NJABA Workgroups

INSURANCE, MEDICAID & BUSINESS PRACTICES

MISSION

The NJABA Insurance, Medicaid, and Business Practices (IMAB) Workgroup is dedicated to promoting the professional practice of applied behavior analysis (ABA) in the context of publicly and privately funded services and the business development interests of professional behavior analysts. The IMAB workgroup strives to increase the insurance industry’s capacity to provide high-quality behavioral services to all insureds and increase our ability to provide high-quality, ethical, and evidence-based behavior analytic services to all.

Leadership Committee

Craig Domanski, Ph.D., BCBA-D and Cara Graham, M.A., BCBA, Co-chairs

Kathleen McCabe-Odri, Ed.D., BCBA-D, FAQ Coordinator

Current Activities

We provide support to current and prospective behavior analysts and business owners on the following:

  • Insurance
    • Claims submission process inc. CPT codes and more
    • Communication with insurance carriers
    • Becoming credentialed with insurance carriers and CAQH
    • In-network exceptions
  • Medicaid EPSDT Coverage for Children with Autism (State of NJ is in planning phase)
  • Business Practices
    • Establishing a business
    • Business and labor laws and regulations
    • General/professional/auto/workman’s compensation insurance
    • Policies, procedures, and business forms
    • HIPAA compliance
    • Human resources
    • Marketing plans
    • OBM
NJABA’s Insurance, Medicaid & Business Practices

FREQUENTLY ASKED QUESTIONS

FAQs

Resources

Department of Banking and Insurance – Autism Mandate Bulletin

Department of Banking and Insurance – Appeal and Complaint Guide for New Jersey Consumers

BACB’s ABA Treatment of ASD – Practice Guidelines for Healthcare Funders and Managers

Meetings

Most meetings will begin at 4:00 pm and will be held in-person at Autism New Jersey, 500 Horizon Drive, Suite 530, Robbinsville, NJ (5 minutes from NJ Turnpike Exit 7A) unless otherwise noted. Video and phone conferencing are available for workgroup members.

Please RSVP to Craig Domanski, Ph.D., BCBA-D, IMAB Workgroup Co-chair

Announcements

The new CPT codes are here, and you can check out the FAQ section to learn more. Take a few minutes to let us know about your successes and challenges working with insurance carriers so we can better advocate for you! We have an open dialogue and collaborative relationship with HorizonBCBS and can do so with the other carriers, too. So, tell us how the new codes are affecting your practice to ensure your concerns are brought to the table. Email insurance@njaba.org or call (609) 910-0394.

2018-2019 MEETING SCHEDULE

  • Monday, September 24, 2018 (at ANJ Headquarters)
  • Friday, October 19, 2018 (at ANJ Conference)
  • Wednesday, December 5, 2018
    • Atlantic Highlands Library – 100 1st Ave., Atlantic Highlands, NJ 07716
  • Monday, January 28, 2019
    • Shrewsbury Library – 1001 NJ-35, Shrewsbury, NJ 07702 – Second Floor Meeting Room
  • Monday, February 25, 2019
  • Friday, April 5, 2019
  • Monday, May 13, 2019

“I enjoyed participating in the NJABA Insurance Provider Workgroup call. It was great to learn more about the issues faced by others. Just wanted to say thank you for providing an invaluable resource to all of us by taking on issues like these. It is a comfort to know we have a strong advocate in our corner!”
– Tracy A. Menzie, Psy.D., BCBA-D

Interested, but Unsure if You’d Like to Officially Join?

APPLY FOR WORKGROUP

Apply Now

Come to a meeting to learn more and network with colleagues. All are welcome! For general inquiries, contact Stephanie Summers, stephanie@amg101.com, or 609-910-0394