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Showing posts from February 25, 2018

Myths and Facts about FBAs and BIPs

The following blog post was authored by  Amanda Hughes  and  Kelly Rietschel , fellows of the 2016-2017 Center for Innovation and Leadership in Special Education at Kennedy Krieger Institute Teachers are often faced with a wide variety of behavioral challenges in the classroom. Functional Behavior Assessments (FBAs) and Behavior Intervention Plans (BIPs) are important tools to address behavioral needs. The purpose of an FBA is to collect data on why a problem behavior is occurring – otherwise known as the function of the behavior. Based on this data, the school team creates a BIP. The purpose of the BIP is to guide educators, related service providers, and school-based staff on how to support students in improving their behavior. Below you’ll find some common myths about functional behavioral assessments and behavior intervention plans and how these tools are actually meant to be used. MYTH:   “Kevin is clearly disruptive to get attention. I can write a BIP for him without c

New Medicaid Vendor for Non Emergency Medical Transportation

The Indiana Family and Social Services Administration (FSSA) recently conducted a competitive procurement for a vendor to broker nonemergency medical transportation (NEMT) services for Indiana Health Coverage Programs (IHCP) members served through the fee-for-service (FFS) delivery system. As a result of the procurement process, the FSSA has contracted with Southeastrans Inc. to provide these services. Southeastrans will ensure provision of medically necessary nonemergency transportation to eligible members through a statewide network of qualified transportation providers, including common carriers (ambulatory and nonambulatory), taxi, and bus. Transportation provided by family members enrolled as IHCP transportation providers and providers transporting members for waiver services under home and community-based services (HCBS) waiver programs will not be brokered through the NEMT contractor. HCBS waiver members will, however, access medically necessary nonemergency transportation for

Seven Reasons the Trump Administration's Short-Term Health Plans Are Harmful to Families

      By: Cheryl Fish-Parcham The Trump Administration wants to turn back the clock on protections for health care consumers established by the Affordable Care Act. This latest act of sabotage on the health law came in the form of  a proposed rule released this week by the Department of Health and Human Services . The proposed rule would make it legal to sell “short-term insurance” plans for long periods of time that do not comply with the ACA’s consumer protections. By drawing away young and healthy consumers, health plans sold under the proposed rule would undermine the market for real, comprehensive health insurance and instead leave consumers in plans that don’t protect them when they become sick. The rule allows insurers to sell short-term plans for a period of less than 12 months (compared to 3 months under current rules). After that, the insurer might be able to renew a policy – but would not likely do so for an unhealthy consumer. The proposed rule is open for pu

Using Health Insurance for Regular Care

Most health plans give you the best deal on services when you see a doctor who has a contract with your health plan. While you may be able to see doctors who don’t contract with your plan, visiting an “in-network” provider usually means you’ll have lower out-of-pocket costs. Finding a doctor in your plan To find out if your doctors and other health care providers are covered by your new Marketplace plan, or to find a covered provider if you don’t have one yet: Visit your health plan’s website and check their provider directory, which is a list of the doctors, hospitals, and other health care providers that your plan contracts with to provide care. See your health plan’s provider directory. You can get this by contacting your plan, visiting the plan’s website, or using a link that you’ll find on the plan description in your Marketplace account. Call your insurer to ask about specific providers. This number is on your insurance card and the insurer’s website. Call your doctor’s