ENTRY REQUIREMENTS BSc (Hons) Professional Studies in Health and Social Care (Online Top Up degree) COURSE OVERVIEW • Dip HE (240 credits to include 120 at Level 5) • Or FHEQ Level 5: HND / full NVQ L 4/ Foundation degrees • Equivalent level qualifications will be considered. NARIC assessment offered • IELTS overall score 6.5 (include written component 6.0) for non-UK candidates • Must be working in a relevant area *FHEQ: The Framework for Higher Education Qualifications COURSE FACTS Faculty Faculty of Health Applications Please complete an online form and send to [email protected] Visit www.bcu.ac.uk/onlinehealthinfo How to apply tab to begin your application Duration A part-time online programme studied between 15 months and 3 years Location Entirely online Contact Cathy Kitchen T: +44(0)121 331 7088 E: [email protected] www.bcu.ac.uk/healthcpd This is an engaging and interactive e-learning/online programme intended for UK and international Health and Social Care, multi-professional practitioners working in a wide range of care settings who wish to top up to a degree. The online delivery offers a flexible, time- saving solution to study for practitioners with busy work schedules. Attendance at the University is not required as you can participate online from your home or work location. A ‘virtual’ university experience is offered including electronic access to campus-based services, resources and regular direct or indirect access to the module teams. The online study involves high levels of tutor and peer contact and interaction via email, Chat Rooms, Skype, phone and Forums to create a supportive e-learning community. This programme enables you to develop your professional and academic skills in communication, leadership, evidence base and literacy to manage the complexities of your work by applying theory to your practice experience. This is provided through a suite of eight modules that examines academic and clinical basis for practice and encourages critical thinking around issues in Health and Social Care in the UK and globally. Faculty of Health
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Medicaid Benefit for
Adaptive Behavior ServicesRecommendations of the multi-agency state autism collaborative
Autism Spectrum Disorder (ASD)
• 1:64 children (ages 0 to 21) in Georgia have Autism Spectrum Disorder (ASD)
o 1.1 million children in GA on Medicaid younger than 21 years of age
• Estimated 17,000 children with autism enrolled in GA Medicaid
• Children with ASD require varying levels of support (DSM-V criteria)
o Level 1 – Requiring Support
o Level 2 – Requiring Substantial Support
o Level 3 – Requiring Very Substantial Support
2Recommendations of the multi-agency state autism collaborative
Treatment for ASD
• Adaptive Behavior Services (ABS)
o Behavioral therapy -- foundation for ASD treatment
o Social skills development
o Not currently available through Medicaid in GA
• Non-behavioral therapies
o Speech-language therapy
o Occupational therapy
o Physical therapy
• Medical and psychiatric treatment for associated conditions
3Recommendations of the multi-agency state autism collaborative
ABS Providers
• Behavior Analysis is the scientific
study of principles of learning
and behavior. Practitioners of
behavior analysis are qualified to
provide services to address
organizational functioning, skill
deficits (e.g., communication,
adaptive behavior), and
problem behavior (e.g.,
aggression, self-injurious
behavior), for examples.
• Behavioral Analysts are Certified
nationally by the Behavior
Analyst Certification Board.
https://bacb.com/about-behavior-
analysis/
4Recommendations of the multi-agency state autism collaborative
BCBA-D: Board Certified Behavior Analyst – Doctoral Level
A doctoral level practitioner qualified to diagnose and
provide direct services and supervise BCBAs
BCBA: Board Certified Behavior Analyst Masters/graduate
level independent practitioners who provide behavior-
analytic services. May supervise the work of Board Certified
Assistant Behavior Analysts, Registered Behavior Technicians,
and others who implement behavior-analytic interventions.
BCaBA: Board Certified Assistant Behavior Analyst
Bachelor’s level practitioner, must be supervised by
BCBA/BCBA-D; can supervise Registered Behavior
Technicians
Registered Behavior Technicians
Paraprofessional who implements the service plan under
supervision of Certified Behavior Analyst
ABS ProvidersCapacity limitations based on already employed workforce
Behavioral analysts
• BCBA-D: doctoral level
• BCBA: masters/ graduate level
• BCaBA: bachelor’s level; requires
supervision
Certification Statewide Count
BCBA-D 49BCBA 284BCaBA 26
Grand Total 359
Additional 323 Registered Behavior Technicians
5Recommendations of the multi-agency state autism collaborative
Benefit Coverage & Design
Guiding PrinciplesInputs
6
• Leverage existing infrastructure
• Open ABS procedure codes
• Phase in multiple access points
• Invest in early intervention
• Expand qualified provider network
through enrollment of BCBAs
• CMS Guidance
• Advocate and provider subject
matter experts
• Autism Plan for Georgia
• Governor’s Budget
Recommendation and Legislative
Appropriations
Recommendations of the multi-agency state autism collaborative
Benefit Coverage FrameworkCoding and Pricing
• Code Selection
o Other states
o CMS proposed codes
o Additions based on subject matter expert input
• Pricing
o Model existing CMS-approved behavioral health reimbursement structure
(Medicaid Rehabilitation Option)
o Tiered rates based on provider credentials and other criteria
• Telemedicine
7Recommendations of the multi-agency state autism collaborative
Current State
Non-Behavioral Therapies
Developmental Screening*
Referral for Diagnosis
Ages 0 to 3 Ages +/- 5 Ages 0 to 21
8*Autism-specific screening currently limited by lack of reimbursementRecommendations of the multi-agency state autism collaborative
Ages 0 through 20
Comprehensive
Assessment
ASD-
specific
Screening
Diagnosis
Intensive
ASD Skills
Building
Intensive
ASD
Behavior
Therapies
Intensive
ASD
Group/Family
Skills and
Supports
Towards a Full Range of Services
9
Crisis S
tab
ilizatio
n C
ap
ac
ity
Access to non-behavioral services continues
Recommendations of the multi-agency state autism collaborative
Phase 1: July 1, 2017 Phase 2: October 1, 2017 Phase 3: January 1, 2018Current State
Implementation Phases/Timeline
Limited Screening,
Referral, Therapies
Pediatricians receive separate reimbursement for autism screening
Psychologists provide/ supervise provision of autism services
Babies Can’t Wait Special Instructors provide therapies –Ages 0-3
Early Intervention Service Coordinators
Public Health Centers provide screening & autism services
CSBs provide autism services
CIS Licensed Therapists provide autism services
BCBAs provide autism services
Local Education Agencies provide autism services (tent.)
Crisis Support (Respite, Mobile, Stabilization)
State refocuses to provider development
10Recommendations of the multi-state agency autism collaborative
11Recommendations of the multi-agency state autism collaborative
Non-Certified Practitioners may not supervise more than 3 staff at any time
ABS Supervision Model Examples
Tiered Reimbursement Tiered Reimbursement Levels
12
• Level 1 – Physician, Psychiatrist
• Level 2 – Psychologist, BCBA-D
• Level 3 – BCBA
• Level 4 – BCaBA or Master’s level Behavior Analyst without certification
• Level 5 – Registered Behavioral Technician (RBT)
Recommendations of the multi-agency state autism collaborative
Public Notice and State Plan Amendments
13
• Public Notice – ABS Coverage for Children and the
Enrollment of BCBAso September 14, 2017 Initial
o Opportunity for Written Comment
o October 12, 2017 Final
• CMS Approvalo 90 Days from submission to approve
Recommendations of the multi-agency state autism collaborative
Communication and Engagement• Deploy Communication Plans
o Email blast
o Letters and mailed “toolkits”
o Symposium and conference representation
o Teleconference (VICS)
o Webinar
• Staffing Infrastructure & Recruitment
oAdvertise career announcements
o Employ and/or contract ABS providers
o Onboarding and system orientation
• Establish seat on DCH Medical Care Advisory Committee for Autism Services Provider
14Recommendations of the multi-agency state autism collaborative
Infrastructure Considerations
• Statewide, opening ABS procedure codes and incentivizing screening will:
o Increase the demand for providers trained to diagnose ASD
o Decrease the average age of diagnosis, increasing the need for early
intervention providers
o Increase demand for ABS
o Increase the demand for intensive services, increasing wait times
• Infrastructure needs:
o Additional trained providers
o Increased capacity for intensive services
15Recommendations of the multi-agency state autism collaborative
Proposed Solutionsfor Capacity Building
• Utilize telemedicine
• Infrastructure investment
• Expand to include crisis services
16Recommendations of the multi-agency state autism collaborative
Questions?
Marcey Alter
Email Subject: Autism Stakeholder Input
Recommendations of the multi-state agency
autism collaborative17
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