MLL Consultants

As you may recall from previous posts, we had worked to find the information of a company that provides credentialing services for several insurance companies for BCBA's. That company is called MLL Consultants, and we've recently been in contact with them to provide you with a biography of the company. The information listed comes direct from Lisa Scott of MLL Consultants:

Lisa Scott and Mary Lou Redding have a combined total of over thirty-five years in Medical Healthcare Reimbursement. They were responsible during their employment for assisting numerous sites transition to NPI format billing. Their experience includes contracting, establishing and managing billing and collections generating more than 75 million a year from numerous payors, interfacing and establishing relationships with insurance companies, and developing and implementing effective policies and procedures. They have excellent computer skills in various billing programs, as well as Microsoft Word, Excel and Access.

Both have been residents of Florida for over twenty years and each are married with children in both the public school system and Florida Colleges. One was an owner and both were on the Board of Directors for Alternative Solutions, a therapy center for children with Autism and they have worked with Behavior Analysts from a personal prospective.

The contact information for MLL Consultants is as follows:
(727) 545-0921 or (727) 492-9592
Mllconsultants@yahoo.com

National Standards Project

We have been working on the National Standards Project, which covers treatments for ASD that have been proven effective. The work we did on it has made it more user-friendly and easier to navigate. If you would like a copy of what we have done in order to utilize and work on it yourselves, or have any questions about NSP feel free to leave a comment here or email us at newwayday@gmail.com.

Information can also be found via the National Autism Center website at http://www.nationalautismcenter.org/affiliates/. There you can also request the PDF files showing the results of the project.

Medicaid Reimbursing for BCBAs and Company Providing Credentials

Our initial blog brought up the question of what insurance companies you are enrolled in, and which you are currently seeking enrollment. We were also looking to answer any questions you may have, so that we could collectively answer them. One question that could use further clarification is based on Medicaid reimbursing BCBAs and their hours structure. Through our personal experience, The Public Health Trust (UMBH) will cover ABA therapy if the recipient is under CMS Title 21. If you have any further information, please feel free to post a comment below.

Also, a company was discussed during a meeting with Gina Green that does credentialing work at the rate of $3,500 for agency and $2,500 for individual providers. This covers 8 major insurers such as Humana, BCBS, Aetna, etc. We are looking for the name of this company. If you have any information on the company, how to reach them, and/or which providers they work on credentials for, your input would be appreciated.

newwayday@gmail.com

What insurances companies are you currently enrolled?

The purpose of this question is to see what insurance companies are covering ABA treatments under the Autism Mandate. Below is a list of the companies we are currently seeking enrollment. If you have any questions regarding enrollment to any of the following companies, please request the information. If you have any information that would assist in the enrollment of these agencies or other agencies not listed, please provide the information below. Please note, if you wish to post another question, we will try our best as a collective group to answer them. New question postings will be emailed on a weekly basis on Fridays.

We are currently enrolled under Tricare and UMBH (case by case basis Medicaid). We are currently seeking enrollment in MHNET, Cigna, Blue Cross & Blue Shield, Avmed, Aetna, Horizon, CMS, Neighborhood Health, United Health Care and Psychcare.

newwayday@gmail.com