Call for Preservice Requests for Applied Behavior Analysis for Commercial Members
AI Summary
Effective April 2026, preservice requests for Applied Behavior Analysis (ABA) for commercial members must be submitted by calling the customer service number on the member's ID card instead of using forms. A customer service representative will guide providers through the intake process and a clinician will follow up for telephonic clinical review.
Action Required
Before April 2026: Billing and authorization staff must stop using forms for ABA preservice requests for commercial members. Instead, call the customer service number on the member's ID card for all ABA prior authorization requests. Update staff procedures and training to use the new telephonic intake process. Continue checking eligibility through Availity Essentials to confirm if prior authorization is required.
Plan Types
Commercial
States
TX
Specialties
psychiatry