№ lp_1_29267
File format: docx
Character count: 7862
File size: 144 KB
The document provides an ABA therapy report detailing patient progress, caregiver involvement, service schedules, assessment results, and authorization for treatment hours.
Year:
2026
Region / City:
United States
Subject:
ABA Therapy and Behavioral Treatment
Document Type:
Health Service Report
Organization / Institution:
Kaiser Permanente
Author:
Unknown
Target Audience:
Healthcare professionals, caregivers, and service providers
Effective Period:
2026
Approval Date:
2026
Modification Date:
N/A
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Note:
Year
Context:
A form for initial authorization of ABA services related to mental health, including detailed member and provider information, diagnosis, and requested services.
Note:
Year
Year:
2023
Region / City:
Bay-Arenac counties, Michigan
Topic:
Applied Behavior Analysis (ABA), provider guidelines
Document Type:
Guidelines
Agency:
Bay-Arenac Behavioral Health (BABHA)
Author:
Bay-Arenac Behavioral Health Staff
Target Audience:
ABA service providers
Effective Period:
Ongoing
Approval Date:
N/A
Revision Date:
N/A
Year:
2026
Region / City:
Not specified
Document Type:
Behavior Intervention Plan
Target:
Patient with ASD
Patient Name:
David Williams
Patient Age:
8
School Grade Level:
3rd
Diagnosis:
ASD
Clinician:
David Lee, MS, BCBA, LBA
Technician(s):
Olivia Robinson, BA, RBT
Behavior Function:
Access to tablet
Intervention Start Date:
First day of next month (semester start)
Intervention Duration:
One school semester
Goals:
Reduce self-injurious behavior to no more than once per day; increase appropriate replacement behaviors to at least 80% of occurrences
Settings:
Home, school, and other contexts as identified
Safety Measures:
Continuous monitoring during interventions, crisis intervention plan in place
Year:
2021
Region / City:
United States
Topic:
ABA (Applied Behavior Analysis) Treatment Plan
Document Type:
Medical Treatment Plan
Organization / Institution:
Kaiser Permanente
Author:
Not specified
Target Audience:
Healthcare providers, caregivers, patients
Period of Effect:
Ongoing, subject to review
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2019
Region / City:
Las Vegas, NV / San Francisco, CA
Theme:
Legal, Scholarships
Document Type:
Application Form
Organization / Institution:
Washington State Bar Association (WSBA)
Author:
Washington Young Lawyers Committee (WYLC)
Target Audience:
New and young lawyers
Period of Action:
January 25-27, 2019 (Midyear), August 8-10, 2019 (Annual)
Approval Date:
N/A
Date of Changes:
N/A
Note:
Year
Theme:
Healthcare / Medicaid / ABA Treatment
Document Type:
Form
Organization / Institution:
Mississippi Medicaid
Target Audience:
Providers, Clinicians, Case Supervisors
Year:
2026
Location:
School environment
Subject:
Behavior intervention for ASD
Document type:
Behavior Intervention Plan
Institution:
School / Applied Behavior Analysis Program
Author:
Jennifer Garcia, BCBA, LBA
Patient:
Alex Hayden
Patient age:
10
School grade level:
4th
Diagnosis:
ASD
Technicians implementing plan:
Robert Doyle, BA, RBT
Function of behavior:
Escape from challenging academic work
Intervention start date:
Next week
Intervention duration:
Remainder of the school year
Data collection method:
Frequency and duration tracking
Goal:
Reduce unauthorized classroom exits to no more than once per week
Generalization:
Includes classroom and other school settings with caregiver support
Safety measures:
Designated break area, crisis intervention procedures
Reinforcement:
Points system for appropriate behavior
Year:
2024
Region / City:
Denver
Theme:
Universal Design, Accessibility, Architectural Barriers Act (ABA)
Document Type:
Guidelines
Organization:
National Park Service (NPS) - Denver Service Center (DSC)
Author:
National Park Service
Target Audience:
Architects, Designers, Facility Managers
Effective Period:
Ongoing
Approval Date:
10-25-24
Modification Date:
N/A
Note:
Year
Organization / Institution:
U.S. Department of Labor, Office of Workers’ Compensation Programs, Division of Energy Employees Occupational Illness Compensation
Year:
2023
Region / City:
United States
Topic:
Medical authorization and billing
Document type:
Official form
Organization / Institution:
Department of Veterans Affairs
Author:
Department of Veterans Affairs
Target audience:
Healthcare providers, Veterans
Period of validity:
From date of issue
Date of approval:
Not specified
Date of amendments:
Not specified
Year:
2023
Region / City:
Iowa, Des Moines
Subject:
Proposal Certification and Authorization to Release Information
Document Type:
Certification Letter
Issuing Organization:
Iowa Workforce Development
Author:
Michael Drottz
Target Audience:
Respondents to RFP 309MD24001
Period of Validity:
N/A
Approval Date:
N/A
Date of Revision:
N/A
Note:
Year
Organization / Institution:
Minnesota Department of Education
Target Audience:
School District Superintendents, Early Education Staff
Year:
2023
Region / City:
United States
Topic:
Personnel vetting, security clearance
Document Type:
Questionnaire, Authorization Form
Agency:
Federal Government
Author:
Unknown
Target Audience:
Individuals undergoing personnel vetting
Period of Validity:
Until termination of affiliation with the Federal Government or position requirement
Approval Date:
Not specified
Amendment Date:
Not specified
Document type:
Access authorization form
System:
Enterprise Income Verification (EIV)
Program area:
Multifamily Housing
Issuing organization:
U.S. Department of Housing and Urban Development
Legal basis:
Paperwork Reduction Act of 1995; Federal Privacy Act
OMB control number:
2502-0204
Purpose:
Initial or reinstated access to the Multifamily EIV system and acknowledgment of Rules of Behavior
Target users:
Multifamily Housing Coordinators and Contract Administrator Coordinators
Submission method:
Fax or email to HUD Multifamily Helpdesk
Access duration:
Up to one year before recertification
Security framework:
HUD Security Program Policy; HUD Handbook 2400.25 Rev. 1
Data sensitivity:
Personally identifiable information
Note:
Year
Theme:
Foster Care, Residential Care
Document Type:
Authorization Form
Organization / Institution:
Texas Department of Family and Protective Services (DFPS)
Target Audience:
Caregivers, Caseworkers
Year:
2026
Region / City:
N/A
Subject:
Prior authorization requirements for lower extremity endovascular procedures
Document type:
Checklist
Organization:
N/A
Author:
N/A
Target audience:
Healthcare providers
Period of validity:
N/A
Approval date:
N/A
Date of amendments:
N/A
Year:
2023
Region / City:
University of Kentucky
Subject:
Research Study Participation
Document Type:
Consent Form
Institution:
University of Kentucky
Author:
Research Team
Target Audience:
Potential research participants
Study Duration:
Variable (hours, days, months, years)
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2014
Region / City:
United States
Topic:
Medication Administration, Medical Authorization
Document Type:
Authorization Form
Organization / Institution:
245D licensed program
Author:
Not specified
Target Audience:
Individuals receiving medication assistance, legal representatives
Period of Validity:
Ongoing
Approval Date:
January 1, 2014
Date of Changes:
Not specified