Educate parents about their rights best practices and access Medicaid funding for this? ESDM can be done and bill the Identify range of interventions and best within the natural and ABA codes… however, you need the practices specific to ASD and create least restrictive certified/credentialed BCBA’s to clinical guidelines to ensure interventions environment for the supervise the work. are within best practices and within the child. How are we School contracts are more profitable natural and least restrictive environment certain that best (mixture of funding – Part B and for the child. How are we certain that best practices are followed? Medicaid): practices are followed? Have a Rate/day Have a multidisciplinary internal multidisciplinary Staff turnover has less impact on review board to look at practices internal review these because we have to meet our in Vermont board to look at contractual obligations How will we measure fidelity to practices in Insurance programs (straight clinical guidelines? Vermont Medicaid): Who will develop clinical How will we We can only bill when we see the guidelines? measure fidelity child How will we know clinical to clinical Staff turnover guidelines are being followed? guidelines? CDC contract (combo of Title V and Medicaid): Figure out what types of funding sources Who will If a child no-shows, contract still pays could be available. Including ABA and develop clinical a portion other practices such as ESDM and other guidelines? How could we think about creating promising practices not currently How will we funding that is more secure – reimbursable through the state plan. know clinical blending Medicaid with other funds Who? Autism Work Group guidelines are that allow some degree of flexibility When? December 2016 being followed? like a contract would? How will we know? 1. No or Are there programs who do this that minimal waitlists for families. 2. Advocacy and funding we can learn from? Documentation of best practices go hand in hand Can Global Commitment savings be and their components (see MTSS accessed – investment dollars? field guide-Jim Calhoun) We need real ‘money’ people helping As appropriate, align best tease this out to think creatively practices with family preferences. about what could be possible. Who? Vermont LEND?? How would security in the money Acknowledge that we need to help staffing capacity? We currently grow from within the leverage current system capacity company to grow pro staff – we give for individualized behavioral tuition assistance to help them gain supports as we build future their certification. system capacity.
Educate parents about their rights Identify range of interventions and best practices specific to ASD and create clinical guidelines to ensure interventions are within best practices and within the natural and least restrictive environment for the child. How are we certain that best practices are followed? Have a multidisciplinary internal review board to look at practices in Vermont How will we measure fidelity to clinical guidelines? Who will develop clinical guidelines? How will we know clinical guidelines are being followed? Figure out what types of funding sources could be available. Including ABA and other practices such as ESDM and other promising practices not currently reimbursable through the state plan. Who? Autism Work Group When? December 2016 How will we know? 1. No or minimal waitlists for families. 2. Documentation of best practices and their components (see MTSS field guide-Jim Calhoun) As appropriate, align best practices with family preferences. Who? Vermont LEND?? Acknowledge that we need to leverage current system capacity for individualized behavioral supports as we build future system capacity. best practices and within the natural and least restrictive environment for the child. How are we certain that best practices are followed? Have a multidisciplinary internal review board to look at practices in Vermont How will we measure fidelity to clinical guidelines? Who will develop clinical guidelines? How will we know clinical guidelines are being followed? Advocacy and funding go hand in hand access Medicaid funding for this? ESDM can be done and bill the ABA codes… however, you need the certified/credentialed BCBA’s to supervise the work. School contracts are more profitable (mixture of funding – Part B and Medicaid): Rate/day Staff turnover has less impact on these because we have to meet our contractual obligations Insurance programs (straight Medicaid): We can only bill when we see the child Staff turnover CDC contract (combo of Title V and Medicaid): If a child no-shows, contract still pays a portion How could we think about creating funding that is more secure – blending Medicaid with other funds that allow some degree of flexibility like a contract would? Are there programs who do this that we can learn from? Can Global Commitment savings be accessed – investment dollars? We need real ‘money’ people helping tease this out to think creatively about what could be possible. How would security in the money help staffing capacity? We currently grow from within the company to grow pro staff – we give tuition assistance to help them gain their certification.
Goals%20Updated%2011-16-17.docx