In ABA therapy, delivering a great session is just one piece of the puzzle. Long-term success hinges on what happens between sessions โ specifically, how well your team maintains ABA continuity of care.
Whether you’re a solo BCBA, part of a growing clinic, or overseeing multiple RBTs, continuity of care ensures that every session builds on the last, maintaining consistency, reducing regression, and aligning treatment with the clientโs evolving needs.
โ What is ABA continuity of care in ABA Therapy?
Continuity of care in ABA therapy refers to a coordinated, consistent approach across sessions, therapists, and treatment updates. It ensures that:
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Interventions are implemented consistently
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Progress is tracked and built upon
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Everyone involved (therapists, BCBAs, parents) stays aligned
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Documentation and treatment plans reflect real-time progress
Disruptions in continuity can lead to slower progress, confusion among staff, and even problems with insurance reauthorization.
๐ How to Ensure Continuity in ABA: A Step-by-Step Breakdown
After obtaining authorizations for ABA services and completing detailed session notes, the next step is implementing a system of continuity and review:
๐ 1. Review Previous Session Notes
Go over the clientโs current treatment plan and the most recent notes. This allows the therapist to:
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Refresh on goals and targets
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Note recent progress or challenges
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Prepare for any changes made by the BCBA
๐ก Refer to our post on ABA session notes for why this step is essential for insurance and billing.
๐ 2. Prepare Materials Before Each Session
Gather:
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Data sheets or tablet software
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Visual supports or task materials
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Reinforcers and behavior supports
Being prepared avoids downtime and supports treatment consistency.
๐งฉ 3. Implement the Treatment Plan
Deliver services based on:
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The authorized CPT codes (e.g., 97153, 97155)
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The session structure outlined in the treatment plan
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Previous data and therapist observations
๐ 4. Collect Data and Document Immediately
Immediately after the session:
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Log behavior data and skill acquisition performance
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Add notes on client mood, environment, or health
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Note any parent communication or incidents
Timely documentation is key for progress tracking and accurate billing.
๐ 5. Update the Treatment Plan as Needed
If you observe a lack of progress or significant change, notify the supervising BCBA. Treatment plans should be dynamic and based on:
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Collected data
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Session notes
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Parent or team input
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Observed regressions or breakthroughs
๐ข 6. Communicate with Team Members
Share session feedback and updates with:
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BCBAs (for program oversight)
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Parents (for continuity at home)
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Other RBTs or therapists (for consistent implementation)
Use secure systems to maintain HIPAA compliance.
๐ 7. Maintain Accurate Records
All notes, data, and communications should be organized, accessible, and audit-ready. Accurate records are critical for:
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Insurance reauthorization
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Internal QA checks
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Legal and ethical compliance
๐ค How Taylor Prime Solutions Supports ABA Continuity of Care
We know that strong documentation and team coordination support both clinical outcomes and billing success.
We help ABA providers:
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Align session documentation with payer expectations
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Reduce denied claims due to inconsistent notes or gaps in care
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Track authorizations and treatment plan expirations
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Provide billing support that reinforces your teamโs clinical work
๐ Call us today at 844-TAYLOR-9 (844-829-5679)
๐ Message us online
๐ง Send us an email