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

Picture a store with a no-questions-asked return policy and a register with no return function. The policy is real. The customer still goes home with the thing she didn't want. That's roughly where our field sits on assent. Nearly everyone agrees it matters. Far fewer organizations can say where it appears in their intake paperwork, how staff are trained to recognize it, or what happens to the billing when a session ends early. Here's what it takes to move assent to a working