Autism Spectrum Disorders
With the identification of children with autism spectrum disorders (ASD) increasing dramatically nationwide, coverage and services are expanding. Magellan offers the resources below to help you serve children and adults with autism as well as support their families and caregivers.
- Behavior Analyst Credentialing Criteria
- ABA Medical Necessity Criteria -- found within the Magellan Care Guidelines
- Clinical Practice Guidelines
Some states or plans, such as Pennsylvania, may have specific credentialing criteria or additional regional requirements. Please consult your local network representative if you have questions.
Applied behavior analysis (ABA) coding changes, effective Jan. 1, 2019
- Provider training (recorded webinar) and slide deck (PDF)
- Frequently asked questions (PDF)
- HIPAA Coding Crosswalk for ABA Services (PDF)
Forms
For autism-related forms, sign in to this website. From the Resources section, select State & Plan Information, then choose Autism-Specific Information.
Plan-specific fax numbers for ABA support teams
For plan-specific numbers, sign in to this website. From the Resources section, select State & Plan Information, then choose Autism-Specific Information.