Contact Us – Provider Service Line - 877-614-0484
Applied Behavior Analysis Information
Optum is recruiting Board Certified Behavior Analysts (BCBA) in solo private practice and qualified agencies that provide intensive ABA services in the treatment of ASD, for our ABA provider network.
If you are a master's or doctoral level BCBA providing intensive ABA in private practice, or are employed by an ABA agency that treats ASD clients, you may qualify for this unique network.
To learn more about the process for applying to the network and the clinical protocols your participation in this network would require you to follow, please review the materials below.
Please contact our Provider Service Line at 877-614-0484 with any questions regarding your participation and group model verses facility model.
COVID-19 updates to telehealth policies for ABA services
Commercial ABA Program
- FAQ - ABA Using CPT Codes
- ABA Agency Provider Orientation
- ABA Agency Quick Reference Guide
- ABA virtual visits
Provider Express Resources & Tutorials
- Overview of online tools that improve workflow and efficiency
- How to become a registered Provider Express user (Brief video overview of obtaining your Optum ID)
- ABA online eligibility and benefit inquires (Brief how-to video overview)
- How to view ABA authorizations online (You see what we see - brief video overview)
ABA Treatment Requests
ABA Phone Review Process
ABA Assessment Portal
- Online ABA Assessment Requests - REQUIRED electronic submission
- New Mexico Electronic Assessment Requests - New Mexico Providers REQUIRED to use this request form
ABA Treatment Request Documents (forms to coordinate the approval process with an Autism Care Advocate)
- Guidelines for ABA Services Using CPT Codes
- Guidelines for Pennsylvania BHRS Services Only Using CPT Codes
- Request Form for Indiana ABA Services ONLY
- Request Form for Commercial in Indiana, New Jersey, New Mexico, Ohio, Tennessee and Washington - electronic submission
- Request Form for Commercial Arizona Fully Insured
- Arizona Standard Prior Authorization Request Form – PDF version
- If you have been directed by a letter requesting additional information by our National ABA Team click here to submit
- Request for UHSS/SUREST/NTCA providers - electronic submission
ABA Retrospective Review Process
Guidelines/Manual
- Optum ABA Policy
- Optum Network Manual (National)
ABA Agency Site Audit and Record Review Tools (sample forms that are utilized during the ABA Agency credentialing/site audit review and resource guide)
State Medicaid ABA Programs
Alaska Medicaid Autism Services
AZ AHCCCS ABA Program
CA Medi-Cal ABA Program
Hawaii QUEST ABA Program
Healthy Louisiana ABA Program
ID Medicaid Behavior Modification and Consultation Program
Indiana Medicaid ABA Program
KanCare Autism Program
Kentucky Medicaid ABA Program
MA MassHealth ABA Program
MN Medicaid EIDBI Program
MS CAN / CHIP Autism Program
NC Medicaid Research-Based Intensive Behavioral Health Treatment Program
NE Heritage Health ABA Program
New Jersey Medicaid ABA Program/Developmental Services
New York Medicaid ABA Program
OH Public Health Care Program (OHPHCP) ABA Program
Pennsylvania Chip ABA Program
TN Medicaid ABA Program
Texas Medicaid ABA Program
Virginia Medicaid MHS ABA Program
WA Medicaid ABA Program
