CommercialPrior AuthMedium impact
Call for Preservice Requests for Applied Behavior Analysis for Commercial Members
BCBS New Mexico·NM · Psychiatry·General
Effective date
Apr 1, 2026
We identified it
Jun 18, 2026
Summary
Starting April 2026, Applied Behavior Analysis (ABA) preservice requests for commercial members must be initiated by calling customer service instead of submitting forms. A representative will guide the intake process and a clinician will conduct telephonic review.
Action Required
Before April 2026: Billing and prior authorization staff must transition from form-based submissions to phone-based requests for ABA preservice authorizations. Update workflows to call the customer service number on member ID cards instead of submitting paper forms. Train staff on the new telephonic intake process with customer service representatives and prepare for follow-up clinical reviews by phone.