Coverage for Applied Behavioral Analysis Update
Issue: #406 JAN2019
Blue Cross Blue Shield of North Dakota (BCBSND) offers Applied Behavioral Analysis (ABA) for all product lines, however we recently clarified that self-funded groups who are considered non-Multiple Employer Welfare Arrangement (MEWA) plans can legally request deviations from standard benefit offerings, which results in those plans opting out of providing the ABA benefit for their members.
New codes went into effect on January 1, 2019. Please refer to the HealthCare News article entitled, “ABA Code Changes: Effective for services on or after January 1, 2019” for more information on coding and reimbursement.