Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 70 - MO HealthNet Division › Chapter 98 - Behavioral Health Services › Section 13 CSR 70-98.030 - Applied Behavior Analysis Services

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment replaces the word "recipient"
				  with the word "participant" where it occurs in the existing rule. This
				  amendment removes language requiring licensure for independent practice for
				  behavior analysts to participate in the program. This amendment clarifies
				  language regarding licensure to align this rule with MO HealthNet practice
				  wherein providers in bordering states may enroll and provide services. This
				  amendment also adds incorporation by reference language for one (1) definition
				  and for the fee schedule.
PUBLISHER'S NOTE: The secretary of state has
				  determined that publication of the entire text of the material that is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Definitions.
(A) "Applied Behavior Analysis (ABA)" 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 relationships between environment
				and behavior. ABA does not include psychological testing, personality
				assessment, intellectual assessment, neuropsychological assessment,
				psychotherapy, cognitive therapy, sex therapy, psychoanalysis, hypnotherapy,
				family therapy, or counseling.
(B)
				"ABA Assessment for Intervention Planning" means assessment that is conducted
				according to best practice guidelines and considers the individual's specific
				strengths and concerns to inform the intervention planning process.
(C) "ABA intervention" means a type of
				intervention that involves directly and objectively measuring potential target
				behaviors and environmental events that influence them; constructing detailed,
				individualized behavior analytic treatment plans; using reinforcement and other
				scientifically validated procedures to build functional skills and reduce
				behaviors that jeopardize health, safety, and independent functioning; managing
				treatment environments to maximize client progress; implementing treatment
				protocols repeatedly, frequently, and consistently; measuring target behaviors
				directly and frequently; and adjusting treatment protocols based on
				data.
(D) "Licensed Psychologist
				(LP)" means an individual who is currently licensed by the psychology board of
				the state in which the individual is practicing.
(E) "Autism Spectrum Disorder (ASD)" as defined in the
				most recent edition of Diagnostic and Statistical Manual of Mental
				Disorders.
(F) "Best practice
				guidelines" means guidelines described in the Missouri Autism Guidelines
				Initiative's publications entitled Autism Spectrum Disorders: Missouri Best
				Practice Guidelines for Screening, Diagnosis, and Assessment as published by
				the Missouri Department of Mental Health at their website at
https://www.autismguidelines.dmh.mo.gov/pdf/Guidelines.pdf
,
				2010, and Autism Spectrum Disorders: Guide to Evidence-Based Interventions as
				published by the Missouri Department of Mental Health at their website at
https://www.autismguidelines.dmh.mo.gov/documents/Interventions.pdf
,
				2012. These guidelines are incorporated by reference and made a part of this
				rule and a copy of each is available for reference at the MO HealthNet
				Division, 615 Howerton Court, Jefferson City, MO 65109. This rule does not
				incorporate any subsequent amendments or additions.
(G) "Diagnostic evaluation" means evaluation conducted
				according to best practice guidelines in order to determine if an ASD is
				present;
(H) "Licensed Assistant
				Behavior Analyst (LABA)" means an individual who is currently licensed to
				practice applied behavior analysis under the supervision of a licensed behavior
				analyst by the behavior analyst board under which the individual is
				practicing.
(I) "Licensed Behavior
				Analyst (LBA)" means an individual who is currently licensed by the behavior
				analyst board of the state in which the individual is practicing.
(J) "Technician" means an individual who is
				credentialed by the Behavior Analyst Certification Board (BACB) as a Registered
				Behavior Technician®
				(RBT®).