Posted in MVP (NY/VT) Insurance Payer, Training, Updates

MVP (NY): Applied Behavior Analysis update, starting 04/15/2021

As per MVP , starting 04/15/2021 they will no longer accept authorizations for ABA Services, as well as reimburse separately.

As of 04/15/2021, MVP will bundle payment for the ABA indirect services (including those ABA indirect services previously approved by MVP) should be bundled with all other assessment and treatment services and will not be reimbursed separately.

What are ABA Indirect Services?

These indirect services include the selection of treatment targets that are developed in collaboration with family members and other stakeholders, as well as the development of written protocols for treating and measuring all treatment targets.

What Code does this change apply to?

HCPCS code H0032 Please see below:

Definition w/codes
Reimbursement Policy

The MVP ABA Authorization Request form has also been updated to reflect this change. You can
locate the most up-to-date form by visiting mvphealthcare.com/providers and selecting Forms,
then Behavioral Health, then ABA Authorization Request.


Author:

My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

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