ABA billing requirements · Source: Alabama Medicaid — ABA Services Coverage
Prior authorization is required for all ABA services. Initial and renewal authorizations are for 6 months. Renewal requests must be submitted 30 days prior to expiration. Units are tracked monthly. A Functional Behavior Assessment (FBA) is required for all initial and renewal authorizations. Diagnostic evaluations are valid for 12 months. Re-evaluations are required every 6 months. Parent/guardian signatures are required on session notes. Start and stop times must be documented per session. Treatment plans must include baseline data, target behaviors, and methods. Progress summaries are required every 3 months.
View H-codes, modifiers, unit limits, and billing restrictions for Alabama Medicaid.
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Data last verified: 2026-03-01 · Confidence: High · See our methodology
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