We are getting denials all of the time from insurance now. We have tried to combat this by giving more and more information on our assessments. (Medical necessity tied into the dsm5, why it's medically necessary, barriers, modifications- everything we can think of). Unfortunately the assessments are now taking no less than 20 hours to complete. Insurance only pays for 6 hours and my company does not cover the rest. I have 13 clients on my caseload and don't know how to keep up with these assessments and denials. How is it going for all of you? How do you do your assessments?

We’re currently working with two in-home ABA providers for my child. Both providers are funded through different sources and have different schedules.

Unfortunately, neither can hire an RBT at the moment, so most of our services consist of virtual parent training or a BCBA working directly with my child for 1–2 hours per week.

We really like both providers, but I’m wondering whether it makes sense to continue with both or focus on just one until RBT services become available.

For families who have worked with two ABA providers at the same time, what has your experience been? Did you find it beneficial, or was it better to focus on one provider?

I’d really appreciate hearing your thoughts and experiences. Thank you!

🧠 Question of the Day

📚 Domain F — Behavior Assessment

Difficulty: 7/10

Scenario:

A BCBA is beginning services with a 10-year-old who has a history of severe aggression. Record review reveals: (1) a rare metabolic disorder documented in the medical record, (2) prior use of a loud alarm as a punisher that was associated with significant distress, (3) a strong preference for puzzles, and (4) grade-level reading skills.

Before selecting initial assessment conditions and candidate treatment stimuli, which information MOST warrants direct follow-up because it could materially affect safety or treatment planning?

A. The alarm-treatment history and puzzle preference, because both warrant consideration when selecting stimuli and potential reinforcers.

B. The medical note and alarm-treatment history, because both could materially affect safe assessment and treatment planning.

C. The medical note and reading level, because both warrant consideration when arranging instructions and assessment demands.

D. The medical note and puzzle preference, because both warrant consideration when arranging session conditions and potential reinforcers.

💬 Drop your answer in the comments — no peeking!

✅ Correct answer revealed tomorrow.

#ABA #BCBA #BCBAExam #BCBAPrep #AppliedBehaviorAnalysis #BehaviorAnalysis #DomainF #ABATaskList #BCaBA #RBT #QuestionOfTheDay

🧠 Question of the Day
📚 Domain B — Concepts and Principles
Difficulty: 5/10

A teacher contingently removes a student from the classroom following each instance of disruptive behavior. During removal, access to classroom activities, peers, and teacher attention is unavailable. Across subsequent sessions, the rate of disruptive behavior decreases. Which option MOST accurately classifies this procedure and explains the basis for that classification?

A. Negative punishment, because access to reinforcing classroom events is withdrawn after disruption and the behavior decreases.

B. Negative reinforcement, because leaving the classroom removes demands and therefore increases disruptive behavior over time.

C. Positive punishment, because the teacher adds an aversive event after disruption and the behavior subsequently decreases.

D. Response cost, because a specified amount of an already available reinforcer is removed after each instance of disruption.

💬 Drop your answer in the comments — no peeking!
✅ Correct answer revealed tomorrow.

#ABA #BCBA #BCBAExam #BCBAPrep #AppliedBehaviorAnalysis #BehaviorAnalysis #DomainB #ABATaskList #BCaBA #RBT #QuestionOfTheDay

Hey everybody,

I'm hoping to hear from anyone who is currently enrolled in or has graduated from Arizona State University's (ASU) online Master's in Applied Behavior Analysis program.

I'm currently completing my bachelor's degree at Capella University and plan to pursue my master's in ABA to become a BCBA. I'm seriously considering ASU once I finish my bachelor's.

One of the things I really appreciate about Capella is that there are no proctored exams. The coursework is flexible, which works really well for me as someone balancing school, work, and parenting.

My biggest question is: Does ASU's online Master's in ABA program require proctored exams? Specifically, are students required to use Respondus LockDown Browser, ProctorU, webcam monitoring, or any other type of remote proctoring?

I'd also love to know how the program is structured. Is it mostly assignments, discussion posts, papers, and projects, or are there a lot of timed exams? How flexible are the deadlines?

I've already spoken with someone from ASU, but I'm hoping to get firsthand experiences from students who have actually gone through the program.

Any insight would be greatly appreciated! I'm trying to make an informed decision before committing to a graduate program. Thanks in advance!

🧠 Question of the Day
📚 Domain B — Concepts and Principles
Difficulty: 5/10

Which of the following BEST illustrates an abolishing operation (AO) for water as a reinforcer?

A. Several hours without water increases water's reinforcing effectiveness and increases behavior that has previously produced water.

B. A visible water bottle signals that requesting water has historically produced reinforcement when that bottle is available.

C. Recent consumption of substantial water decreases water's reinforcing effectiveness and decreases behavior that has produced water.

D. Water is withheld after requests, and requesting gradually decreases because the response no longer produces water.

💬 Drop your answer in the comments — no peeking!
✅ Correct answer revealed tomorrow.

#ABA #BCBA #BCBAExam #BCBAPrep #AppliedBehaviorAnalysis #BehaviorAnalysis #DomainB #ABATaskList #BCaBA #RBT #QuestionOfTheDay

🧠 Question of the Day
📚 Domain E — Ethical and Professional Issues
Difficulty: 5/10

Which of the following BEST characterizes culturally responsive service delivery in applied behavior analysis?

A. Applying empirically validated intervention procedures uniformly across all clients while incorporating cultural considerations into the reinforcer preference assessment

B. Deferring all goal-selection decisions to the family based on cultural preference while using evidence-based procedures to implement those goals without modification

C. Adapting assessment procedures, target behavior selection, and intervention strategies as needed to incorporate relevant client, family, and community cultural variables.

D. Consulting with a cultural liaison to ensure that standardized assessment tools are translated accurately and that procedural fidelity is maintained across all implementation settings

💬 Drop your answer in the comments — no peeking!
✅ Correct answer revealed tomorrow.

#ABA #BCBA #BCBAExam #BCBAPrep #AppliedBehaviorAnalysis #BehaviorAnalysis #DomainE #ABATaskList #BCaBA #RBT #QuestionOfTheDay

Hi everyone,
I’m a BCBA working as a private educator in home after school for a 21-year-old in his final year of school. His mom feels the education system has failed him and wants me to focus on reading, writing, and math. Just wanted to clarify that I’m not billing or running a formal ABA program.

My student has significant behavioral challenges, including disrobing, urinating on the floor, aggression, biting, screaming, and pushing past people. I’m told he does great at school just with the use of visuals.

My biggest struggle is finding reinforcers. Usually I pride myself in finding ways to motivate just about any learner I’ve ever worked with! But with this guy, Coke is definitely to his strongest reinforcer and mom doesn’t want me using that - understandably so. I’ve had some success with flavor packets in water but otherwise I’m at a complete loss. Even the coke and flavor packets in water aren’t motivating enough.

He enjoys spinning plastic lids on and off peanut butter jars but when I brought him jars to our learning area, he immediately says “put it away.” He says this to almost everything in his environment. Even at restaurants he becomes very distressed when plates are left on the table. I’ve started working on tolerating items remaining in his environment, but I’m just feeling so stuck (and vulnerable.. without any motivation to even just stay in the learning area / engage with me, he turns to maladaptive behaviors. Hitting my head, pushing, banging items on the walls, attempts to rip the TV off of the wall… I’m so tired of getting hurt at work). He does not have other edible reinforcers and isn’t interested in YouTube, IPad games, building, things that light up, spinning. I am in desperate need of help! Mom explains she has tried to find something he likes his entire life… and they’ve never found it.

For those who have worked with adults with significant support needs:
- What are your go-to strategies for identifying reinforcers when preferences seem extremely limited?

-What less obvious reinforcers have you discovered?
How would you approach the constant “put it away” behavior?

I’m feeling completely at a loss and would really appreciate practical suggestions or resources. Reinforcer identification is my biggest priority right now. Thank you so much for reading and any help, encouragement, advice.

Is anyone familiar with this company? They’re a Texas based ABA company. Their indeed posting claims they pay $100-$400 per hour for remote work, and does not specify if you need to live in TX. Does this sound like a lot or too good to be true?

🧠 Question of the Day

📚 Domain D — Experimental Design

Difficulty: 9/10

Scenario:

A treatment package for SIB has produced stable, clinically significant reductions and includes (a) response-independent access to an empirically identified competing stimulus and (b) differential reinforcement of an alternative communicative response. Staff report that implementing the reinforcement contingency consistently throughout the day is difficult.

Before simplifying the established package, the BCBA wants to determine whether eliminating the differential-reinforcement procedure results in a clinically meaningful loss of treatment effect. If competing-stimulus access remains in the final plan, the BCBA then wants to determine whether the access arrangement can be made less intensive while maintaining comparable SIB reduction. The BCBA plans to compare 2-, 5-, and 10-minute access intervals while holding the stimulus, setting, measurement system, and other treatment features constant.

Which sequence of analyses BEST addresses these two questions?

A. Dropout component analysis first, then parametric analysis

B. Comparative analysis first, then parametric analysis

C. Add-in component analysis first, then parametric analysis

D. Dropout component analysis first, then comparative analysis

💬 Drop your answer in the comments — no peeking!

✅ Correct answer revealed tomorrow.

#ABA #BCBA #BCBAExam #BCBAPrep #AppliedBehaviorAnalysis #BehaviorAnalysis #DomainD #ABATaskList #BCaBA #RBT #QuestionOfTheDay

Does anyone know where’s a good starting place to get into OBM? I’m currently doing in-home therapy and want to step away from doing direct therapy. Open to non-clinical side of ABA therapy or going more corporate