Clinician guide
CAQH Is Now DataSpring: 2026 Provider Data Portal Update
Understand the 2026 CAQH-to-DataSpring rebrand, current Provider Data Portal naming, profile controls, payer authorization, and credentialing boundaries.
Clinician Resources
Clinical guides, tools, and evidence-informed resources for thoughtful, high-quality ABA care.
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Clinician guide
2027 Adaptive Behavior CPT Changes: Readiness for ABA Teams
Prepare for accepted January 2027 adaptive behavior CPT changes while waiting for final licensed code content and payer implementation instructions.
Clinician guide
2026 RBT Supervision and Professional Development Requirements
Apply the June 2026 RBT Handbook's supervision and professional development boundaries with separate events, monthly denominators, records, and owners.
Clinician guide
CMS 2027 Prior Authorization API: ABA Readiness Guide
Prepare ABA authorization workflows for the CMS 2027 API requirement while preserving payer scope, non-drug limits, source evidence, and human review.
Clinician guide
CMS 2026 Prior Authorization Timeframes and Denial Reasons for ABA Teams
Learn which payers fall under CMS's 2026 prior authorization process rules, the 72-hour and seven-day clocks, and how ABA teams should track denials.
Clinician guide
Michigan Medicaid Mental Health Framework Delay: What ABA Teams Should Do
Understand Michigan's delayed mental health coverage transition and the records ABA teams should verify with health plans, PIHPs, and CMHSPs now.
Clinician guide
What Review Rights Must Follow an ABA Fair-Hearing Decision?
Review an ABA hearing notice for the written decision, available State-hearing or judicial-review rights, delivery evidence, deadlines, and implementation status.
Clinician guide
What Happens After a Favorable ABA State Fair-Hearing Decision?
Implement a favorable ABA hearing decision by mapping corrective action, retroactivity, plan effectuation, service setup, payment, deadlines, and proof.
Clinician guide
What ABA Issues Must a State Fair Hearing Cover?
Map ABA fair-hearing scope across erroneous action, eligibility, covered services, unreasonable delay, benefit changes, liability, and prior authorization.
Clinician guide
Can a State Deny an ABA Hearing as an Automatic Policy Change?
Review an ABA hearing denial by testing whether law requires an automatic change or whether individual facts, prior authorization, or application remain disputed.
Clinician guide
Can Each Person Present an Individual ABA Case in a Group Hearing?
Prepare an individual ABA case within a group hearing using personal facts, evidence, witnesses, argument, representation, AAC access, and the hearing record.
Clinician guide
When Can ABA State Fair Hearings Be Consolidated?
Review an ABA group hearing by separating shared law or policy from individual clinical facts, member evidence, representation, access, and hearing rights.
