MedicaidPrior AuthMedium impact
25-108 Access Applied Behavioral Analysis (ABA) Forms Online
Health Net·CA · Pediatrics, Psychiatry·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net California now requires specific ABA forms for Applied Behavioral Analysis services, with different forms required for Medi-Cal vs Commercial members. All ABA services require prior authorization using designated forms available in the Provider Library.
Action Required
Immediately: Billing team must access Health Net's Provider Library to download correct ABA forms. Use ABA Recommendation and Referral Form for Medi-Cal members, Confirmation of Diagnosis ASD form for Commercial members, and Prior Authorization Request Form for all ABA services. Ensure licensed physicians or psychologists complete required forms before submitting ABA service claims. Claims will be denied without proper prior authorization.