Washington Administrative Code
Title 182 - Health Care Authority
WASHINGTON APPLE HEALTH
Chapter 182-531A - Applied behavior analysis
Section 182-531A-0300 - Applied behavior analysis (ABA)-Threshold requirements
Current through Register Vol. 24-18, September 15, 2024
The medicaid agency pays for ABA services when the services are:
(1) Covered;
(2) Medically necessary;
(3) Within the scope of the eligible client's medical care program;
(4) Provided to clients who meet the criteria in WAC 182-531A-0400;
(5) Within currently accepted standards of evidence-based clinical practice;
(6) Not duplicative of ABA services paid for by other state agencies using medicaid funds;
(7) Completed in the stages described in this chapter;
(8) Provided by qualified health care professionals, as described in this chapter;
(9) Authorized, as required within this chapter, chapters 182-501 and 182-502 WAC, and the agency's Applied Behavior Analysis Provider Guide; and
(10) Billed according to this chapter, chapters 182-501 and 182-502 WAC, and the agency's Applied Behavior Analysis Provider Guide.
