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Carelon behavioral health aba authorization request

Carelon behavioral health aba authorization request 2026

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The document is a form for requesting ABA (Applied Behavior Analysis) services from Carelon Behavioral Health. It includes sections for initial and concurrent requests, patient information, provider details, and specific services requested such as assessments, treatment planning, direct therapy, group therapy, and family training. The form requires the number of units requested and clinical justifications for certain services.

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Click ‘Get Form’ to open the carelon behavioral health ABA authorization request in the editor.
Begin by indicating the type of request: Initial Assessment, Initial Treatment, or Concurrent Request. This helps clarify your needs right from the start.
Fill in the patient’s details including their name, date of birth, gender, age, and insurance ID number. Accurate information is crucial for processing.
Provide contact information for both the patient and the provider/supervisor. Ensure that phone numbers and email addresses are correct for effective communication.
In the 'Services Requested' section, specify the program setting (Home, Facility/Clinic, School) and detail the units requested for each service type based on your treatment plan.
Review all entries carefully before submitting to ensure completeness and accuracy. A complete treatment plan must accompany this request.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Does Carelon do retro authorizations?

Call Carelon within 48-hours of the date of service for retrospective authorizations. Do not use the provider portal for retro authorizations.

What is an aba authorization?

Prior authorization: Prior authorization helps clarify the extent of ABA therapy coverage under a patients insurance plan. It also ensures the patient meets the medical-necessity requirements to receive that care. This often involves meeting a specific age requirement and obtaining a formal diagnosis.

Does ABA therapy require prior authorization?

Insurance companies require prior authorization to verify that ABA therapy aligns with the childs ASD diagnostic report and treatment plan. This process helps control healthcare costs while ensuring behavioral therapy sessions meet the necessary standards for health care coverage.

What is the ABA authorization process?

This process involves verifying insurance coverage for ABA therapy and discussing financial responsibility with families. Each insurance plan may have specific requirements for ABA therapy coverage, including the need for pre-authorization before services can begin.

How does insurance work with ABA therapy?

Most insurance companies require a formal autism diagnosis in order to cover ABA therapy. Under the Affordable Care Act (ACA), most health plans are required to cover autism services, including ABA therapy, for children with an ASD diagnosis.