Cigna aba request form 2025

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ABA coverage by Cigna varies based on the clients state of residence, individual healthcare plan, and support needs. For example, some families may be covered for up to 40 hours a week of ABA therapy sessions. Others may be approved for less weekly hours.
A letter of medical necessity for ABA therapy is a comprehensive and persuasive explanation of why ABA therapy is specifically necessary for an individuals health and well-being. It is a vital document in the process of obtaining insurance coverage for specialized services such as ABA therapy.
Who provides ABA services? A board-certified behavior analyst (BCBA) provides ABA therapy services.
Autism insurance coverage by state California: If a plan covers physical treatments, that plan must also cover mental health services. The good news is ABA therapy is considered a covered autism treatment.
Hearing back from insurance will depend on the provider and if they require more information Typically, this takes around 2-3 weeks. Insurance approves ABA services in 6-month periods. So once approved, your child is allotted services for 6 months, then a reauthorization assessment happens.

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To get started, follow these steps: Speak with your pediatrician or other medical provider about ABA. Check whether your insurance company covers the cost of ABA therapy, and what your benefit is. Search our Resource Guide for ABA providers near you. Call the ABA provider and request an intake evaluation.
Moving forward, please visit CoverMyMeds at .covermymeds.com/main/prior-authorization-forms/cigna/ or via SureScripts in your EHR to learn more and submit all new PA requests electronically. If you are unable to use electronic prior authorization, please call us at 1.800. 882.4462 (1.800. 88.

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