WAC 182-531A-0300. Applied behavior analysis (ABA) — Threshold requirements

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 .