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Autism ServicesState Regulations 7 AAC 135.350CHANGE AGENT CONFERENCEOctober 2018Fabrice E. Evengue, MPH, HSBCP
HISTORY OF AUTISM SERVICES In July 2014 the Center for Medicaid/Medicare Services (CMS) issued guidance directingstates to offer services to children as a regular Medicaid Service under the Early PeriodScreening and Diagnostic Treatment (EPSDT) provision for children under 21 years of agewith an Autism Diagnosis. Prior to this guidance to receive Autism Services a child had to qualify for the IntellectualDisability Developmental Delay (IDDD) and the services were provided as Intensive ActiveTreatment (IAT). In Alaska, the Division of Behavioral Health (DBH) was the Division selected to developregulations and oversee these services. Effective date: July 1st, 2018.
AUTISM SERVICES Autismservices means among others: the design, implementation, and evaluationof instructional modifications to produce socially significant improvements inhuman behavior. Typesof services: Initial behavior identification assessment; Behavior identification re-assessment; Adaptive behavior treatment by protocol; Group adaptive treatment by protocol; Family adaptive treatment guidance and; Adaptive behavior treatment by protocol modification.
AUTISM SERVICES SETTINGS Autismservices may be provided in the following settings: Therecipient’s home, school, and community; Thebehavior analyst’s office; Anoutpatient clinic; Anotherappropriate community setting.
SUMMARY OF ACCOMPLISHMENTSIN 2018 The Division of Behavioral Health (DBH) developed and implemented regulations for autismservices. Autism Services effective date of July 1st, 2018. DBH developed training materials (PowerPoint, WebEx, FAQ’s) to providers. DBH enrolled group practices (six) as well as Autism Behavior Technicians (two dozens). Group practices ranging locations from Anchorage, Eagle River-Chugiak, Palmer to Fairbanks. Medicaid section has promptly informed providers as to any available resources and trainings(Listserv). DBH has relayed a Guidance Document on the 72 hours contemporaneously documentation aswell as trainings.
AUTISM SERVICES PROVIDER TYPES BoardCertified Behavior Analyst (BCBA ) BoardCertified Assistant Behavior Analyst (BCaBA ) AutismBehavior Technician (ABT)
AUTISM SERVICES AND RATES7 AAC 145.580(A) – EFFECTIVE JULY 1, 2018
RECIPIENT ELIGIBILITY Inaddition to meeting general eligibility requirements for Medicaid services, therecipient must: Be under 21 years of age; Have a qualifying diagnosis of Autism Spectrum Disorder Provide documentation completed by a licensed behavior analyst that includes a recipient assessment. Theassessment must establishes the presence of functional impairments, delays incommunication, behavior or social interaction, or repetitive or stereotypedbehaviors; Establishesthat the recipient’s identified impairments, delays, or behaviorsadversely affect normal child growth and development, or communication orboth.
AUTISM SERVICES AND OTHER MEDICAIDSERVICES A child may receive Autism Services and the following other services: BehavioralHealth Clinic Services (i.e. Psychotherapy, PsychologicalTesting, Medication Management); Homeand Community Based Waiver Services; Occupational, Medical Speech, and Physical Therapy;Services (medical, dental, vision).A child may not receive Autism Services and the following services: BehavioralHealth Rehabilitative Services (i.e. Peer Support,Therapeutic Behavioral Health Support and Recipient SupportServices).
RESOURCES Documentationregulations Division of Behavioral .135.010 Providerenrollment: www.medicaidalaska.com How to become a Medicaid behavioral health P#7.70.010 Frequently Askedwebsite). Contact: Questions (FAQs) available (Division of Health Care ServicesFabrice E. Evengue, MPH, HSBCPFabrice.Evengue@Alaska.gov
The Division of Behavioral Health (DBH) developed and implemented regulations for autism services. Autism Services effective date of July 1 st, 2018. DBH developed training materials (PowerPoint, WebEx, FAQ's) to providers. DBH enrolled group practices (six) as well as Autism Behavior Technicians (two dozens).
