Association for Behavior Analysis International

The Association for Behavior Analysis International® (ABAI) is a nonprofit membership organization with the mission to contribute to the well-being of society by developing, enhancing, and supporting the growth and vitality of the science of behavior analysis through research, education, and practice.


48th Annual Convention; Boston, MA; 2022

Event Details

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Symposium #136
CE Offered: BACB
Reducing Applied Behavior Analysis Agencies' Administrative Burdens Through Technology and Multi-Component Intervention on Insurance and Governmental Requirements
Saturday, May 28, 2022
5:00 PM–5:50 PM
Meeting Level 2; Room 258C
Area: AUT; Domain: Applied Research
Chair: Shannon Ballinger (Positive Behavior Supports Corporation)
CE Instructor: Shannon Ballinger, M.A.

As the number of funding sources which are managing applied behavior analysis services has expanded, so too have the unique requirements to initiate or maintain services. Specifically, organizations attempting to scale face many unique training, treatment protocols, data submissions, and credentialing requirements dictated by funding sources or government entities. This session explores how processes to meet requirements can be improved through identification of business opportunities, pinpointing specific provider and consumer behaviors needed, and implementing technology innovations to support required changes. Examples include: developing contingencies that ensure providers and families complete requirements so that ABA services can occur with reduced administrative burdens, working with funding sources to modify requirements, and automating processes to reduce time consuming requirements. Several interventions will be presented that occur in combination and are hypothesized to be directly related to reduced latency in "days to begin services from client application" and "days to begin working from employee application."

Instruction Level: Advanced
Keyword(s): government, insurance
Target Audience:

Participants are recommended to be experienced in managing aba services at a medium to large sized agency

Learning Objectives: At the conclusion of the presentation, participants will be able to 1) identify at least one proactive, replacement, and consequence based strategy that will reduce barriers to services presented by insurance companies 2) identify automated antecedent manipulation and prompting strategies that can be used to reduce latency in caregiver compliance to required documentation 3) identify strategies that will establish momentum to increase likelihood that practitioners will complete and maintain required credentialing documentation

Antecedent, Replacement and Consequence-Based Interventions for Agency Leaders in Reducing Burdensome Requirements From Private Funding Sources and Governmental Agencies


The requirements for agencies to provide aba services are numerous and, as agencies grow and expand, these requirements grow exponentially and are affected by each funding sources and additional geographic coverage area. Often, agencies are left to navigate complex requirements with very little guidance from the funding source and without an understanding of which rules are open to negotiation and which steps within the authorization and management process can be reduced, combined, or eliminated. This symposium will offer antecedent, replacement and consequence-based interventions used to successfully increase collaboration with funding source partners. The discussion will focus on results of effecting insurance company requirements that are burdensome by a combination of reducing the requirements, teaching alternative ways to access required information, or providing the information with the assistance of technology to make the effort less burdensome. The effect of reducing administrative burdens is also hypothesized to benefit the recipients who receive behavior services resulting in less latency in the days to begin services and less gaps in services due to administrative problems.

Improving Caregiver and Provider Responses to Requests for Required Information to Reduce Latency in Access to Services
NINA MALAGIC RAYNOR (Positive Behavior Supports)
Abstract: Delays in clinical staff and consumer responses to requests for required information may result in gaps in service or delayed access to ABA treatment. An administrative limitation of in-home services includes low levels of administrative interaction with consumers to prompt/obtain timely documentation. Low-Tech methods to prompt responses are resource intensive and include many barriers. Through automated antecedent manipulations, prompting strategies were improved to target timely submission and signing of behavior treatment plans. Notification systems created for regional leadership provided visual feedback system and reduced number of actions required to send reminder notifications. This presentation will discuss the results of a project that targeted on-time submission and signing of behavior plans using technology enhancements.

Helping New Individuals Considering a Career in the Field of Applied Behavior Analysis Complete Complex Requirements in Order to Reduce Latency to Provide Services and Maintaining Credentialing Requirements

MICHAEL NOLAN (Positive Behavior Supports Corporation)

Large agencies working with multiple funding sources often create long list of requirements to enter the field and often many potential practitioners will not complete these requirements and may be dissuaded by the ever-increasing list of requirements to practice in the field. These lengthy requirements are derived from satisfying local, state, an funding source specific credentialing requirements and can quickly become aversive. Systematic attempts to task analyze, reorder, and display steps in a visual pleasing way help ensure reinforcement throughout the process and can lead to completion. Other interventions include using technology to provide frequency notifications, and action links to prompt their completion. The measurable effect examined is the reduction in the number of days it takes for potential practitioner to become fully compliant and credentialed and working in the field. This session will examine specific strategies can an aba agency can implement to engage a potential practitioner and establish momentum that will lead to providing services in the field.




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Modifed by Eddie Soh