Behavioral Health Treatment ABA Provider Resources

Behavioral Health Treatment (BHT) are behavioral interventions and include modalities services such as Applied Behavior Analysis (ABA).  

CenCal Health provides coverage of all medically necessary BHT services for eligible beneficiaries under 21 years of age for which a licensed physician, surgeon, or psychologist deems that BHT services are medically necessary.

Templates:

• Behavioral Health (ABA) Treatment Provider Overview, Authorizations & Claims Training Video (Presentation Slides)
• Functional Behavioral Assessment Report (Intervention Plan) PDF Fillable Form
  
• Functional Behavioral Assessment Report (Intervention Plan) Word Doc. Form
• Behavioral Health Treatment Progress Report (6-Month Report/Exit Report) PDF Fillable Form
• Behavioral Health Treatment Progress Report (6-Month Report/Exit Report) Word Doc. Form
  
• Behavioral Health Treatment (BHT) Social Skills Assessment Report 
• ABA Service Hour Log

Resources:

• How to Submit These Forms to CenCal Health
• Behavioral Health (ABA) Provider Portal Claims Entry Quick Reference Guide

Authorizations:

• ABA Referral Form
• Behavioral Health Treatment (ABA & Mental Health Authorization Form)

For more details or to consult with the Behavioral Health Department, please call (805) 562-1600