Daily Responsiblities
HRC
Billing
Behavior Support Plans
Pet Peeves
100
What is the document that should be completed during a home visit to ensure staff understand a behavior plan? And how many should be completed?
Competency Questionnaire, AT LEAST 1 per client per month
100
When are complete referrals due to be presented at monthly meeting?
Second Monday of every month!
100
What is the last possible day to communicate with your supervisor that you need any type of billing assistance?
Tuesday, 5pm
100
When are behavior plans due to your supervisor?
AT LEAST 2 WEEKS IN ADVANCE!!!
100
What are some of Amber and Lindsay's pet peeves regarding behavior support plan development?
Copy/Pasting Plans
Not having updated info
Not completing updated FBAs/Preferences
Not checking for grammar, spelling, pronouns, names
Not sending out plans for peer revision
200
What is the first thing you do when you start your day?
Clock-in, read GERs, Check emails, Check Therap
200
What is required to be in the submitted referral packet?
Updated HRC Worksheet, IDT meeting minutes, guardian consent, secondary consents, HRC meeting invite to guardian/individual, scripts (as needed for medical)
200
Who is responsible for maintaining and tracking approved authorized units for individuals and when they're due for renewal?
The behavior specialist!
200
When you're ready to submit a BSP for review, what supplemental items are submitted with the plan and/or once approved?
FBA summary, QABFs, preference/de-escalation preference assessment, BSP snapshot
200
What are some of Amber and Lindsay's pet peeves regarding deadlines?
Not knowing when your plans/reports/HRCs/etc are all due and not giving yourself enough time to do them!
300
What is the timeframe that a behaviorist should follow-up regarding a GER?
Process should be started within 24 hours, all follow-up to be completed within 1 week
300
Once a restriction is approved, what is the next step for the behaviorist?
Inform the team, send HRC notification to guardian, ensure any equipment is ordered/installed, send NJISP revision request to SC (if applicable), update BSP and your caseload tracker
300
When should you be entering the billing and when should ALL billing be completed by?
Daily (within 24 hours of the visit/work done), by end of day Friday (unless already discussed/approved with your supervisor AT LEAST 3 days in advance)
300
Once a BSP is approved, what are the next steps?
Gathering remaining signatures, create new ISP program (delete previous program), create BSP snapshot (if not already completed), schedule staff training within 2 weeks.
300
What are some of Amber and Lindsay's pet peeves regarding problem solving?
Making excuses and not taking accountability
Lack of initiative
400
What should be completed during a home visit?
direct observation, Direct Engagement, Staff Training, Practicing replacement skills, modeling replacement skills, modeling BSP strategies, checking behavior binders, assessments, checking group home for HRC restrictions (communication if not in place/ i.e. locks broken, etc)
400
SCENARIO: John lives in a 3 bedroom home and attends day program 3 times a week. There are always two staff on shift when he is at home due to the manager working seven days a week. Data shows that whenever John is at home, he attempts or completes elopement 6 out of 7 days a week. It often happens when staff are helping his housemates, cooking dinner, or in the restroom. The HRC met and approved for installation of door alarms on all exit doors of the group home due to John's frequent elopement. You sent out a revision for John's NJISP to include the new restriction. What additional requests should be sent out?
The behaviorist should review the NJISPs for John's housemates and ensure that they also include that a secondary restriction is in place, "There are door alarms on all exit doors of the group home due to a concern with the housemate".
400
What should be included in your billing entries?
Each section should have at least 3 sentences describing in detail what was completed. If the section was not addressed/completed that week, it should not be left blank or "N/A" - everything should be in sentence form, review correct times are entered, review correct units are entered, bottom comment box needs to include list of what was completed.
*NOTE: templates can be used, but they need to be adjusted to make sure we're being person-centered!!
400
What are some ways to make behavior support plan training more effective?
In-person (always better than Zoom)
Modeling, role-playing, asking them questions, calling on the staff to answer/read, asking them to explain the strategy/concept in their own words back to you, using jeopardy/Kahoot/game to make it interactive, PowerPoint presentation.
400
What are some of Amber and Lindsay's pet peeves regarding communication?
NO communication
Communicating when it's too late
Not being proactive
500
What are the categories listed in the clinical note and when should they be entered?
Direct Observation, Replacement/Teaching Skills, Assessment(s), Data Review, Training(s), Plan Moving Forward, Attachments (any relevant documents), should entered daily and within 24 hours of the completed visit.
500
Who is responsible for maintaining dates and documentation related to HRC restrictions?
The behavior specialist - Know WHAT the restrictions are (fade, etc.), WHEN they are due, and plan to have a meeting at least a month prior. *Don't wait for an email from Lindsay/Amber
500
Describe what you would write for each section of the billing ISP program that would be approved by Medicaid?
Answers vary (details, full sentences, justifies every 15 minutes of work completed by behaviorist)
500
Design a replacement skill for property destruction with a hypothesized function of gaining access to tangibles for an individual who utilizes an AAC device and what proactive strategies would be effective with definition and example?
Replacement Skill: Communication Skills
Proactive Strategies: NCR, Offer Choices, DRA, Premack Principle, Priming
Reactive: CPI, removing items, de-escalation
500
What are Sam's pet peeves?
Gossip!
Lying!
Making Excuses!