Category Archives: Private Practice

• External Provider Resource Director

  Posted on March 1, 2019 by CDEvanko in Private Practice, State Resources

  As this post is being composed, we have a contractor working on our new Web site, which will include a searchable provider directory for ABA services only. However, there are other resources that you may want to use to get the word out about your services. One such resource is VMAP. This  is a statewide […]

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• More CPT Code Information

  Posted on January 14, 2019 by CDEvanko in Policy, Private Practice

  Please see this message from APBA, the BACB, Autism Speaks, and ABAI: The Steering Committee for the ABA Services Workgroup (representatives of the organizations shown above and their CPT® consultant) has prepared the article Supplemental Guidance on Interpreting and Applying the 2019 CPT® Codes for Adaptive Behavior Services  (available here and in the Members Only/Health Insurance Coverage section at www.apbahome.net) to […]

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• Behavior Analysts as LMHPs

  Posted on December 29, 2018 by CDEvanko in Policy, Private Practice, RBT, State Resources

  In 2018, Sen. Barker initiated a bill to change the regulations to classify Licensed Behavior Analysts as Licensed Mental Health Practitioners (LMHP). The bill passed into law and the Commonwealth took the necessary steps to make the change.  As of 11/29/18, the changes have been made: https://law.lis.virginia.gov/admincode/title12/agency35/chapter105/section20/ and http://register.dls.virginia.gov/details.aspx?id=7135 are the applicable Web sites. “Licensed […]

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• More CPT Code Information – MUE

  Posted on December 20, 2018 by CDEvanko in Policy, Private Practice, State Resources

  Please see this important message from APBA: December 19, 2018 Dear colleague: If you bill health insurance, please read this message carefully. It contains very important information about implementation of the 2019 CPT® codes for adaptive behavior services. Medically Unlikely Edits. As we have noted in several webinars, presentations, and Q&A sessions, the Medically Unlikely Edits […]

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• More CPT Code Information – Medicaid

  Posted on November 21, 2018 by CDEvanko in Policy, Private Practice, State Resources

  Magellan recently sent the message below, and this is consistent with what was said in the 11/1/18 Webinar with DMAS.  Stay tuned for changes from Medicaid as the redesign happens, but you will not be able to bill DMAS for the new CPT codes in January through any of the six MCOs.  Just continue using […]

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• 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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