Where Technology Meets Humanity explores how meaningful tech supports families with disabilities, caregivers, and adults with special needs. Created by The Gear Foundation, makers of Stella, this podcast shares real stories, expert insights, and tools that empower rather than overwhelm. When technology listens first, it becomes a partner—helping people find clarity, hope, and connection.
Medicaid Headlines vs. Reality for Tennessee Families
Ever get a government envelope and feel your stomach drop? Me too. This short audio deep dive walks through my new report on the Medicaid changes coming January 1. The good news: TennCare says its members won't be affected by the new work rules, and TennCare renewals stay once a year. The quiet change: Medicaid will reach back fewer months for new applications, so please don't wait to apply. Read your own state's notices, not the headlines. Questions at midnight? Stella is free, any time.
Listen: [podcast link]
askstellanow.org
26 Oct 2026
The January Window: Why Tennessee Is the Exception
Tennessee parents: you may have seen scary headlines about Medicaid work rules. I dug into TennCare's fine print, and this short audio deep dive walks through what I found. The good news: TennCare says its members won't be affected by the new work rules. The quiet news: starting January 1, Medicaid will cover fewer past months for new applicants, so apply early. You don't have to sort this out alone at 11 PM. Stella can help, free, any time: askstellanow.org
13 Oct 2026
Is Your Child’s ABA Therapy Working? How to Audit Quality & Demand Assent-Based Care
Are you getting the full clinical and developmental value out of your child’s Applied Behavior Analysis (ABA) therapy services? In this episode of Strategic Humanity, presented by the Gear Foundation, we dive deep into The ABA Reality Check—a strategic roadmap designed to transform parents from passive recipients of therapeutic care into informed, auditing co-clinicians.We explore how to evaluate clinical quality, navigate insurance billing structures, ensure high-fidelity parent coaching, and advocate for neurodiversity-affirming, assent-based care that respects your child's dignity and autonomy.
📌 Key Topics & Chapter Breakdown
00:00 – Introduction: Moving from passive consumer to active, auditing co-clinician in your child’s therapy.
03:15 – Assent-Based & Neurodiversity-Affirming Care: Recognizing modern ethical standards under the BACB Ethics Code and CASP Practice Guidelines that prioritize child dignity, bodily autonomy, and non-compliance distress signals.
07:30 – Behavioral Skills Training (BST) Gold Standard: Breaking down the 4-step framework—Instruction, Modeling, Rehearsal, and Feedback—which achieves procedural fidelity rates of 88% or greater compared to ~45% with standard lecture-based instruction.
11:45 – Auditing BCBA Caseloads & Supervision Ratios: Why BCBA caseloads should be capped at 6–12 clients for comprehensive programs, and how to audit the mandatory 10%–20% clinical supervision ratio (1 to 2 hours of CPT 97155 per 10 hours of direct technician care).
16:10 – Decoding CPT Codes & Billing Logs: Understanding the breakdown between CPT 97153 (Direct Technician Care), CPT 97155 (Protocol Modification/Supervision), and CPT 97156 (Parent Coaching).
20:25 – Promoting Skill Generalization: Turning everyday home routines into high-impact learning opportunities while reducing parental stress scores by up to 30%.
💡 Key Takeaways for Caregivers
🌐 Additional Resources & Links
askstellanow.org
🏷️ Keywords & Hashtags
#StrategicHumanity #GearFoundation #ABATherapy #AutismParents #AskStellaNow #ParentCoaching #BCBA #BehavioralSkillsTraining #NeurodiversityAffirming #SpecialNeedsAdvocacy
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