Molina Healthcare of Michigan

MedicaidMI

ABA billing requirements · Source: Molina Healthcare of Michigan — Provider Resources (Behavioral Health)

High confidence

Verified 2026-03-16

Authorization Requirements

Requires prior auth Yes

Initial auth duration6 months

Renewal auth duration6 months

Submission deadline14 days

Unit tracking cadenceTotal

Requires FBA Yes

Diagnostic eval validity36 months

Re-eval cadenceEvery 6 months

Documentation Requirements

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsASD diagnosis, Functional Behavior Assessment, Baseline data, Measurable goals, Intervention strategies, Caregiver training plan

Progress summary cadenceEvery 6 months

Policy Notes

Molina Healthcare of Michigan is a major Michigan Medicaid MCO. ABA prior auth required. Behavioral health managed internally. BCBA must be enrolled with Molina MI and Michigan Medicaid.

CPT & Modifier Rules

CPT rules require a free account

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

Official policy source:Molina Healthcare of Michigan — Provider Resources (Behavioral Health)

Track policy changes for Molina Healthcare of Michigan

Get instant alerts when Molina Healthcare of Michigan updates their ABA billing requirements. Watch this payor and never miss a policy change.

Watch this payor — free Browse all 192 payors

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

Inaccurate data? Sign in to submit a correction