Service Locations

Depending on clinical needs, your child’s provider can provide ABA services in various settings. ABA services must target core ASD symptoms and comply with ACD policy.

Acceptable Service Settings

Home

• Location: This the beneficiary’s residence
• Approval: All ABA services must be pre-approved prior to services occurring
• Services: Services can be conducted by all ABA provider types
• Restrictions: Travel to and from a beneficiary’s home is not reimbursable

Center/Clinics

• Location: The outpatient ABA center/clinic
• Services: Services can be conducted by all ABA provider types
• Approval: All ABA services must be pre-approved prior to services occurring
• Restrictions: Travel to and from a center is not reimbursable

Daycare

• Location: A daycare center is a daycare center, child development center or after-school program
• Services: Services can be conducted by all ABA provider types
• Approval: All daycare settings must be pre-approved prior to services occurring
• Restrictions:
  • Daycares are not pre-schools
  • The Daycare must not be connected to a school or educational environment
  • ABA providers may not function as support aides or observers during care routines or activities (lunch, group activities, arts and crafts, etc.)

School

• Location: A school is defined as a preschool, public school, private school or home school
  Services: Services must be administered by an ABA supervisor
  Approval:
  • All school settings must be pre-approved prior to services occurring
  • Submission of a current Individualized Education Program (IEP) or equivalent is required
  • ABA services must be provided outside of home-schooling hours
  • ABA services in the school setting are for targeting specific behavior and is for a limited duration
• Restrictions:
  • A daycare center is not considered a school setting
  • ABA services performed by Behavior Technicians (BT) or Assistant Behavior Analysts (BCaBA) in a school setting are NOT allowed
  • The ABA supervisor will not function as a support aide or observer during care routines or activities
  • ABA services may not duplicate IEP services
  • Academic or education goals are not allowed in any setting and should not be included within the TP

Community

• Location: Any setting that is not a part of a home, clinic, office, telehealth or school setting
• Services: Services can be conducted by all ABA provider types and must be pre-approved
• Approval:
  • All Community settings must be pre-approved prior to services occurring
  • Approval of a community setting is dependent upon goals identified in the TP
• Restrictions:
  • Parent training isn’ not allowed in community settings
  • Supportive services are notaren’t allowed in community environments such as sporting events, camps or doctor appointments
  • Examples of community settings include but are notaren’t limited to: parks, restaurants, grocery stores, and community events

Telemedicine

• Services: Telemedicine involves the use of secure video conferencing to provide active delivery of ABA services
• Approval: Only available for parent training after the first initial six months of ABA services
• Restrictions: Audio only services are notaren’t allowed for 1:1 ABA services