Ins 3.36(2)(g)2.2. Supervised experience with all of the following:
Ins 3.36(2)(g)2.a.a. Working with families as part of a treatment team and ensuring treatment compliance.
Ins 3.36(2)(g)2.b.b. Treating individuals with autism spectrum disorders who function at a variety of cognitive levels and exhibit a variety of skill deficits and strengths.
Ins 3.36(2)(g)2.c.c. Treating individuals with autism spectrum disorders with a variety of behavioral challenges.
Ins 3.36(2)(g)2.d.d. Treating individuals with autism spectrum disorders who have shown improvement to the average range in cognitive functioning, language ability, adaptive and social interaction skills.
Ins 3.36(2)(g)2.e.e. Designing and implementing progressive treatment programs for individuals with autism spectrum disorders.
Ins 3.36(2)(g)3.3. Academic coursework from a regionally-accredited higher education institution with demonstrated coursework in the application of evidence-based therapy models consistent with best practice and research on effectiveness for individuals with autism spectrum disorders.
Ins 3.36(2)(h)(h) “Qualified intensive-level provider” means an individual identified in s. 632.895 (12m) (b) 1. to 4., Stats., acting within the scope of a currently valid state-issued license for psychiatry, psychology or behavior analyst, or a social worker acting within the scope of a currently valid state-issued certificate or license to practice psychotherapy, who provides evidence-based behavioral therapy in accordance with this section and s. 632.895 (12m) (a) 3., Stats., and who has completed at least 2080 hours of training, education and experience which includes all of the following:
Ins 3.36(2)(h)1.1. Fifteen hundred hours supervised training involving direct one-on-one work with individuals with autism spectrum disorders using evidence-based, efficacious therapy models.
Ins 3.36(2)(h)2.2. Supervised experience with all of the following:
Ins 3.36(2)(h)2.a.a. Working with families as the primary provider and ensuring treatment compliance.
Ins 3.36(2)(h)2.b.b. Treating individuals with autism spectrum disorders who function at a variety of cognitive levels and exhibit a variety of skill deficits and strengths.
Ins 3.36(2)(h)2.c.c. Treating individuals with autism spectrum disorders with a variety of behavioral challenges.
Ins 3.36(2)(h)2.d.d. Treating individuals with autism spectrum disorders who have shown improvement to the average range in cognitive functioning, language ability, adaptive and social interaction skills.
Ins 3.36(2)(h)2.e.e. Designing and implementing progressive treatment programs for individuals with autism spectrum disorders.
Ins 3.36(2)(h)3.3. Academic coursework from a regionally-accredited higher education institution with demonstrated coursework in the application of evidence-based therapy models consistent with best practice and research on effectiveness for individuals with autism spectrum disorders.
Ins 3.36(2)(i)(i) “Qualified paraprofessional” means an individual working under the active supervision of a qualified supervising provider, qualified intensive-level provider or qualified provider and who complies with all of the following:
Ins 3.36(2)(i)1.1. Is at least 18 years of age.
Ins 3.36(2)(i)2.2. Obtains a high school diploma.
Ins 3.36(2)(i)3.3. Completes a criminal background check.
Ins 3.36(2)(i)4.4. Obtains at least 20 hours of training that includes subjects related to autism, evidence-based treatment methods, communication, teaching techniques, problem behavior issues, ethics, special topics, natural environment, and first aid.
Ins 3.36(2)(i)5.5. Obtains at least ten hours of training in the use of behavioral evidence-based therapy including the direct application of training techniques with an individual who has autism spectrum disorder present.
Ins 3.36(2)(i)6.6. Receives regular, scheduled oversight by a qualified supervising provider in implementing the treatment plan for the insured.
Ins 3.36(2)(j)(j) “Qualified professional” means an individual identified in s. 632.895 (12m) (b) 5., Stats., acting under the supervision of an outpatient mental health clinic certified under s. 51.038, Stats., acting within the scope of a currently valid state-issued license and who provides evidence-based therapy in accordance with this section.
Ins 3.36(2)(k)(k) “Qualified provider” means an individual identified in s. 632.895 (12m) (b) 1. to 4., Stats., respectively, acting within the scope of a currently valid state-issued license for psychiatry, psychology or behavior analyst, or a social worker acting within the scope of a currently valid state-issued certificate or license to practice psychotherapy and who provides evidence-based therapy in accordance with this section.
Ins 3.36(2)(L)(L) “Qualified supervising provider” means an individual who is a qualified intensive-level provider and who has completed at least 4160 hours of experience as a supervisor of less experienced providers, professionals and paraprofessionals.
Ins 3.36(2)(m)(m) “Qualified therapist” means an individual identified in s. 632.895 (12m) (b) 6. or 7., Stats., who is either a speech-language pathologist or occupational therapist acting within the scope of a currently valid state-issued license and who provides evidence-based therapy in accordance with this section, sub. (4) (e).
Ins 3.36(2)(n)(n) “Supervision of an outpatient mental health clinic” for purposes of this section means an individual who meets the requirements of a qualified supervising provider and who periodically reviews all treatment plans developed by qualified professionals for insureds with autism spectrum disorders.
Ins 3.36(2)(o)(o) “Waiver program” means services provided by the department through the Medicaid Home and Community-Based Services as granted by the Centers for Medicare & Medicaid Services.