Raven Health Presents: Speaking the Language of Funders

Course Description

Obtaining insurance authorization for applied behavior analysis (ABA) services has become a routine job expectation for many board certified behavior analysts (BCBAs). Navigating insurance authorizations can be daunting for BCBAs because it requires them to write goals that align with medical necessity and each funder’s unique requirements. Failure to write goals in this manor can lead to partial or full denials for authorization for services, resulting in less access to care for clients. This presentation will focus on understanding funder-specific requirements for ABA services, tying the core deficits of autism to those requirements, and writing treatment goals that are individualized to the client and that are likely to be authorized by funders. Participants will be guided through case examples and practice describing medical necessity, writing treatment goals, and requesting authorization for services from funders.