Humana

Commercial

ABA billing requirements · Source: Humana Clinical Guidelines — Behavioral Health ABA

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 data, Goals, Methods, Parent training

Progress summary cadenceEvery 6 months

ABA covered under behavioral health benefit. BCBA required. Treatment plan must be submitted with initial auth request.

CPT rules require a free account

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