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Attention ABA providers: Here’s how to use Authorization Manager
March 31, 2023

This article is for providers who perform ABA services

As a reminder, all providers will be required to submit authorization requests and inquiries electronically rather than by phone or fax starting June 1, 2023 for our commercial (HMO, PPO) and Federal Employee Program (FEP) members. The most efficient method is to use Authorization Manager, available 24/7 at no additional cost, via single sign-on through Provider Central. 

To request Applied Behavior Analysis (ABA) services via Authorization Manager

  • For an initial assessment, use CPT code 97151. Do not submit any other codes on your ABA Service Request Form for this initial request.
  • If you need to request additional treatment after the initial assessment, submit another request for 97151 in Authorization Manager. This time, include the treatment codes that you are requesting approval for on your ABA Service Request Form.

Note: In Authorization Manager, one unit equals 15 minutes.

  Watch this short video demonstrating the step-by-step process of how to submit a request for ABA services in Authorization Manager.

Advantages of using Authorization Manager – start today!

Did you know that you can already start using Authorization Manager today? It’s the most efficient way to review authorization requirements, request authorizations, check existing case status, and view or print the decision letter. This tool allows you to:

  • Search member-specific authorization requirements by code or by provider number to look up multiple patients at the same time.
  • Check the status of requests no matter how they were submitted.
  • Upload additional clinical documentation to an existing case.
  • Enter a transaction within minutes. By the time you call and talk to a service representative, you could have entered an authorization request!

Resources

To read our News Alert announcing this upcoming mandate, log on to bluecrossma.com/provider and click News. Scroll down to the February 1 communication: “Submit referrals, authorization requests, and inquiries electronically starting June 1.”

Read our News Alert announcing this upcoming mandate: “Submit referrals, authorization requests, and inquiries electronically starting June 1."

Questions?

Please send an email to us at hmmauthorizationmanager@bcbsma.com with any questions you may have about Authorization Manager.

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