The Organization shall maintain written agreements relating to ABA services and related functions, describing key terms such as the scope of the services to be provided with all patients or legal guardians, participating providers, vendors, and subcontractors.
Standard 1.08 – Delegation of Dutiesadmin2022-06-12T12:45:59-04:00
The Organization shall actively oversee all delegated or outsourced functions, retaining final oversight authority, and have a written delegation policy and agreement when it subcontracts ABA services or functions.
Standard 1.09 – Insurance Coverageadmin2022-06-12T12:54:25-04:00
Implement and maintain a human resource (HR) management program that addresses key elements related to the employee experience (e.g., hiring, performance reviews, terminations, employee satisfaction) in compliance with applicable regulations;
Assign staff or hire consultants with an appropriate level of access, experience, and expertise to manage common human resource functions; and
Make available an up-to-date Employee or Personnel Handbook to its employees.
Standard 2.02 – Recruitment and Hiringadmin2022-06-12T12:49:19-04:00
Review on a predetermined schedule its budget, financial reports, and revenue cycle; and
Appoint an executive internally or contract with a professional with the relevant background and expertise to oversee its financial operations in accordance with established accounting principles and business practices.
Standard 3.02 – Fee Scheduleadmin2022-06-12T12:55:42-04:00
Draft and maintain policies, procedures, and processes targeting privacy and security of patient PHI pursuant to all applicable regulations;
Use HIPAA-compliant electronic communication and data storage system for securing patient PHI;
Document that its Notice of Privacy Practices was shared with patients and honor the provisions included in compliance with applicable regulations; and
Assign a Privacy and Security Officer with the appropriate level of access, experience, and expertise responsible for creating, training, and executing policies and procedures that protect the privacy and security of electronic PHI.
Standard 4.03 – Health and Safetyadmin2022-06-12T12:58:58-04:00
Ensure the development and maintenance of an effective health and safety program;
Investigate and respond to patient injuries, illness, and safety incidents in compliance with applicable regulations;
Investigate and respond to workplace injuries, illness, and safety incidents in compliance with applicable regulations;
Analyze its health and safety data, at least annually, to identify and respond to trends and recurring areas of concern, assess individual employee performance, and ascertain department-specific versus systemic issues; and
Assign staff or hire consultants with appropriate level of access, experience, and expertise to oversee its health and safety program.
Standard 4.04 – Disaster, Crisis, and Emergency Managementadmin2022-06-12T12:59:28-04:00
Oversee ABA services at each location and at the executive level;
Only oversee and use empirically supported ABA clinical practices that fall within their scope of competence;
Are assigned the following baseline responsibilities:
Implement quality assurance programs,
Oversee service development and delivery,
Supervise and provide feedback to direct reports,
Coordinate care including caregiver support services,
Provide mentorship and staff development opportunities,
Participate in development and research activities when available,
Maintain and seek out credentials and training relevant to the position,
Ensure regulatory compliance with policies and procedures, and
Guide the development of policies and procedures to ensure alignment between clinical best practices and operational decisions; and
At a minimum have a Licensed Behavior Analyst credential or equivalent graduate-level credential in good standing for a minimum of 3 years post-credential experience providing, supervising, or administering ABA services to patients with ASD.
Standard 5.03 – Behavior Analystsadmin2022-06-12T13:05:40-04:00
The Organization shall hire Behavior Technicians who:
Only use empirically supported ABA clinical practices that fall within their scope of competence;
Are assigned the following baseline responsibilities under the supervision of a Behavior Analyst or Assistant Behavior Analyst:
Measure patient progress towards treatment goals,
Assist with assessment procedures,
Implement skill acquisition programming,
Implement behavior reduction programming,
Document the provision of services,
Comply with all applicable ethical codes of conduct, and
Comply with applicable supervision standards, including documentation; and
At minimum, have within 180 days of employment and before implementing protocols independently with patients at least one of the following:
A Registered Behavior Technician®(RBT®) credential in good standing;
An equivalent ABA paraprofessional credential in good standing; or
Appropriate qualifications to assist in delivering ABA services under the direction and close supervision of a Behavior Analyst or Assistant Behavior Analyst as specified by applicable regulations and have completed 40 hours of training in ABA before successfully passing a competency assessment administered by a Behavior Analyst.
Standard 5.06 – Clinical Supervision and Directionadmin2022-06-12T13:08:58-04:00
The Organization shall assign a clinical supervisor to all Assistant Behavior Analysts, Behavior Technicians, and trainees, with the qualifications, time, and expertise necessary to evaluate competency, monitor performance, train new skills, remediate skill deficits, and enhance services.
Standard 6.01 – Access to Careadmin2022-06-12T13:09:29-04:00
The Organization shall secure written consent from patients or their legal guardians prior to initiating services or research, when there is a substantial change to treatment or the research plan, or when exchanging or releasing confidential information or records.
Standard 7.04 – Restraint and Seclusion Proceduresadmin2022-06-12T13:16:24-04:00
Only use seclusion or restraint procedures to respond to behavior that poses imminent danger or serious harm to self or others after other non-restrictive interventions have failed and legal informed consent has been obtained;
Only use systematic and manualized seclusion and restraint procedures implemented by formally trained staff after securing consent;
Implement a system to approve and monitor the use of restraint and seclusion procedures; and
Document, debrief, and communicate the use of restraint and seclusion procedures within 24 hours or sooner in compliance with applicable regulations.
Standard 8.01 – Patient and Caregiver Satisfactionadmin2022-06-12T13:16:54-04:00
Implement and maintain a quality assurance program engaged in ongoing measurement, review, and reporting of progress toward self-identified quality indicators across its business and clinical operations; and
Assign staff or hire consultants with the appropriate level of access, experience, and expertise to oversee its quality assurance program.
Standard 8.03 – Clinical Outcomesadmin2022-06-12T13:18:04-04:00