MedicaidPrior AuthHigh impact
25-109 Access Applied Behavioral Analysis (ABA) Forms Online
Health Net·CA · Pediatrics, Psychiatry, Family Medicine·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net California has consolidated all ABA (Applied Behavioral Analysis) forms into an online Provider Library with specific forms required for different member types and purposes. All ABA services require prior authorization, and specific forms must be completed by licensed physicians or psychologists for Medi-Cal and Commercial members.
Action Required
Immediately: Billing team and providers must access the Health Net Provider Library online to obtain correct ABA forms. Use ABA Recommendation and Referral Form for Medi-Cal members, Prior Authorization Request Form for all ABA services, and Confirmation of Diagnosis form for Commercial members. All forms must be completed by licensed physicians or psychologists before delivering ABA services. Failure to obtain prior authorization will result in claim denials.