Horizon BCBS NJ

CommercialNJ

ABA billing requirements · Source: Horizon BCBS NJ Provider Manual — Behavioral Health

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 validity36 months

Re-eval cadenceEvery 12 months

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsDiagnosis, Baseline, Goals, Methods

Progress summary cadenceEvery 6 months

NJ autism mandate provides strong coverage. Behavioral health managed through Horizon Behavioral Health. BCBA required.

CPT rules require a free account

View H-codes, modifiers, unit limits, and billing restrictions for Horizon BCBS NJ.

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