Consultation for Insurance Agencies

Ontogenesis offers specialized consultancy services to insurance companies, aimed at deepening their understanding of Applied Behavior Analysis (ABA) and enhancing their operational strategies around it. Throughout our extensive experience as professionals in the ABA field and partnering with insurance agencies (i.e. Medicaid and commercial), we have recognized that many funding sources may not have a clear understanding of key elements crucial to the effective use of ABA. These include the significance of the Behavior Analyst Certification Board (BACB) certification, the essence and scope of ABA itself, and what constitutes an ideal service design.

Our expert consultants provide comprehensive insights into these areas, coupled with detailed explanations of BACB standards, emphasizing the importance of certification (BCBA and RBT) and ongoing professional development in maintaining the highest quality of ABA services. We also offer an in-depth look at effective clinical tier-based support structures, which prioritize systematic support tailored to different levels of client needs—ensuring optimized resource allocation and enhanced treatment efficacy.

Telehealth is rapidly transforming the ABA service landscape, presenting both opportunities and challenges. Our consultancy services address how Telehealth can be effectively integrated into ABA practices while also advising on the potential pitfalls and how to assess a provider’s quality control measures in a virtual setting.

Moreover, we guide insurance companies through efficient code utilization crucial for billing and compliance, and various assessment methodologies to ensure accurate client evaluations. Our services extend to consulting on what a quality ABA-based assessment should include to support the authorization process, assisting with reviews, and conducting audits to ensure that treatment plans and practices adhere to established ABA standards and effectively meet client needs.

By partnering with Ontogenesis, insurance providers gain the necessary knowledge to support policy development that reflects the best practices and proven outcomes of ABA. This comprehensive understanding allows insurance companies to craft policies that not only support effective interventions but also enhance overall healthcare service provision through informed decision-making and effective service authorization practices.