Devoted Health (Medicare Advantage)

Commercial

ABA billing requirements · Source: Devoted Health — Medicare Advantage Provider Resources

Medium confidence

Verified 2026-03-16

Authorization Requirements

Requires prior auth Yes

Initial auth duration12 months

Renewal auth duration12 months

Submission deadline14 days

Unit tracking cadenceTotal

Requires FBA Yes

Diagnostic eval validity36 months

Re-eval cadenceEvery 12 months

Documentation Requirements

Parent signatures required No

Start/stop times required Yes

Treatment plan componentsASD diagnosis (ICD-10 F84.0), Medical necessity documentation, Functional Behavior Assessment, Baseline data, Measurable goals, Intervention strategies, BCBA supervision documentation

Progress summary cadenceEvery 12 months

Policy Notes

Devoted Health is a tech-forward Medicare Advantage plan operating in FL, TX, OH, AZ, NC, TN, and other states. ABA coverage added following 2025 MPFS. Prior auth required. BCBA must be enrolled as Medicare provider AND in Devoted network.

CPT & Modifier Rules

CPT rules require a free account

View H-codes, modifiers, unit limits, and billing restrictions for Devoted Health (Medicare Advantage).

Official policy source:Devoted Health — Medicare Advantage Provider Resources

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Data last verified: 2026-03-16 · Confidence: Medium · See our methodology

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