WAC 182-531A-0400. Applied behavior analysis (ABA) — Client eligibility

To be eligible for applied behavior analysis (ABA) services, a client must: (1) Be covered under Washington apple health (WAH); (2) Provide documentation created by a COE provider that: (a) Establishes the presence of functional impairment; delay in communication, behavior, or social interaction; or repetitive or stereotyped behavior; (b) Establishes that the client's impairment, delay, or behaviors adversely affect development or communication, or both, such that: (i) The client cannot adequately participate in home, school, or community activities because the behavior or skill deficit interferes with these activities; or (ii) The client's behavior endangers the client or another person, or impedes access to home and community activities; and (c) An agency-recognized center of excellence (COE) provider has confirmed that: (i) The client meets all requirements in (a) and (b) of this subsection; (ii) The client has a qualifying diagnosis; (A) Autism spectrum disorder; or (B) Developmental/intellectual disability; (iii) There is a reasonable expectation the requested services will result in measurable improvement in either the client's behavior, skills, or both; and (iv) Either: (A) Less intrusive or less intensive behavioral interventions have been tried and have not been successful; or (B) No equally effective and substantially less costly alternative is available for reducing interfering behaviors, increasing prosocial skills and behaviors, or maintaining desired behaviors.