New York Codes, Rules and Regulations
Title 18 - DEPARTMENT OF SOCIAL SERVICES
Chapter II - Regulations of the Department of Social Services
Subchapter E - Medical Care
Article 3 - Policies and Standards Governing Provision of Medical and Dental Care
Part 505 - Charges For Professional Health Services
Section 505.39 - Applied Behavior Analysis
Universal Citation: 18 NY Comp Codes Rules and Regs ยง 505.39
Current through Register Vol. 46, No. 39, September 25, 2024
(a) Definitions.
(1) Applied Behavior Analysis or
"ABA,'' as defined in section eighty-eight hundred one of NYS education law,
means the design, implementation, and evaluation of environmental
modifications, using behavioral stimuli and consequences, to produce socially
significant improvement in human behavior, including the use of direct
observation, measurement, and functional analysis of the relationship between
environment and behavior.
(2) A
licensed behavior analyst is an individual licensed to practice applied
behavior analysis under article one hundred sixty-seven of the education
law.
(3) A certified behavior
analyst assistant is an individual certified under article one hundred
sixty-seven of NYS education law who provides ABA and works under the
supervision of a licensed behavior analyst.
(b) General.
(1) Medical assistance shall include applied
behavior analysis where such service is provided by a Licensed Behavior Analyst
(LBA) or Certified Behavior Analyst Assistant (CBAA) working under the
supervision of an LBA, or other individual specified under article one hundred
sixty-seven of NYS education law, for the behavior health treatment for persons
under 21 years of age with autism spectrum disorders and related
disorders.
(c) Payment policy.
(1) Payment for applied behavior
analysis (ABA) services shall be made to ABA providers at rates or fees
established by the Department of Health and approved by the Division of the
Budget.
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