Applied behavior analysis is a scientifically supported model of treatment to remediate the functional impairments typically found in people with Autism Spectrum Disorder (ASD). It is a time-limited treatment that should result in progressive, measurable gains in functioning on a standardized measure.

To initiate a request, you have to call the number on the member’s card. Or you can submit your request electronically. Effective March 1, 2022, this form replaces all other Applied Behavior Health Analysis (ABA) precertification information request documents and forms.

Aetna considers Applied Behavior Analysis (ABA) experimental, investigational, or unproven for Down Syndrome in the absence of an autism spectrum disorder (ASD) co-morbidity because of insufficient evidence in the peer-reviewed literature.

ABA providers must be appropriately licensed and have an NPI. ALL providers, including ABA providers, must enroll in the DMAS Provider Services Solution (PRSS) and select Aetna Better Health of Virginia.

Board Certified Behavior Analyst (BCBA) required to possess a master’s degree in psychology or behavior analysis and pass a national certification exam. Board Certified Assistant Behavior Analyst (BCaBA) required to possess an undergraduate degree and certification in …

Your behavioral health plan covers treatment with applied behavior analysis (ABA). ABA is considered one of the most effective treatments for autism spectrum disorder. ABA can help: The earlier treatment starts, the more effective it can be. Autism advocates have special training in autism spectrum disorder. Your advocate can help:

review using the guideline below for medical necessity of ABA following discharge is needed. Essential elements: 1. There must be a diagnosis of a condition on the Autism Spectrum (ICD‐9: 299 through 299.9; ICD‐10: F84 through F84.9) 2.

The purpose of this policy is to define Aetna Better Health’s business standards for the prior authorization of Applied Behavior Analysis (ABA). STATEMENT OF OBJECTIVE: Objectives of the ABA prior authorization process are to: • Accurately document all ABA authorization requests

Yes, Aetna insurance covers the cost of Applied Behavior Analysis therapy (ABA) when specific requirements are met. 1 However, complete coverage might not always be available. Aetna also notes that ABA therapy may have evidence-based …

Learn more about LOCUS and CALOCUS/CASII, read the ABA Guidelines for the Treatment of Autism Spectrum Disorders and review the ASAM Criteria for addiction treatment options.