Parent participation and parent training goals are a requirement and must include the following:
Goals may include:
If parent/caregiver participation is not possible, include reasons why and describe when parent training will resume. Parent training may be conducted with the family member or caregiver as defined:
All attempts to mitigate parent/caregiver lack of involvement/participation must be documented by the ABA provider.
Implementation of the treatment plan should begin with parent guidance sessions (CPT codes 97156 or 97157) especially if other ABA services are delayed.
ABA providers are required to render a minimum of one session of parent training within 30 days of the treatment authorization under CPT codes 97156 or 97157.
The Vineland-3, Social Responsiveness Scale (SRS-2), and the Pervasive Developmental Disorder Behavior Inventory (PDDBI) outcome measure scores, as well as tp goal progress are used to analyze beneficiary progress, monitor areas of stagnation and/or regression, and make TP decisions.
The Parenting Stress Index (PSI-4) and Stress Index for Parents of Adolescents (SIPA) scores offer useful information for providers and care managers to determine needs for additional support training.
While another provider may complete the Vineland-3, SRS-2, and the PSI-4/SIPA, treating ABA providers should fully review all scores.
Recommended units of service should be based on a combination of the symptom domains and level of support required, outcome measure scores, availability of the beneficiary, and the capability of the beneficiary to participate actively in ABA services.