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Montana Autism-Specific Services Policy Manual

Montana Autism-Specific Services Policy Manual

$4,199.00Price
ABOUT THIS POLICY MANUAL
 
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The Montana Autism-Specific Services Provider Policy Manual establishes a comprehensive framework for delivering evidence-based, state-compliant services to individuals with Autism Spectrum Disorder (ASD) in Montana. This manual aligns with Montana Medicaid regulations, the Individuals with Disabilities Education Act (IDEA), the Autism CARES Act, and best practices outlined by the Council of Autism Service Providers (CASP) to ensure high-quality care and regulatory compliance.
The manual includes policies on:
  • Eligibility and Assessment: Guidance on eligibility criteria for autism services under Montana Medicaid, including provisional and confirmed ASD diagnoses. Assessments conducted by qualified professionals such as developmental pediatricians, psychologists, or Board-Certified Behavior Analysts (BCBAs), ensuring functional impairment criteria are met.
  • Applied Behavior Analysis (ABA) Services: Standards for implementing ABA therapy, including treatment planning, direct interventions, parent/caregiver training, and progress monitoring. Providers must adhere to Montana Medicaid’s guidelines for service initiation, which allow for provisional diagnoses and do not require prior authorization for the first 180 days of treatment.
  • Service Delivery Settings: Flexibility in providing services across various settings, including homes, clinics, schools, and community environments. Group therapy options are also supported when appropriate to meet individual needs.
  • Coordination with Educational Services: Integration of autism-specific services with Individualized Education Programs (IEPs) under IDEA. This includes collaboration with schools to ensure accommodations and supports align with educational goals.
  • Parent and Caregiver Involvement: Policies emphasizing parent/caregiver participation in treatment planning and training while allowing flexibility in their presence during therapy sessions unless required by the treatment plan.
  • Quality Assurance and Progress Monitoring: Protocols for regular assessment of treatment outcomes, documentation of progress toward measurable goals, and modification of treatment plans as needed. Providers must demonstrate significant progress or provide justification for continued services if progress is limited.
  • Funding and Compliance: Guidance on utilizing Medicaid funding under Montana’s expanded ABA services program while adhering to state and federal regulations. Providers must ensure cost-effective care that meets medical necessity criteria.
This policy manual serves as a critical resource for autism service providers in Montana. It ensures the delivery of high-quality, person-centered care while promoting independence and improved outcomes for individuals with ASD. By aligning with state and federal laws, this manual supports providers in meeting the unique needs of Montanans with autism across all stages of life.
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