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Applied Behavior Analysis (ABA) - Nevada Medicaid

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. MSM Chapter 100 contains important information applicable to all provider types. Rates Reimbursement rates for Applied Behavior Analysis (ABA) provider type 85 are listed online on the DHCFP website on the Rates webpage. Rates are also available on the Provider Web Portal at through the Search Fee Schedule function, which can be accessed on the Provider Login (EVS) webpage under Resources (you do not need to log in).

• Adaptive Behavioral Treatment (individual and group) requires prior authorization. For questions regarding authorization, call Nevada Medicaid at (800) 525-2395 or refer to MSM Chapter 3700. Prior authorization may be requested through …

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