Florida Medicaid Revised Alert for Community Behavioral Health Services Providers: Medicaid Coverage and Prior Authorization of Applied Behavior Analysis for Children Under 21 with Autism Spectrum Disorder

In January 2014, the Florida Medicaid program released three notices to provider organizations about how to obtain prior authorization and to submit fee-for-service (FFS) Medicaid bills for applied behavior analysis (ABA) services to eligible children. The notices are directed to provider organization types: Developmental Disabilities Home and Community Medicaid Waiver providers, Early Interventions Services providers, and Community Behavioral Health Services providers. The notices include billing procedure codes, reimbursement rates, and maximum service limits . . .