Autism/Applied Behavior Analysis

Optum is recruiting Board Certified Behavior Analysts (BCBA) in solo private practice and qualified agencies that provide intensive ABA services in the treatment of ASD, for our Autism/ABA provider network.

If you are a master's or doctoral level BCBA providing intensive ABA in private practice, or are employed by an ABA agency that treats ASD clients, you may qualify for this unique network.

To learn more about the process for applying to the network and the clinical protocols your participation in this network would require you to follow, please review the materials below.

Please contact our Provider Service Line at 877-614-0484 with any questions regarding your participation and group model verses facility model.

COVID-19 updates to telehealth policies for ABA services

Read the COVID-19 ABA Telehealth Policy here

CPT® Code Changes 2019

Commercial ABA Program

  • Timeline for transitioning from use of HCPCS to CPT codes for ABA: Optum will be implementing the new CPT codes effective with Dates of Service (DOS) on and after March 30, 2020. Providers should continue to submit under the HCPCS codes for Dates of Service through March 29, 2020. Some ABA Agencies/Facilities may still be in process of transitioning to a Group Model set-up in Optum systems after March 30, 2020 and, until they are fully transitioned, these providers will continue to utilize the HCPCS codes
  • The FAQ Using HCPCS Codes will apply for most providers for DOS through March 29, 2020
  • The FAQ Using CPT Codes will apply for ABA Groups and Solo BCBAs who will use the new CPT codes for services on and/or after March 30, 2020

Provider Express Resources & Tutorials

ABA Treatment Requests

 
ABA Phone Review Process

ABA Assessment Portal

ABA Treatment Request Documents (forms to coordinate the approval process with an Autism Care Advocate)

Guidelines/Manual

ABA Agency Site Audit and Record Review Tools (sample forms that are utilized during the ABA Agency credentialing/site audit review and resource guide)

Join Our Autism/ABA Network


 

 

 

 

 

Contact Us – Provider Service Line - 877-614-0484