• In this article, a response to a previous paper providing guidance to clinicians on navigating managed care peer reviews, the authors clarify inaccuracies in the previous paper’s portrayal of the peer review process.
• The authors explain relevant laws (e.g., The Mental Health Parity and Addiction Equity Act of 2008) that protect access to medically necessary ABA treatment and advise ABA providers to be aware that peer reviewers often have different goals.
• Suggestions are provided to clinicians in preparing for and navigating the peer review process in the areas of diagnosis, history, assessments, treatment plan, goal setting and progress, parent training, and discharge criteria.
Kornack, J. (2017). A response to Papatola and Lustig’s paper on navigating a managed care peer review: Guidance for clinicians using applied behavior analysis in the treatment of children on the autism spectrum. Behavior Analysis in Practice, 10(4), 386-394. https://doi.org/10.1007/s40617-017-0192-x