Current through Register Vol. 54, No. 44, November 2, 2024
Section 5240.82 - Supervision of staff who provide ABA services(a) An individual who meets the qualifications of a clinical director shall provide the following supervision to individuals who provide behavior analytic services and behavior consultation-ABA services: (1) One hour of individual face-to-face supervision per month that includes oversight of the following:(i) The interventions being implemented.(ii) The child's, youth's or young adult's progress towards the goals of the ITP.(iii) Consideration of adjustments needed to the ITP.(iv) The staff person's skills in implementing the interventions in the ITP.(2) If the individual who provides behavior analytic services or behavior consultation-ABA services supervises an individual who provides assistant behavior consultation-ABA services or BHT-ABA services, the individual shall receive an additional hour of face-to-face supervision per month that includes a discussion of the assistant behavior consultation-ABA services or BHT-ABA serviced being provided.(3) Thirty minutes of direct observation of services being provided every 6 months.(b) An individual who meets the qualifications of a clinical director or is qualified to provide behavior analytic services or behavior consultation-ABA services shall provide the following supervision to individuals who provide assistant behavior consultation-ABA services:(1) One hour of supervision two times a month. The supervision must be face-to-face and include only the individual being supervised and the supervisor.(2) If the individual has not previously provided assistant behavior consultation-ABA services, 3 hours of onsite supervision during the provision of ABA services to a child, youth or young adult prior to providing ABA services independently.(3) Thirty minutes of direct observation of the provision of ABA services to a child, youth or young adult during the implementation of the ITP every 6 months.(4) The supervision must include oversight of the following:(i) The interventions being implemented.(ii) The child's, youth's or young adult's progress towards the goals of the ITP.(iii) Consideration of adjustments needed to the ITP.(iv) The staff person's skills in implementing the interventions in the ITP.(c) An individual who meets the qualifications of a clinical director or is qualified to provide behavior analytic services or behavior consultation-ABA services or an individual who is qualified to provide assistant behavior consultation-ABA services and has a BCaBA or other undergraduate-level certification in behavior analysis that is accredited by the National Commission for Certifying Agencies or the American National Standards Institute shall provide the following supervision to individuals who provide BHT-ABA services:(1) One hour of supervision each week if the individual who provides BHT-ABA services works at least 37.5 hours per week or 1 hour of supervision two times a month if the individual who provides BHT-ABA services works less than 37.5 hours a week. An individual who provides BHT-ABA services must receive 1 hour of individual face-to-face supervision each month.(2) If the individual has not previously provided BHT-ABA services, 6 hours of onsite supervision during the provision of ABA services to a child, youth or young adult prior to providing ABA services independently.(3) One hour of direct observation of the provision of ABA services to a child, youth or young adult during the implementation of the ITP every 4 months, unless the individual meets the qualifications to provide BHT-ABA services included in § 5240.81(g)(5) (relating to staff qualifications for ABA services). If the individual meets the qualifications to provide BHT-ABA services included in § 5240.81(g)(5), the individual shall receive 1 hour of direct observation of the provision of ABA services to a child, youth or young adult during the implementation of the ITP every 2 months.(4) The supervision must include oversight of the following: (i) The interventions being implemented.(ii) The child's, youth's or young adult's progress towards the goals of the ITP.(iii) Consideration of adjustments needed to the ITP.(iv) The staff person's skills in implementing the interventions in the ITP.(d) Group supervision may be provided to no more than 12 staff who provide ABA services, but only nine of the staff can provide BHT-ABA services.(e) An individual may supervise a maximum of 12 full-time equivalent staff who provide ABA services, but only nine of the full-time equivalent staff can provide BHT-ABA services.(f) A supervisor shall be available to consult with staff during the hours that ABA services are being provided, including evenings and weekends.(g) Face-to face supervision may be delivered through secure, real-time, two-way audio and video transmission that meets technology and privacy standards required by the Health Insurance Portability and Accountability Act of 1996 (Pub.L. No. 104-191).(h) A supervisor shall maintain documentation about each supervision session in the supervised staff person's personnel file that includes the following:(1) The date of the supervision session.(2) The location and modality of the session, such as in-person or through a secure real-time, two-way audio and video transmission.(3) The format of the session, such as individual, group or onsite.(4) The start and end time of the supervision session.(5) A narrative summary of the points discussed during the session.(6) The signature and signature date of the supervisor and the staff person receiving supervision. This section cited in 55 Pa. Code § 5240.97 (relating to group services provision); and 55 Pa. Code § 5240.98 (relating to requirements for group services in school settings).