Writing ABA Treatment Reports and Goals That Demonstrate Medical Necessity

As many healthcare providers accept insurance coverage for ABA therapy, which is typically funded by most insurance companies, there is a growing need for documentation that supports the medical necessity of ABA services for clients with ASD. Writing complete, accurate, objective, and medically necessary ABA treatment plans is a critical skill for behavior analysts who accept funding from healthcare payors. However, few behavior analysts are trained through a medical model which presents difficulties when documenting medically necessary services. A well written report should provide a clinical overview of the client, include developmentally appropriate and socially significant treatment goals, identify behaviors to be reduced and functionally equivalent replacement behaviors to be introduced, describe any barriers to treatment, as well as document support for the medical necessity of ABA services. This course will show you how to develop and utilize a standard report template which can help save time, reduce the likelihood of revisions or edits needed later, and ensure all a curate, objective, and relevant information is needed to submit with your authorizations. Additionally, a quality assurance (QA) measurement system is discussed, demonstrating the use of checklists, scoring rubrics, graphed data systems, etc., to provide training supports for staff writing ABA reports that demonstrate medical necessity.