Transcription of 59G-4.125 BA Services Coverage Policy October …
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59G-4.125 BA Services Coverage Policy October …
Behavior Analysis Services Coverage Policy Agency for Health Care Administration October 2017 florida Medicaid florida Medicaid Behavior Analysis Services Coverage Policy i October 2017 Table of Contents Introduction .. 1 florida Medicaid Policies .. 1 Statewide Medicaid Managed Care Plans .. 1 Legal Authority .. 1 Definitions .. 1 Eligible Recipient .. 2 General Criteria .. 2 Who Can Receive .. 2 Coinsurance and Copayment .. 2 Eligible Provider .. 2 General Criteria .. 2 Who Can Provide .. 2 Coverage Information .. 3 General Criteria .. 3 Specific Criteria .. 3 Early and Periodic Screening, Diagnosis, and Treatment .. 3 Exclusion .. 3 General Non-Covered Criteria .. 3 Specific Non-Covered Criteria .. 3 Documentation .. 4 General Criteria .. 4 Specific Criteria .. 4 Authorization .. 4 General Criteria .. 4 Specific Criteria .. 4 Reimbursement .. 4 General Criteria .. 4 Claim Type .. 4 Billing Code, Modifier, and Billing Unit.
Florida Medicaid Behavior Analysis Services Coverage Policy 1 October 2017 1.0 Introduction Behavior analysis (BA) services are highly structured interventions, strategies, and approaches
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