Molina Healthcare

Medicaid

ABA billing requirements · Source: Molina Healthcare — ABA Provider UM Guide

High confidence

Verified 2026-03-01

Authorization Requirements

Requires prior auth Yes

Initial auth duration6 months

Renewal auth durationN/A

Submission deadlineN/A

Unit tracking cadenceTotal

Requires FBA Yes

Diagnostic eval validity2 months

Re-eval cadenceEvery 6 months

Documentation Requirements

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsFamily or caregiver education, support, and training, Objective, baseline measurement levels for each target behavior/symptom, Treatment goals and objective measures of progress

Progress summary cadenceEvery 6 months

Policy Notes

Initial authorization period is 6 months. Recertification requires an updated assessment and demonstration of caregiver engagement. Treatment plans must include family/caregiver education, baseline data, and measurable goals.

CPT & Modifier Rules

CPT rules require a free account

View H-codes, modifiers, unit limits, and billing restrictions for Molina Healthcare.

Official policy source:Molina Healthcare — ABA Provider UM Guide

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

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