This article is for providers who perform ABA services
We previously gave you some tips on how to request Applied Behavior Analysis (ABA) services via Authorization Manager. Here are some more useful reminders:
- Submit all ABA requests via Authorization Manager, even if the request is for treatment.
- When submitting each request, you must upload the ABA Service Request Form to Authorization Manager.
- For assessment, be sure to submit all requests using only CPT code 97151. If your request is for treatment, include the treatment codes only on the ABA Service Request Form, not on Authorization Manager.
- Enter the ABA behavioral analysis group (BAG) number as the servicing provider, facility, and the requesting provider.
- Please fax your request to us only in these situations:
- Twins and multiple births. At this time, Authorization Manager will not return eligibility if the patient has a sibling with the same birth date.
- Federal Employee Program (FEP) members with out-of-state plans. We need to manually enter these members into our system.
Watch this short video demonstrating the step-by-step process of how to submit a request for ABA services in Authorization Manager.
As a reminder, all providers are required to submit initial authorization requests and inquiries electronically through Authorization Manager rather than by phone or fax as of June 1, 2023 for our commercial (HMO, PPO) and Federal Employee Program (FEP) members. Authorization Manager is the most efficient method to submit requests, and it’s available 24/7 at no additional cost via single sign-on through Provider Central!
Resources
- Applied Behavior Analysis Service Request Form
- Authorization Manager Tips- Applied Behavior Analysis (ABA)
- Authorization Manager User Guide
- Authorization Manager Provider Central page, which contains helpful tips, guides, and video demonstrations
Questions?
Please send an email to us at hmmauthorizationmanager@bcbsma.com with any questions you may have about Authorization Manager.
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