UM Guidelines
Applied Behavioral Analysis - For BlueCare Use Only

Line of Business Specific Guidelines - Behavioral Health
BCBST last reviewed June 13, 2024*

 

Changed Clinical Indications to include the following:
   
  Applied behavioral analysis (ABA) treatment is appropriate in the treatment of autism spectrum disorders (ASDs), [intellectual disability disorder (IDD), and traumatic brain injury (TBI)]* as indicated by...:
  • Patient has diagnosis of ASD, [IDD and/or TBI]* and ...

Applies to BlueCare Only.

References

  1. Tennessee Code: Title 56 Insurance: Chapter 7 Policies and Policyholders: Part 23 Mandated Insurer or Plan Options: 56-7-2367. Autism spectrum disorders. Retrieved September 22, 2016 from https://web.lexisnexis.com.