Category Archives: Private Practice

• 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. At one point it was thought that some of the new codes would be released in July 2017. However, the American Medical Association (AMA) has indicated that they are going to issue all code changes for the ABA code family […]

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• Guidance on Record Maintenance for LBAs/LABAs

  Posted on August 16, 2017 by CDEvanko in Policy, Private Practice

  Attention Licensed Behavior Analysts and Licensed Assistant Behavior Analysts:  Recently this guidance document regarding the maintenance of records was updated.  The regulations regarding records apply to you as a licensee through the VA Department of Health Professions.  If you have any questions, feel free to email admin@virginiaaba.org and we will do our best to help […]

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• Medicaid and CCC Plus – What you need to know!

  Posted on June 27, 2017 by CDEvanko in Policy, Private Practice, State Resources

  Do you provide Medicaid Services? Do you work with individuals who utilize Medicaid services? If the answer is yes, keep reading for important information about changes that may impact the services you provide and the services your clients receive. CCC Plus – A New Medicaid Program in Virginia CCC Plus is a new statewide Medicaid […]

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• 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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• Virginia Health Practitioners’ Monitoring Program (HPMP)

  Posted on June 26, 2016 by CDEvanko in Miscellaneous, Private Practice, State Resources

  The Virginia Health Practitioners’ Monitoring Program (HPMP) helps to refer to treatment those practitioners (including behavior analysts) who suffer from impairing physical, mental health or substance abuse issue. See this flyer for details.

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• Law affecting coverage of ABA

  Posted on June 15, 2016 by CDEvanko in Private Practice, State Resources

  Click here to see a new law with an emergency clause that dials back the stated size of a small company from 100 to 50 as it was until January of this year.  Therefore, companies with 51 to 100 employees are still required to cover ABA for those diagnosed with autism spectrum disorder.

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