ABA Therapy Glossary for Parents

Plain definitions of the ABA and autism words you will hear from your child's care team.

Diagnosis

Where the ados-2 fits in a diagnosis. Labels: ADOS-2 observation (40 to 60 / minutes), parent interview and history, other testing, clinical judgment, diagnosis (DSM-5 criteria)

ADOS-2

The Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) is a standardized observation that clinicians use as one part of an autism evaluation.

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The two areas of an autism diagnosis and the three levels of support. Labels: social / communication and / social interaction, restricted, repetitive / patterns of / behavior, interests, / or activities, both needed, Level 1, requires support, Level

Autism spectrum disorder (ASD)

Autism spectrum disorder (ASD) is a neurological and developmental condition that affects how people communicate, interact with others, learn and behave.

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The referral path to a developmental pediatrician. Labels: well visit and screening, referral, developmental- / behavioral / pediatrician, child neurologist, child psychologist / or psychiatrist, evaluation and plan

Developmental pediatrician

A developmental pediatrician is a children's doctor with three more years of specialty training who evaluates development, learning and behavior, including autism.

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Monitoring, screening and evaluation. Labels: evaluation:, in-depth assessment by specialists, screening:, short questionnaire at 9, 18, 30 months / (autism at 18 and 24), monitoring:, every visit, watching milestones, screening is not a diagnosis

Developmental screening

Developmental screening is a short, standard check, often a parent questionnaire, that shows whether a child's development is on track or needs a closer look.

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The dsm-5-tr autism criteria in brief. Labels: social communication / (all 3 needed), back-and-forth social / exchange, nonverbal / communication, relationships, repetitive behaviors, / interests or sensory (at / least 2 of 4), repeated movements or

DSM-5-TR autism criteria

The DSM-5-TR autism criteria are the rules clinicians use to diagnose autism, covering social communication plus repetitive behaviors, interests or sensory responses.

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One branch, many different leaves. Labels: neurodiversity: variation across people, neurodivergent: differs from / the typical pattern, neurotypical: the / majority

Neurodivergent

Neurodivergent describes a person whose brain works differently from what society treats as typical, such as an autistic person or someone with dyslexia.

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Neurotypical and neurodivergent within neurodiversity. Labels: neurodiversity: all minds, neurotypical, neurodivergent / (autism, ADHD, / dyslexia...)

Neurotypical

Neurotypical describes a person whose brain develops and works the way most people's do; it's the counterpart of neurodivergent, not a diagnosis.

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Starting ABA

Where aba can happen. Labels: center:, structure and / peers, home:, everyday / routines, school:, the / classroom, telehealth:, caregiver / coaching, one treatment plan

ABA settings: in-home, center-based, school

ABA can happen at a center, at home, at school or by telehealth, and many children get it in more than one place.

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The aba therapy cycle. Labels: assessment, written plan with goals, teaching with positive reinforcement, progress is tracked and measured

ABA therapy

ABA (applied behavior analysis) therapy uses principles of learning and behavior to teach skills, mainly through positive reinforcement and measured progress.

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Signs of assent and of assent withdrawal. Labels: signs of assent, approaching the / materials, staying at the table, smiling, signs of assent / withdrawal, saying “no”, turning away, leaving the area, pause and adjust

Assent and neurodiversity-affirming ABA

Assent is a child's own willingness to take part, and neurodiversity-affirming ABA is an approach that sees autism as a difference rather than a deficit.

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Intake

What an aba assessment looks at. Labels: records, caregiver interview, observation, skills assessment (VB-MAPP or / ABLLS-R), baseline, goals

ABA assessment (VB-MAPP, ABLLS-R)

An ABA assessment is how a BCBA measures your child's strengths, missing skills and barriers to learning before writing a treatment plan.

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The parts of a behavior intervention plan. Labels: behavior intervention plan, the behavior, positive behavioral interventions, strategies, schedule of ongoing review

Behavior intervention plan (BIP)

A behavior intervention plan (BIP) is a written plan that names a behavior of concern and the positive strategies used to address it.

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The ways aba sessions are recorded. Labels: frequency, duration, graphed and reviewed by / the BCBA, session note: date, time, / goals, response

Data collection and session notes

In ABA, data collection is the steady, measurable record of what happens each session, and a session note is the written record of that session.

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Services stepping down toward discharge. Labels: comprehensive, focused, transition out of / treatment, more caregiver coaching as hours decrease

Discharge and fading services

Discharge is the planned end of ABA services, and fading is the gradual step-down that leads to it, with fewer hours and more caregiver coaching.

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What goes into a functional behavior assessment. Labels: interviews, direct / observation, functional / analysis, function and purpose, positive behavioral interventions

Functional behavior assessment (FBA)

A functional behavior assessment (FBA) is a structured process for working out why a specific behavior happens, so the team can plan better alternatives.

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What happens at the end of an authorization period. Labels: authorization period (often about 6 / months), reassessment and updated plan, continue, increase, step down, transition or / end

Reauthorization

Reauthorization is your health plan's or Medicaid program's review, near the end of an approved period of ABA, of whether to approve another.

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Focused and comprehensive aba. Labels: Focused, a limited number of / behavioral targets, Comprehensive, multiple affected / developmental / domains, weekly direct hours: set for the child, reviewed on / a schedule

Treatment plan (comprehensive vs focused ABA)

An ABA treatment plan is the written, individualized plan your BCBA builds before services start, setting goals, methods, weekly hours and a review schedule.

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Your child's team

How the bcba, bcaba and rbt roles fit together. Labels: BCBA, independent practitioner, BCaBA, under the / supervision of a / BCBA, RBT, assists in delivering / services, supervision, all three appear in the BACB Certificant Registry

BCBA

A BCBA (Board Certified Behavior Analyst) holds a graduate-level certification and designs and oversees ABA programs, including supervising behavior technicians.

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An rbt and the supervisor who oversees their work. Labels: RBT Supervisor, BCBA or BCaBA, supervision: a minimum of 5% of the / hours, each month, observe at least monthly, RBT: assists in delivering services

RBT (behavior technician)

An RBT (Registered Behavior Technician) is a certified paraprofessional who delivers day-to-day ABA sessions under close supervision from a BCBA or BCaBA.

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In therapy

The three parts of abc data. Labels: before (antecedent), behavior, after (consequence)

ABC data

ABC (antecedent, behavior, consequence) data is a record of what happened just before a behavior, the behavior itself, and what came right after.

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Easy requests before a harder one. Labels: easy, easy, easy, harder request, momentum carries over

Behavioral momentum

Behavioral momentum is a teaching strategy that gives a child a few easy requests and praise, then a harder one right away.

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Three ways to chain the steps of a routine. Labels: forward chaining: teach the initial step first, backward chaining: teach the final step first, total task: every step each time, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 1 opening the tap water, 12 dr

Chaining

Chaining teaches a multi-step skill, like brushing teeth, by breaking it into steps and teaching them until they link into one routine.

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Three kinds of differential reinforcement. Labels: the behavior that is reinforced:, DRA, a specific desired behavior other than the / undesirable behavior, DRI, a behavior that is physically impossible to / do at the same time, DRO, not engaging in

Differential reinforcement

Differential reinforcement means giving positive consequences for a chosen behavior, or for not doing a problem behavior, so the better behavior grows.

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One trial in discrete trial training. Labels: 1, instruction, 2, child's response, 3, planned / consequence, 4, pause, repeated trials, data on every trial

Discrete trial training (DTT)

Discrete trial training (DTT) is a structured ABA teaching style that breaks a skill into small parts and practices them in short, repeated trials.

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Help faded step by step. Labels: full help / (hand-over- / hand), partial help, pointing, no help, correct responses

Errorless learning

Errorless learning is a way of teaching that gives a child enough help to answer correctly, then fades that help step by step.

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What an extinction burst looks like over time. Labels: the usual / response stops, a short rise, it fades

Extinction and extinction burst

Extinction means a behavior stops getting the payoff that kept it going; an extinction burst is a short rise in that behavior before it drops.

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A challenging behavior replaced by asking for a break. Labels: before, hard puzzle, child pushes it / away, task removed, after FCT, hard puzzle, child hands a / “break” card, short break, later, “wait” card, finish two / pieces, break

Functional communication training (FCT)

Functional communication training (FCT) teaches a child a clear way to ask for what a challenging behavior was getting them.

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The four functions of behavior. Labels: attention, escape, something they want, sensory

Functions of behavior

A behavior's function is the payoff that keeps it going, like attention, escape from a demand, an item, or a reward the behavior creates itself.

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One skill across people and places, and over time. Labels: asking for help, clinic, home, school, therapist, parent, teacher, and with different materials, teaching, maintenance: still used after / teaching ends

Generalization and maintenance

Generalization means your child uses a skill beyond where it was taught, and maintenance means they keep using it over time after teaching ends.

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Teaching inside play. Labels: car, chance to communicate, child's interest, natural reward: gets the car

Natural environment teaching (NET)

Natural environment teaching (NET) is ABA teaching built into play and daily routines, using a child's interests and natural rewards.

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A therapist becoming fun before teaching starts. Labels: child's favorite things, no demands yet, therapist = fun

Pairing

Pairing is time a therapist spends becoming someone a child enjoys, through play and favorite things with few or no demands, before teaching starts.

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How positive reinforcement works. Labels: response, presentation of a stimulus, praise, a preferred TV show, increase in similar responses

Positive reinforcement

Positive reinforcement happens when something is added after a behavior, like praise or a favorite activity, and the behavior then happens more often.

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Continuous and intermittent reinforcement. Labels: the same skill: “asks for help”, continuous: every response, schedule thinning, intermittent: some responses

Reinforcement schedules

A reinforcement schedule is the rule for which times a behavior earns a reinforcer: every time (continuous) or only some times (intermittent).

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A safer behavior that meets the same need. Labels: loud room, bites, leaves room, hands a break card, leaves room, gets a calm break, same function, safer behavior

Replacement behavior

A replacement behavior is a safer, more useful action taught in place of a challenging behavior, chosen to meet the same need.

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Closer and closer steps toward a word. Labels: sound “buh”, “ba”, “ball”, reinforce closer and closer approximations

Shaping

Shaping teaches a new behavior by reinforcing small steps that get closer and closer to the goal.

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A behavior that happens with its cue. Labels: cue present, “What's your / name?”, “Mary”, praise, cue absent, different question, no “Mary”, everyday stimulus control

Stimulus control

Stimulus control means a behavior reliably happens when a certain cue is present and not when it's absent, because it was rewarded with that cue.

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A task analysis for brushing teeth. Labels: did it / independently, 1, opening the tap water, 2, taking the toothbrush, 3, putting toothpaste on the / toothbrush, 12, drying hands/mouth

Task analysis

A task analysis breaks a skill or routine into small, manageable steps in order, so your child's team can assess it and teach it.

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Approaches

Esdm in play. Labels: play and daily routines, following the child's / interests, ABA principles + developmental approach

Early Start Denver Model (ESDM)

The Early Start Denver Model (ESDM) is a play-based early intervention for young autistic children that blends ABA with developmental, relationship-based methods.

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A child choosing a toy in prt. Labels: child choice, a valid attempt, natural reward: gets the toy, pivotal skill: motivation

Pivotal response treatment (PRT)

Pivotal response treatment (PRT) is a play-based way of delivering ABA that targets a few key skills, like motivation, that can help many others.

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At home

A morning routine of daily living skills. Labels: Daily living skills: one part of adaptive behavior, use the toilet, wash hands, get dressed, eat breakfast

Adaptive and daily living skills

Adaptive skills are the everyday skills a person needs to get through the day. Daily living skills, like dressing and hygiene, are one part.

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A choice board. Labels: I want, apple slices, crackers, yogurt

Choice board

A choice board shows two or more pictures, photos or words so a child can choose by pointing to one or handing it over.

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Coming back to calm with an adult's help. Labels: overwhelmed, calm, co-regulate, deep breaths, favorite toy, calm, safe place

Emotional regulation

Emotional regulation is the ability to notice a strong feeling and bring it back to a manageable level, like calming down after being upset.

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A first-then board. Labels: First, Then, First shoes, then swing.

First-then (Premack principle)

First-then pairs a less-liked task with a more-liked activity that comes right after it, such as first shoes, then the swing.

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Communication

The kinds of aac. Labels: AAC, unaided, gestures, manual / signs, facial / expressions, aided, low-tech/light-tech, picture board, / communication book, / PECS, high-tech, speech-generating / device, tablet app

AAC (augmentative and alternative communication)

Augmentative and alternative communication (AAC) is any way of communicating that adds to speech or stands in for it, from gestures to speech devices.

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Immediate and delayed echolalia. Labels: immediate echolalia, Do you want juice?, adult, Want juice?, child, delayed echolalia, a cartoon line, repeated later at the / table, taking a turn, asking, calming down

Echolalia

Echolalia is repeating words or phrases that someone else said, either right after hearing them or much later.

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Two proposed paths into language. Labels: analytic, single words, word / combinations, sentences, gestalt (theory), whole / phrases, partial / phrases, single words, new / sentences, No current empirical studies (ASHA)

Gestalt language processing

Gestalt language processing is the idea that some children learn language in whole chunks first, like lines from shows, before single words.

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Finishing a song line. Labels: Twinkle, twinkle, little..., star, intraverbal: words answered with different / words

Intraverbal

An intraverbal is answering someone's words with different words, like finishing a song line, answering a question or replying in a conversation.

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A parent and child sharing attention on a bird. Labels: point to show, looking back and forth, shared focus

Joint attention

Joint attention is two people sharing focus on the same thing, like a child following a parent's point or pointing to show something.

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A child asking for juice with a picture card. Labels: mand (request), the payoff is the juice itself

Mand (manding)

A mand is a request: your child communicates what they want right now, and the payoff is getting that exact thing.

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Ways to communicate without speech. Labels: gestures, sign, pictures, speech- / generating / device

Nonverbal and minimally verbal autism

Nonverbal or minimally verbal autism describes autistic children who use no spoken words or only a few. It describes speech, not understanding.

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Two children playing side by side. Labels: playing side by side, each child's own play

Parallel play

Parallel play is when young children play near each other, each with their own play, without playing together.

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Understanding language and producing it. Labels: receptive: / understanding, expressive: producing, handing over a toy when / asked, pointing to a picture, words, gestures, signs, an / AAC board, speech-language pathologist (SLP), evaluates both

Receptive and expressive language

Receptive language is understanding what others say, and expressive language is sharing thoughts and needs through words, gestures, signs or writing.

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The same word as a tact and as a mand. Labels: cookie, sees a cookie, says / “cookie”:, tact, cookie, wants a cookie, says / “cookie”:, mand

Tact (tacting)

A tact is naming or describing something your child notices, like a dog or a loud noise, for a social payoff such as your smile.

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Traits

Reading a word before understanding it. Labels: cat, word reading: / strong, ?, understanding: still / developing, c, a, t

Hyperlexia

Hyperlexia is when a child reads words far above their age level while their understanding of what they read lags behind.

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Masking at school and the cost at home. Labels: at school, rehearsing what to say, forcing eye contact, hiding stimming, at home, exhaustion

Masking

Masking, also called camouflaging, is when an autistic person hides or makes up for autistic traits, on purpose or not, to appear non-autistic.

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Skills lost and a plateau. Labels: skills lost, words and / social smiles, second year, plateau: skills stop / progressing

Regression

In autism, regression means a child loses skills they already had, most often words or social skills, usually in the second year of life.

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A child repeating a line from a cartoon. Labels: a cartoon on TV, repeats it, communicating, calming down, enjoyment

Scripting

Scripting is when a child repeats lines heard earlier, from TV shows, movies, songs or past conversations, often called delayed echolalia.

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Three steps when a child hurts themselves. Labels: notice the behavior, check with the doctor and do an FBA, teach a safer way to meet the same / need

Self-injurious behavior

Self-injurious behavior (SIB) is any behavior a person does that can injure their own body, such as head banging or biting themselves.

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The senses and three ways of responding. Labels: sight, sound, touch, smell, taste, vestibular (balance), proprioceptive (awareness of body in space), over-responsive, under-responsive, seeks more

Sensory processing differences

Sensory processing differences describe how a child notices and reacts to sights, sounds, touch, movement and other input, more or less strongly than others.

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Sensory seeking and sensory avoiding

Sensory seeking is looking for more sensory input, like rocking or touching things; sensory avoiding is pulling away from input that feels like too much.

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Common kinds of stimming and what they can do. Labels: flapping, rocking, spinning, humming, watching a / spinner, regulating, enjoying, expressing, when to ask for help:, injury or distress

Stimming

Stimming, short for self-stimulating behavior, is a repeated movement or sound, such as hand flapping, rocking, spinning or humming.

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The sally-anne false-belief task. Labels: Sally, Sally puts her marble in / the basket and leaves, Anne, Anne moves it to the box, what Sally believes, where the / marble really is, Where will Sally look for her marble?

Theory of mind

Theory of mind is understanding that other people have their own thoughts, beliefs and feelings, which can differ from yours.

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School

A 504 plan next to an iep. Labels: 504 plan, Section 504 of the / Rehabilitation Act of / 1973, civil rights law, substantially limits / one or more major / life activities, accommodations in / regular classes, the regulation: / “regular or special /

504 plan

A 504 plan sets out the supports a student with a disability needs at school, under Section 504, a federal civil rights law.

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Accommodations and modifications. Labels: Accommodation: / changes how, extra time, answer orally, breaks, same expectations, Modification: / changes what, fewer questions, easier assignment, different expectations

Accommodations vs modifications

Accommodations change how a child learns or shows what they know; modifications change what the child is expected to learn.

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What the letters in fape mean. Labels: F, Free, at public expense, A, Appropriate, progress appropriate in light of the child's / circumstances, P, Public, public supervision, E, Education, through an IEP

FAPE

FAPE (free appropriate public education) is an eligible child's right to special education and related services at public expense, through an individualized education program.

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The steps from an evaluation request to an iep. Labels: request an evaluation, consent, evaluation (60 days, or the state's own / timeframe), eligibility decision, IEP meeting (30 days), parents are team members, services start, annual review

IEP (Individualized Education Program)

An IEP is a written plan for a public school student with a disability who needs special education, setting goals and listing services.

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What an ifsp includes. Labels: family's / resources, / priorities, and / concerns, outcomes, services in / natural / environments, service / coordinator, review every six / months, transition at age / 3

IFSP

An Individualized Family Service Plan (IFSP) is the written plan for early intervention services for a child under 3 and their family.

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The range of school placements. Labels: regular classes, regular classes with supplementary aids and / services, special classes, special schools, home instruction, hospitals and institutions, to the maximum extent appropriate

Least restrictive environment (LRE)

Least restrictive environment (LRE) is the special education rule that a child with a disability learns with children without disabilities as much as appropriate.

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Related services on an iep. Labels: IEP, related services, speech-language therapy, occupational therapy, psychological services, parent counseling and training, transportation, for each service:, start date, frequency, location, duration

Related services (IEP)

Related services are supports a school provides through an IEP, such as speech or occupational therapy, so a child can benefit from special education.

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Insurance

Four common aba billing codes. Labels: code, who delivers it, what it is, 97151, BCBA, assessment and plan, 97153, RBT or technician, one-to-one therapy, 97155, BCBA, direct work and plan / changes, 97156, BCBA, caregiver training, new and revised co

CPT codes for ABA

CPT (Current Procedural Terminology) codes are the billing codes on claims, and ABA uses a set billed in 15-minute units, with changes starting January 2027.

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How costs are shared over a plan year. Labels: one plan year, deductible:, you pay, copay or / coinsurance:, you and the plan / share, out-of-pocket / maximum reached:, plan pays 100% of / covered in-network / benefits, monthly premiums: not counted

Deductible, copay and out-of-pocket maximum

You pay the deductible before your plan starts paying, then usually a copay or coinsurance, up to a yearly out-of-pocket maximum for covered in-network care.

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What the letters in epsdt stand for. Labels: E, Early, assessing and identifying problems early, P, Periodic, checking children's health at periodic, age- / appropriate intervals, S, Screening, providing physical, mental, developmental, / dental, hea

EPSDT

EPSDT is the Medicaid benefit for enrolled children under 21, covering screenings, follow-up diagnosis and treatment that is medically necessary.

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The parts of an explanation of benefits. Labels: not a bill, service / and date, provider / charges, allowed / charges, paid by / insurer, patient / balance

Explanation of benefits (EOB)

An explanation of benefits (EOB) is a statement your health plan sends after a claim, showing what it paid and what you may owe.

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In-network and out-of-network costs. Labels: family, in-network, contract with your plan, allowed amount, you pay deductible, copay / or coinsurance, out-of-network, no contract, higher cost or not / covered, possible balance bill, does not count tow

In-network vs out-of-network

An in-network provider has a contract with your health plan, while an out-of-network provider doesn't, which usually means you pay more.

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Two ways into medicaid services for a child. Labels: Medicaid services for a child, state plan (EPSDT):, medically necessary / services, including ABA / where covered, 1915(c) HCBS waiver:, extra home and community / supports, level of care / require

Medicaid waiver

A Medicaid waiver is a state program that pays for extra home and community supports for people who'd otherwise need institutional-level care.

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Medical necessity and prior authorization

Medical necessity means care is needed to diagnose or treat a condition, and prior authorization is your plan's approval of a service before it begins.

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How a single case agreement comes about. Labels: family, health plan, out-of-network / provider, request, agreement for one / patient, negotiate terms, in-network cost sharing / for this provider

Single case agreement

A single case agreement (SCA) is a one-time contract between your health plan and an out-of-network provider to cover one patient's care.

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What a superbill lists and where it goes. Labels: patient, provider tax ID, diagnosis code, CPT code and units, billed amount, place of service, health plan, family, file a claim, explanation of benefits

Superbill

A superbill is an itemized receipt from an out-of-network provider that you can send to your health plan to ask for reimbursement.

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