is important that Behavior Analysts […]

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  Medicaid & ABA Update

  Posted on October 29, 2017 by CDEvanko in Policy, Private Practice, State Resources

  Want more info?  We have created a page for members with the latest information and will keep updating it as needed.  Please log in to the member area!   We created this graphic to help providers with the upcoming Medicaid changes.  Please don’t hesitate to email with questions – admin@virginiaaba.org. Download pdf or see below.  

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  Changes Coming to Medicaid ABA Services in January 2018

  Posted on October 5, 2017 by CDEvanko in Policy, Private Practice, State Resources

  Attention Medicaid Providers of Behavior Analysis and Interested Parties: In case you have not already heard, ABA (Applied Behavior Analysis) will be carved back into the separate Managed Care Organizations (MCOs) in January of 2018.  This means that ABA providers (of services via Medicaid EPSDT) will no longer be credentialed through and paid by Magellan, […]

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• CPT Codes Update 2017

  Posted on September 19, 2017 by CDEvanko in Miscellaneous, Policy, Private Practice

  There have been many questions about upcoming changes to the CPT codes for ABA services.   CPT stands for Current Procedural Terminology and CPT codes are what practitioners use to bill insurance companies.  More information can be found on ABAI’s Practice Resources Web page. At one point it was thought that some of the new […]

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