Paramount Advantage (OH Medicaid)

MedicaidOH

ABA billing requirements · Source: Paramount Advantage — 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

State licensure requiredBCBA state licensure required via OH Counselor, Social Worker and Marriage & Family Therapist Board

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

Paramount Advantage (ProMedica subsidiary) is an Ohio Medicaid MCO. ABA prior auth required. Behavioral health managed through Carelon. BCBA must be enrolled with Paramount Advantage and Ohio Medicaid.

CPT & Modifier Rules

CPT rules require a free account

View H-codes, modifiers, unit limits, and billing restrictions for Paramount Advantage (OH Medicaid).

Official policy source:Paramount Advantage — Provider Resources (Behavioral Health)

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

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