Provider Focus

Providing ABA services for employer plans

Magellan Healthcare* manages applied behavior analysis (ABA) benefits for several employer-sponsored health plans.

What this means for you

If you are contracted as a Magellan ABA provider, you are eligible to receive ABA referrals for members covered under these health plans. Refer to your reimbursement schedule for covered services and codes.

Claims submission

Submit ABA claims directly to Magellan, as outlined in the authorization letter. Claims submitted to an incorrect payer will not be reimbursed by Magellan.

Learn more

Access ABA resources, including initial authorization and concurrent review forms, at MagellanProvider.com/Autism (sign-in required).

 

*In California, Magellan does business as Magellan Health Services of California, Inc. – Employer Services. Other Magellan entities include, but are not limited to, Magellan Healthcare, Inc.; Magellan Providers of Texas, Inc.; and their respective affiliates and subsidiaries; all of which are affiliates of Magellan Health, Inc. (collectively “Magellan”).

MARCOM Awards

Provider Focus has won the MARCOM Gold Award in 2024, 2023, 2022, and 2021