Georgia Medicaid (DCH)

MedicaidGA

ABA billing requirements · Source: Georgia DCH Medicaid — Autism Spectrum Disorder Program

Medium confidence

Verified 2026-03-01

Authorization Requirements

Requires prior auth Yes

Initial auth durationN/A

Renewal auth durationN/A

Submission deadlineN/A

Unit tracking cadenceTotal

Requires FBA Yes

Diagnostic eval validityN/A

Re-eval cadenceN/A

State licensure requiredBCBA state licensure required via GA Board of Examiners of Psychologists

Documentation Requirements

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsBaseline data, Target behaviors, Methods

Progress summary cadenceEvery 6 months

Policy Notes

Prior authorization is required for Autism Therapy Services. Services are for individuals under the age of 21 with a documented DSM-V diagnosis of ASD. All requests may be submitted with a procedure start date up to 30 days in the future. Up to six (6) consecutive months of service may be entered on one request for treatment codes.

CPT & Modifier Rules

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View H-codes, modifiers, unit limits, and billing restrictions for Georgia Medicaid (DCH).

Official policy source:Georgia DCH Medicaid — Autism Spectrum Disorder Program

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

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