Applied Behavioral Analysis

Policy: Applied Behavior Analysis (ABA) Effective January 2019

2019 Applied Behavior Analysis (ABA) Allowable Services and Coding Guide

Minimum Training Standards: Front Line ABA Staff

Required Documents for Pre-Authorization Requests:

Providers who need to submit Prior Authorization requests for ABA services for a WVCHIP member should go to http://wvaso.kepro.com to complete your request electronically.  If you experience any problems with your submission, please contact KEPRO at 1-888-571-0262.

Applied Behavior Analysis (ABA) Services Pre-Authorization Request Form (Cover Sheet to PA Request)

Applied Behavior Analysis (ABA) Prior Authorization Units of Service Request Form

ABA Statement of Assurance