Viva Health (AL)

CommercialAL

ABA billing requirements · Source: Viva Health — Provider Resources

Medium confidence

Verified 2026-03-01

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 12 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

Progress summary cadenceEvery 6 months

Policy Notes

Viva Health is a UAB Health System commercial plan serving Alabama. ABA prior auth required. Behavioral health managed through Carelon. BCBA must be enrolled with Viva Health. Primarily serves central Alabama (Birmingham metro). Telehealth ABA covered.

CPT & Modifier Rules

CPT rules require a free account

View H-codes, modifiers, unit limits, and billing restrictions for Viva Health (AL).

Official policy source:Viva Health — Provider Resources

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

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