Clinical Practice & Supervision

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

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

The contractor vs. employee question sounds simple — until you're operating in ABA or behavioral health. Once clinical supervision requirements, Medicaid contracts, and state licensing laws enter the picture, generic HR guidance stops being enough. Getting classification wrong in this field doesn't just create a tax headache. It can affect audits, credentialing, licensure, and more. Here's what agencies consistently get wrong — and what actually matters.