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Applied Behavior Analysis (ABA) - Nevada

Provider Type 85 Billing Guide Updated 01/27/2022 Provider Type 85 Billing Guide pv01/23/2020 1 / 7 Applied Behavior Analysis (ABA) State Policy The Medicaid Services Manual (MSM) is on the Division of Health Care Financing and Policy (DHCFP) website at (select Manuals from the Resources webpage). MSM Chapter 3700 covers policy for Applied Behavior Analysis (ABA) providers. MSM Chapter 1500 covers policy for the Healthy Kids Program. MSM Chapter 400 covers policy for behavioral health providers.

Adaptive Behavior Treatment – Individual Limit of 40 hours per recipient per week combined, regardless of NPI for CPT codes: 97151- 97155, 0362T, 97153-97155, 0373T, 97156-97158 97153 Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other

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