Rule 37.34.933 - 0208 MEDICAID HOME AND COMMUNITY-BASED SERVICES PROGRAM: BEHAVIORAL SUPPORT SERVICES(1) Behavioral support services (BSS) teach others to carry out ethical and effective behavior interventions based on positive behavior supports. Behavioral support services staff may supervise the work of others who implement behavior interventions. This service is available at two different levels.(2) Level one services include: (a) designing behavioral assessments and functional analysis of behavior;(b) interpreting assessment and evaluation results for staff and unpaid caregivers;(c) designing, monitoring, and modifying written behavior support intervention procedures;(d) training staff and unpaid caregivers in the implementation of formal and informal behavioral support procedures; and(e) attending planning meetings for the purpose of providing guidance and information to plan team members.(3) Level one services may be provided by:(a) a board-certified behavioral analyst-doctoral (BCBA-D), board-certified behavior analyst (BCBA), or board-certified assistant behavior analyst (BCaBA) under the supervision of a BCBA-D or BCBA;(b) the following professionals, under the supervision of a BCBA or BCBA-D:(i) an intermediate applied behavior analysis (ABA) professional; or(ii) a person with an Institute for Applied Behavior Analysis (IABA) certification; or(c) either a person with a degree in ABA, psychology, or special education who has provided documentation of training and experience in the use of the principles of ABA as approved by the department.(4) Level two services include all services identified in level one and: (a) monitoring and overseeing BSS staff, including a registered behavior technician (RBT) or an intensive behavior assistant (IBA), who are directly implementing treatment; and(b) direct implementation of treatment plans, behavior intervention procedures, skill acquisition procedures, and positive-behavior support plans by an RBT or an IBA.(5) Level two services may be provided by: (b) a BCaBA under the supervision of a BCBA-D or BCBA; or(c) the following professionals, under the supervision of a BCBA or BCBA-D: (i) an intermediate ABA professional; or(ii) a person with an IABA certification.(6) Level two direct treatment must be supervised by a BCBA-D, BCBA, or BCaBA and may be provided by: Mont. Admin. r. 37.34.933
NEW, 1992 MAR p. 1490, Eff. 7/17/92; TRANS, from SRS, 1998 MAR p. 3124; AMD, 2014 MAR p. 220, Eff. 1/31/14; AMD, 2024 MAR p. 2067, Eff. 8/24/2024AUTH: 53-6-113, 53-6-402, MCA; IMP: 53-6-101, 53-6-402, MCA