Caregiver Training Form

Chat with GenHealth to automate any policy or prior auth task.


Caregiver Training

Indications

(10001) Does the caregiver training maximize outcomes for the member? 
(20001) Does the caregiver training improve family quality of life? 
(20002) Does the caregiver training assist with mitigation of caregiver stressors? 
(30001) Does the caregiver training support generalization of skills? 
(30002) Does the caregiver training support maintenance of skills? 

YesNoN/A
YesNoN/A
YesNoN/A

Sign up to see the rest of the questions

Unlock the remaining questions and the full coverage workflow.

Sign up for free
Effective Date

NA

Last Reviewed

NA

Original Document

  Reference



buckeye
health plan
Your Guide to Better Health.

ambetter
FROM
buckeye
health plan

Caregiver Training

QUALITY CAREGIVER TRAINING SHOULD:

  • Maximize outcomes for the member
  • Improve family quality of life by assistance with mitigation of caregiver stressors
  • Support generalization and maintenance of skills

QUALITY CAREGIVER TRAINING IS ACHIEVED WHEN PROVIDERS:

  • Provide educational materials and tools that describe the basics of ABA and clearly outline principles being used to treat their loved one.
  • Involve a systematic, individualized curriculum with goals tailored to family.
  • Develop parent goals that are specific, measurable, achievable, relevant, and timely.
    • In developing these goals, ask caregivers: "What would make your life with your child easier?", "What skills would you like your child to develop?", "What behaviors are most problematic for you and your child?", and "Are there activities you want to be able to do, but can't because of these behaviors?"
  • Ensure caregiver training sessions occur at the clinically approved dosage.
    • If fulfillment is less than what is medically necessary, barriers that limit fulfillment should be documented and addressed.
  • Include time dedicated for review of caregiver training goals from approved treatment plan, as well as time to address current concerns from caregivers.
  • Provide structured training with a qualified health care professional. Quality caregiver training is not accomplished by simply having the caregiver or guardian present during treatment.

RECOMMENDED TOPICS FOR CAREGIVER TRAINING TREATMENT PLAN GOALS:

  • Behavior management strategies
  • Identifying reinforcers
  • Antecedent strategies
  • Generalization of skills
  • Functional communication
  • Self-help and daily living skills development
  • Joint attention
  • Task analysis
  • Identifying behavior functions

COMMON BARRIERS TO UTILIZATION OF PARENT TRAINING CODES:

  • Transportation
  • Illnesses or disabilities of caregiver
  • Scheduling
  • Other family priorities
  • Previous unsuccessful treatment

RESOURCES TO ADDRESS BARRIERS:
Health plan Case Management can assist with:

  • Education on managing health conditions - for the whole family
  • Explaining covered benefits
  • Coordinating services
  • Locating community resources and ancillary service providers

References: Behavior Analyst Certification Board. (2014). Applied behavior analysis treatment of autism spectrum disorder: Practice guidelines for healthcare funders and managers (2nd ed.). Littleton, CO: Author. Retrieved from https://www.bacb.com/wp-content/uploads/2017/09/ABA_Guidelines_for_ASD.pdf; Albino-Bushong, R. (2014). A list of core skills and knowledge necessary for parents of children birth to five years old with autism, as prioritized by practitioners with a behavioral perspective (Order No. 368902). Available from Education Collection. (1678945831); The Council of Autism Service Providers (CASPI) Applied Behavior Analysis Treatment of Autism Spectrum Disorder: Practice Guidelines for Healthcare Funders and Managers, Ver 2.0

https://www.buckeyehealthplan.com/providers.html
© 2023 Buckeye Health Plan
All rights reserved June 2023

Book a walkthrough

Walk through this policy with us

Review how this policy can be converted into cited criteria, prior authorization checks, and operational automation.