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Comprehensive ABA Billing Checklist for Providers by State

Select the State:
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Select the Payor:
Peach State Health Plan
Georgia
Oxford Health Plans
New Jersey
Optum
Massachusetts
Oxford
New York
Optum
Virginia
Optum MD MCD
Maryland
Optum
New Jersey
Optum
New York
Optum
Michigan
Optum
Maryland
Optum
Illinois
OptimaHealth
Virginia
Optum Health
Maryland
Optum
Florida
Optima
Virginia
NM MCD
New Mexico
Molina Washington
Washington
Molina
Ohio
Molina MCD OH KY
Kentucky
Molina MCD KY
Kentucky
Molina Healthcare of Virginia Medicaid
Virginia
Molina Healthcare of NM
New Mexico
Molina
Mississippe
Mognolia
Mississippe
Meritian
Texas
Meritain
New York
Meritain Health
New Jersey
Meritain-Aetna MD
Virginia
Medical Mutual OH
Ohio
Meritain (AETNA)
Illinois
Meritain
Illinois
Medicaid
Mississippe
Medicaid
Georgia
McLaren Health Plan
Michigan
Medicaid
Kentucky
MBHP
Massachusetts
Managed Health
California
Magnacare
New York
Magnacare
New Jersey
Magellan
Virginia
Magellan
Texas
Magellan Health
California
Magellan
California
Kaiser Permanente GA
Georgia
Kaiser Permanente Foundation Health Plan of Mi
Virginia
Kaiser Permanente Foundation Health Plan of Mi
Maryland
Kaiser Foundation Health Plan Washington
Washington
Kaiser Foundation Health Plan
Virginia
Kaiser Foundation Health Plan
Maryland
Independence Administrators
New Jersey
IND BC MG
Tennessee
IND BCBS
Tennessee
Health Plan of NV
Nevada
Humana Behavioral Health
Georgia
IND BC
Tennessee
Humana Enterprises KY
Kentucky
Cigna
New Jersey
AETNA Better Health
Virginia
Horizon BCBS
North Carolina
Horizon BCBS of NJ
New Jersey
Horizon BCBS
New York
Horizon BCBS
New Jersey
High Mark BCBS
Tennessee
Healthfirst
New Jersey
HealthSmart
Michigan
Healthlink HMO
Illinois
Healthfirst
New York
Health First
New Jersey
Georgia Quantum
Georgia
Halcyon
California
GEHA
New York
GEHA
Nevada
FL Medicaid
Florida
Florida Blue
Florida
Fidelis Care
New York
EverNorth Behavioral Health OH
Ohio
Empire Plan
New York
Employee Benefit
Nevada
EverNorth Behavioral Health GA
Georgia
Empire Plan
New Jersey
Empire Blue Cross Blue Shield
New York
Empire BCBS
New York
Emblem Health
New York
Emblem
New York
Emblem Health
New Jersey
ComPsych
New York
Culinary Health fund
Nevada
Core Source
New York
ComPsych
Pennsylvania
ComPsych
Tennessee
CompPsych
Mississippe
Cigna
Virginia
Cigna
New York
Cigna
Texas
Cigna
Tennessee
Cigna
North Carolina
Cigna
New Mexico
Cigna
Mississippe
Cigna
Nevada
Cigna
Michigan
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California

State selected

12

No of Payors

Checklist
Mandatory Fields (Y/N)
Patient Full Name
Yes
Patient DOB
Yes
Rendering Provider Full name
Yes
Rendering Provider Credential (BCBA/RBT/BCaBA)
Yes
Rendering Provider Signature (BCBA/RBT)
Yes
Supervising Provider Name and Signature (If Rendering provider RBT)
Yes
Signature Date and Time
Yes
Service Location (POS)
Yes
Session Date and Time
Yes
CPT and Diagnosis code should present on Medical records
Yes
Detail description of service performed
Yes
Treatment plan if required (Indicates Duration of service) or Progress Notes
Yes
Should Supervising provider be present at the time of service
Yes
Patient/Subscriber Signature required or Not
No
Do we have any separate guidelines to be followed for the plans HMO, PPO and POS
Follows - CMS Guidelines
Additional Information
No
Was there any change in Modifiers usage or in guidelines- HO, HM, HN, GT, 95
No
Insurance Phone #
18444-966-0298
Download Checklist

Disclaimer: The information contained in these checklists was last revised on May 2024. Users are advised to verify the current billing guidelines directly with their respective insurance providers, as policies are subject to change without notice.