Blue Cross Blue Shield of Alabama

CommercialAL

ABA billing requirements · Source: Blue Cross Blue Shield of Alabama — Medical Policies (ABA)

High confidence

Verified 2026-03-01

Authorization Requirements

Requires prior auth Yes

Initial auth duration6 months

Renewal auth duration6 months

Submission deadline14 days

Unit tracking cadenceTotal

Requires FBA Yes

Diagnostic eval validity36 months

Re-eval cadenceEvery 12 months

Documentation Requirements

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsASD diagnosis, Functional Behavior Assessment, Baseline data, Measurable goals, Intervention strategies, Parent training plan

Progress summary cadenceEvery 6 months

Policy Notes

BCBS Alabama is an independent BCBS licensee covering ~3M Alabamians. ABA prior auth required. Behavioral health managed through Carelon (Beacon). BCBA must be enrolled with BCBS AL. Also covers ALL Kids (CHIP). Note: distinct from Anthem BCBS national.

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View H-codes, modifiers, unit limits, and billing restrictions for Blue Cross Blue Shield of Alabama.

Official policy source:Blue Cross Blue Shield of Alabama — Medical Policies (ABA)

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

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