Florida Medicaid Behavior Analysis Updates 2019
[Pages:43]Florida Medicaid Behavior Analysis Updates
2019
Shevaun Harris Assistant Deputy Secretary for Medicaid Policy and Quality
Housekeeping
? Presentation Availability
?
? From the Medicaid homepage, select Behavior Analysis Services Information
? Lines will be muted for the duration of the webinar to minimize disruption.
? Questions can be submitted utilizing the Citrix "questions" feature. Simply type your question and select "submit".
? Questions will be held until the end.
2
Behavior Analysis Services Overview
? Florida Medicaid offers coverage of behavior analysis (BA) services for eligible recipients ages birth through 20 years old, when medically necessary.
? 11,376 children received services in March 2019
? 9,439 enrolled providers ? Estimated total expenditures for BA services
for SFY 2018-2019: $500 million
3
Service Updates
? The Agency will review several proposed changes or updates related to coverage of BA services to ensure that:
? Services are medically necessary ? Children are receiving quality care ? There is comprehensive care planning ? Services are being delivered as authorized ? We deter aberrant billing and practice patterns
4
Covered Topics
? Reimbursement Rates ? Health Care Clinic License ? Service Authorization ? Coverage Policy Revisions ? Electronic Visit Verification ? Moratorium
5
Covered Topics
6
Reimbursement Rates
7
Reimbursement Rates
? The Agency will not change rates for behavior analysis services in 2019.
? Current Medicaid Rates:
Service Lead Analyst (e.g., BCBA) Assistant Analyst Registered Behavior Technician
Hourly Medicaid Rate $76.20 per hour $60.96 per hour $48.76 per hour
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