BCBA Certification and the ASD State Plan

Stephanie Turner MPH, MSW, LMSW, BCBA

ASD State Plan Program Manager

What is Autism Spectrum Disorder?

2

• “Understanding and modifying behavior in the context of environment” – Autism Speaks

• Behavior = all actions and skills (not just misbehavior)

What is Applied Behavior Analysis?

3

The Need for Qualified ABA Providers

4

• Population• Medicaid beneficiaries 0-21 years of age• Diagnosed with Autism Spectrum Disorder (ASD)

• Providers

• Services• Annual Assessments• Monthly Family Training• Weekly Applied Behavior Analysis (ABA) Treatment• Weekly Case Supervision

South Carolina Medicaid ASD State Plan

5

Procedure Code

Service Description

Qualifications Comments Unit Rate Service Limits (In Units)

97151 Behavior Identification Assessment

BCBA/BCaBA Detailed assessment of client already diagnosed with ASD

15 minutes

$23.51 32 per year

97153 Adaptive Behavior Treatment by Protocol

BCBA/BCaBA/RBT Treatment 15 minutes

$8.64 160 per week

97155 Adaptive Behavior Treatment with Protocol Modification

BCBA/BCaBA Treatment & Updating of Plan of Care

15 minutes

$15.74 64 per month

97156 Family Adaptive Behavior Treatment Guidance

BCBA/BCaBA Family Training and related program development

15 minutes

$15.74 48 per year

South Carolina Medicaid 2019 Fee Schedule

6

15 hrs per week Line/RBT

20 hrs per weekLine/RBT

40 hrs per weekLine/RBT

State Plan July 2019*

$32,790.40 $43,217.92 $84,928.00

Annual Income Examples

7

* Rate calculated based on utilization of all ABA procedure codes in service array

Job Duties of a BCBA/BCaBA

8

Possible Treatment Locations

9

BACB Certification Requirements

10

• Board Certified Behavior Analyst (BCBA)➢ Masters or Doctorate➢ Association for Behavior Analysts International Verified

Course Sequence Coursework➢ 1500 hours Concentrated Supervised Fieldwork

• Board Certified Assistant Behavior Analyst (BCaBA)➢ Bachelor’s degree from qualifying institution➢ Association for Behavior Analysts International Verified

Course Sequence Coursework➢ 1000 hours Concentrated Supervised Fieldwork

• Achieve an “A” or “B” in each course

• Pass exam within 1 year of graduating

• Enroll with Medicaid as an ABA provider for 3 or more years

• Maintain a caseload of at least 50% Medicaid beneficiaries during this time

• If unable to comply with above, reimburse Medicaid for enrolled courses

Agency Expectations

11

Complete agreement and application form and submit with copy of diploma of highest degree achieved

SCDHHS program manager will contact applicant to schedule and complete phone interview

Receive notice of award via email

Sign and return contract with Medicaid

Enroll with UofSC

Steps to UofSC Enrollment

12

For More Information

13

• Autism Spectrum Disorder• CDC.gov/Autism

• Behavior Analyst Certification Board• Bacb.com

• Autism Spectrum Disorder State Plan• msp.scdhhs.gov/autism/

• Medicaid• Scdhhs.gov

• Stephanie Turner- SCDHHS• Autism@scdhhs.gov

Questions?

14

15