Clinical Excellence

Picture a neighborhood restaurant where the owner is also the head chef. The food is excellent. The cooler temperature log stopped in March. That is roughly where compliance sits in many small ABA practices. The clinical work may be genuinely good, while the systems that document it have no clear owner. Recent federal Medicaid audits of ABA show why that gap matters. Here is why it forms, why home- and community-based services make it harder, and what right-sized compliance l

You can hit 5%, log two contacts a month, and pass any audit. You can also hand the field a newly certified analyst who can't run a preference assessment or correct a technician without apologizing or steamrolling. Compliance measures attendance, not ability. Here's what the BACB actually requires for RBTs, BCaBAs, and fieldwork trainees, what changes on January 1, 2027, and the one supervision failure almost nobody talks about: we never teach supervisees how to give feedback