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DBHDS Vision: A life of possibilities for all Virginians
New Early Intervention Providers
April 16, 2015
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Slide 2
New Regulations Add New Providers
• The Early Intervention Emergency Regulations allow two new provider groups:
– Behavior Analysts certified through the Behavior Analyst Certification Board as a Board Certified Behavior Analyst (BCBA)
– Assistant Behavior Analysts certified through the Behavior Analyst Certification Board as a Board Certified Assistant Behavior Analyst (BCaBA)
– They will be reimbursed in category 2
– Regulations were effective Dec. 29, 2014
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Slide 3
Why were BCBAs & BCaBAs Added?
• Early Identification and Intervention are crucial to improve outcomes for infants & toddlers with Autism Spectrum Disorders
• Beginning services before age 3 is the optimal time to intervene
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Slide 4
Permanent Regs will Slightly Change Language
The language will be changed to conform it to Dept. of Health Professions regulations and DMAS regulations
• Behavior Analysts licensed by the Virginia Board of Medicine
• Assistant Behavior Analysts licensed by the Virginia Board of Medicine
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Categories of Eligible EI Professionals
• Counselors
• Behavior Analysts (BCBA)
• Educators
• Family and consumer science professionals
• Marriage and family therapists
• Music therapists
• Nurses
• Occupational therapists
• Orientation and mobility specialists
• Physical therapists
• Psychologists
• Social workers
• Speech-language pathologists
• Therapeutic recreation specialists
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Slide 6
Categories of Eligible EI Specialists
• Assistant Behavior Analysts (BCaBA)
• Early intervention assistants whose qualifications have been approved by the Department of Behavioral Health and Developmental Services;
• Licensed social workers
• Certified nurse aides & LPNs
• Occupational therapy assistants
• Physical therapy assistants
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New Services Are Not Added
Assistive Technology
Audiology
Developmental
Counseling
Family Training
Health
Medical
Nursing
Nutrition
Occupational Therapy
• Physical Therapy
• Psychological
• Service Coordination
• Sign & Cued Language
• Social Work
• Speech-Language
• Transportation
• Vision
• Other
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Slide 8
EI Practices Will Remain Consistent
• Parents are the Providers
• Natural Environments
• Routines Based Interventions
• Coaching Techniques
• Individualized Services
• BCBAs and BCaBAs must complete the same modules and sign the assurances that they will support the Virginia EI assurances
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Slide 9
Things to Remember
• Registered Behavior Technicians (RBT) are not added to the allowed providers
• Autism services will be provided as Developmental Services for Early Intervention.
• BCBA providers are paid at the EI professional rate
• BCaBAs are paid at the EI Specialist rate
• LSMs can meet with new BCBAs and BCaBAs to reinforce EI principles and practices
• Choose the provider based on the best match of skills with the identified IFSP goals
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Slide 10
More Things to Remember
• Applied Behavioral Analysis is more than Discrete Trials Training
• These practices are efficacious with toddlers*
– Prompting
– Naturalistic Intervention
– Pivotal Response Training
– Functional Behavior Assessment
– Reinforcement
– Video Modeling
*National Professional Development Center On ASD
http://asdtoddler.fpg.unc.edu/learning-modules
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Slide 11
Autism Services on the ISFP
• The BCBA and the BCaBA may be listed as providers of Developmental Services
• In some circumstances, the Autism services may be listed as “other” services and provided by non EI providers
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Slide 12
As of Feb. 2012, 31 states had Autism Insurance Coverage Mandates
• States Mandating Coverage Of Autism Services • Alaska, Arizona, Arkansas, California, Colorado,
Connecticut, Florida, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Massachusetts, Michigan, Missouri, Montana, Nevada, New Hampshire, New Jersey, New Mexico, New York, Pennsylvania, Rhode Island, South Carolina, Texas, Vermont, Virginia, West Virginia, and Wisconsin.
• States Considering Introducing Legislation To Mandate Coverage of Autism Services
• Delaware, Hawaii, Minnesota, Nebraska, North Carolina, and Utah.
• States Pursuing Autism Insurance Reform • Alabama, Georgia, Maryland, Ohio, Oregon, and
Washington.
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Slide 13
Resources
• ASD Toddler Initiative – http://asdtoddler.fpg.unc.edu – From Frank Porter Graham Child Development Institute at
UNC
• Supporting Young Children with Autism Spectrum Disorders and their Families Infant & Toddler Connection of Virginia Guidance Document. (http://www.veipd.org/main/pdf/IandTCVA_ASD-Jan%202012_FINAL_5-11-12.pdf)
• ASD page on the Early Intervention Professional Development Center's website (http://www.veipd.org/main/sub_autism.html)
• CoPA website (http://www.veipd.org/main/sub2_copa.html).