Challenges in Establishing Medical Necessity for SBA #recorded


Instructor: Nicholas Maio-Aether, MAMFT, MSPSY, CSC, LBA, IBA, BCBA®

Duration: 62 minutes of self-paced instruction

1 General Learning Type BACB® CEUs provided upon course completion – full course description below

Level: CBS Level 1



**This course will provide the participant with 1 General Learning Type BACB® CEUs**

Description of Learning Type CE Event: There are few things in life more frustrating than being a Behavior Analyst who is working to get services covered for anything other than common concerns related to children with an ASD diagnosis. Often, we are told by insurance companies/funders that we are only allowed to do niche work with Autistic children; this is not true. It’s actually illegal for them to do this, and they have no solid basis for their claims. As many of the SBA clients we serve are adults and/or not Autistic, we must be prepared to defend our science, our best practices, and our client’s rights. This presentation is geared towards assisting Behavior Analysts in their endeavors to get clients into services, regardless of age or diagnosis. It covers Task List-related items: A1 (Goals of ABA as a science); A5 (Dimensions of ABA); E2 (Responsibility as a Professional); E4 (Responsibility to Clients and Stakeholders); G21 (Generalization); H3 (Socially Valid Recommendations).

About the Instructor: Nicholas Maio-Aether owns Empowered: A Center for Sexuality in St Louis, where he and his occasional teams of partnered Universities’ students work to assist humans with and without disabilities achieve sexual access, sexual freedom, gender affirmation, and self-control of compulsive behaviors. Nicholas works throughout the US training BCBAs/Behavior Analysts so persons in Individualized Supportive Living (ISL) programs gain access to applicable and generalizable comprehensive sex ed and sexual opportunities. Nicholas provides Sexual Behavior Analysis, and has assisted polycules, kinksters, gay couples, trans and nonbinary humans, among others, on their journeys. Trained by GLSEN in 2003, Nicholas started Gay-Straight Alliances across Alaska while in high school, and provided them sex ed materials and trainings. Nicholas spent five years managing Hustler Hollywood in St Louis before moving into Behavior Analysis, and joined AASECT, where he currently sits on two committees. He then completed a Sex Therapy practicum under Linda Weiner, LMSW, CSTS, in 2019 before getting a second Masters in Marriage & Family Therapy, and meeting those hour requirements under Angela Skurtu, LMFT, CST, along with his LGBTQIA+ Family Systems Specialist certificate in 2021.

Target Audience: Anyone attempting to get ABA/SBA services covered for any individual who is not an Autistic child.

Learning Objectives for Participants: As a result of this course participants will be able to …

  • Review the current definitions of ABA and the standards for medical necessity established in the literature and compare these against those established by insurance companies.
  • Establish a framework by which practitioners can effectively argue against discrimination by insurance companies preventing access to behavior-analytic services for adults and non-ASD clients.
  • Gain access to relevant generalizable information regarding alternate funding and how to go about marketing when insurance is not the primary source of pay.