Alabama Medicaid

MedicaidAL

ABA billing requirements · Source: Alabama Medicaid — ABA Services Coverage

High confidence
Verified 2026-03-01

Authorization Requirements

Requires prior auth Yes
Initial auth duration6 months
Renewal auth duration6 months
Submission deadline30 days
Unit tracking cadenceTotal
Requires FBA Yes
Diagnostic eval validity12 months
Re-eval cadenceEvery 6 months

Documentation Requirements

Parent signatures required Yes
Start/stop times required Yes
Treatment plan componentsBaseline data, Target behaviors, Methods, Goals, Anticipated progress, Plans for reevaluation
Progress summary cadenceEvery 3 months

Policy Notes

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.

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Data last verified: 2026-03-01 · Confidence: High · See our methodology

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