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Intensive Behavioral Interventions - Cigna

Medical Coverage Policy Effective Date ..12/15/2019. Next Review Coverage Policy Number .. 0499. Intensive Behavioral Interventions Table of Contents Related Coverage Resources Overview .. 1 Attention-Deficit/Hyperactivity Disorder (ADHD): Coverage Assessment and Treatment General Background ..3 Autism Spectrum Disorders/Pervasive Developmental Coding/Billing Information ..10 Disorders: Assessment and Treatment References ..11. INSTRUCTIONS FOR USE. The following Coverage Policy applies to health benefit plans administered by Cigna Companies. Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations.

Verbal Behavior Milestones Assessment and Placement Program [VB-MAPP], Vineland Adaptive Scales, Assessment of Basic Language and Learning Skills [ABLLS-R], Autism Treatment Evaluation Checklist (ATEC), PDD Behavior Inventory (PDDBI), Social Responsiveness Scale, Second Edition

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