Q. Can providers performing Applied Behavior Analysis services as parent-directed services or through remote supervision of a registered behavior technician change between the two delivery methods during the COVID-19 pandemic?

A. As the period of recommended social distancing has increased, SCDHHS will allow providers to change from parent-directed services to in-home services with an RBT receiving remote supervision by a BCBA once. The decision to switch between delivery methods must be agreed to by both the provider and the parent or guardian of the child receiving the service. Providers must document the change of circumstance in the beneficiary’s record on a clinical service note. A copy of this service note must be submitted to ASDprovider@scdhhs.gov within two business days of the change.

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