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Prior Authorization Resources
Checklist for Applied Behavioral Analysis (ABA) Requests:
The Following Five Items are Required:
- A diagnosis of autism spectrum disorder or stereotypy with self-harming behavior from a physician.
- An order for ABA treatment from a physician (or appropriately qualified Clinical Psychologist).
- An Assessment and Treatment Plan formulated by a licensed ABA therapist
- Form KF-004
- Form KF-005
Please note an assessment that refers to a doctor that gave a child a diagnosis of autism is not enough. There must be a documented diagnosis and order from the physician.