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Vermont Medicaid Applied Behavior Analysis Benefit Overview
Vermont Medicaid Applied Behavior Analysis Benefit Overview

Welome to our presentation.

This presentation provides an overview of the VT Medicaid Applied Behavior Analysis (ABA) benefit and includes payment methodologies (Case Rate and Fee For Service), caseload and documentation requirements, billing information, and medical necessity. 

Please email the Clinical Services Team if you need assistance with registration or if you have any questions: AHS.DVHAABABenefit@vermont.gov

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Vermont Medicaid Applied Behavior Analysis Case Rate
Vermont Medicaid Applied Behavior Analysis Case Rate

Welcome to our presentation.

This presentation provides information specific to the VT Medicaid Applied Behavior Analysis (ABA) benefit Case Rate payment methodology to include eligibility, tier submissions, CPT codes, shadow claims, monitoring, clinical documentation reviews, and yearly reconciliation. 

Please email the Clinical Services Team if you need assistance with registration or if you have any questions: AHS.DVHAABABenefit@vermont.gov

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Vermont Medicaid Applied Behavior Analysis Fee for Service (FFS)
Vermont Medicaid Applied Behavior Analysis Fee for Service (FFS)

Welome to our presentation.

This presentation provides information specific to the VT Medicaid Applied Behavior Analysis (ABA) benefit Fee For Service payment methodology to include eligibility, clinical documentation requirements, prior authorizations, co-pay and deductible information, and procedures for billing. 

Please email the Clinical Services Team if you need assistance with registration or if you have any questions: AHS.DVHAABABenefit@vermont.gov

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Vermont Medicaid Applied Behavior Analysis Billing and Reconciliation 101
Vermont Medicaid Applied Behavior Analysis Billing and Reconciliation 101

Welcome to our presentation.

This presentation provides information specific to the VT Medicaid Applied Behavior (ABA) Analysis benefit yearly reconciliation, calculating final monthly tier and final monthly amount, calculating actual provider monthly payments, calculating the reconciliation total, claims submission, and timely filing overrides.   

Please email the Clinical Services Team if you need assistance with registration or if you have any questions: AHS.DVHAABABenefit@vermont.gov.

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Vermont Medicaid Authorization for Pediatric physical Therapy, Occupational Therapy, and Speech Language Pathology Therapy Services
Vermont Medicaid Authorization for Pediatric physical Therapy, Occupational Therapy, and Speech Language Pathology Therapy Services

Welcome to our presentation on Vermont Medicaid Authorization for Pediatric Physical Therapy, Occupational Therapy, and Speech Language Pathology Therapy Services. This is a two-module presentation on how to help providers and therapist obtain Vermont Medicaid coverage for pediatric physical, occupational, and speech language pathology therapy services. Module one is for Primary Care Givers and Module two is for Therapist.

Please email the Clinical Services Team with any questions, at: AHS.DVHAClinicalServicesTeam@vermont.gov and a response will be issued within 14 days.

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