Prior Authorization Resources

Checklist for Applied Behavioral Analysis (ABA) Requests:

The Following Five Items are Required:

1. A diagnosis of autism spectrum disorder or stereotypy with self-harming behavior from a physician.
2. An order for ABA treatment from a physician (or appropriately qualified Clinical Psychologist).
3. An Assessment and Treatment Plan formulated by a licensed ABA therapist
4. Form KF-004
5. Form KF-005

Note: The first two bullets are usually the same document.

(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.)