OMHSAS-17-01

The purpose of this bulletin is to reissue the guidelines to be used when requests for prior authorization of Applied Behavioral Analysis (ABA) using Behavioral Specialist Consultant-Autism Spectrum Disorder (BSC-ASD) services or BSC-ASD and Therapeutic Staff Support (TSS) services for children and adolescents under age 21 with autism spectrum disorders (ASD) are reviewed and inform Behavioral Health Managed Care Organization(s) (BH-MCOs) and providers of the documentation that will be needed to support the medical necessity of ABA.

OMHSAS-17-01.pdf

OMHSAS-17-01 Attachment.pdf



OMHSAS-17-02

The purpose of this bulletin is to inform Behavioral Health Managed Care Organizations (BH-MCOs) and providers of the procedures for requesting Applied Behavioral Analysis (ABA) using Behavioral Specialist Consultant-Autism Spectrum Disorder (BSC-ASD) and Therapeutic Staff Support (TSS) services, the minimum qualifications needed to provide ABA using BSC-ASD and TSS services, and the procedure code and modifier combinations that can be used to bill for services when BSC-ASD and TSS services are used by appropriately qualified individuals to provide ABA.

OMHSAS-17-02.pdf

OMHSAS-17-02 Attachment I.PDF

OMHSAS-17-02 Attachment II.PDF