Autism and Applied Behavior Analysis (ABA) therapy

Overview

We offer an Applied Behavior Analysis (ABA) therapy benefit to all Apple Health for Kids clients diagnosed with an Autism Spectrum Disorder classification.

Eligibility and acceptance

In order for a child or youth to be eligible for ABA therapy through Apple Health/Medicaid, a recognized Centers of Excellence (COE) must conduct a comprehensive evaluation, and write an order for Applied Behavior Analysis therapy.

If the COE determines that the child meets medical necessity for ABA services, they will provide the family with a copy of their comprehensive evaluation, recommendations, and order for ABA treatment. The family is encouraged to contact all of the Medicaid-enrolled ABA providers in their area to be added to the waiting lists. ABA providers require a copy of the COE evaluation and order to ensure clients have completed phase one of the ABA pathway to care.

Education Program

The University of Washington (UW) set up a Board Certified Behavior Analyst (BCBA) cohort program in fall of 2012. The program utilizes distance education technology to bring the program to students.

The revised program allows the UW to continue live instruction while utilizing a new delivery platform - Blackboard Collaborate. This technology allows students from all over the Pacific Northwest to access the course of study from any location with a:

• Computer.
• Broadband internet access.
• Headset microphone.

For more information visit the UW's website

Resources

• What to do while waiting for an Autism Center appointment (Seattle Children's Autism Center)
• Washington Autism Alliance and Advocacy (workshops for parents on ABA waiting lists)
• ABA day program capacity attestation form (13-0007)
• ABA attestation form (13-0008)
• Centers of Excellence (COE) attestation form (13-0009)
• ABA level of support requirement form (12-411) Word | PDF
• ABA Assessment and Behavior Change Plan (13-400)
• General Information for Authorization form (13-835) Word | PDF (Instructions)