Autism Services - Provider Portal
What’s on this page
Autism Services
What’s on this page
Providing Care for ASD
With the identification of children with autism spectrum disorders (ASD) increasing dramatically nationwide, coverage and services are expanding. Magellan offers the resources below to help you serve children and adults with autism as well as support their families and caregivers.
- ABA Provider Orientation (PDF)
- Behavior Analyst Network Criteria (PDF)
- ABA Medical Necessity Criteria -- found within the Magellan Care Guidelines
- Clinical Practice Guidelines
Some states or plans, such as Pennsylvania and Texas Medicaid, may have specific credentialing criteria or additional regional requirements. Please consult your local network representative if you have questions.
Send completed forms to the member's plan-specific fax number or email address shown below.
ABA Treatment Plan/Concurrent Review
Texas-specific ABA Treatment Plan/Concurrent Review (commercial plans)
Checklist for completing the ABA Treatment Plan/Concurrent Review
Plan-specific fax numbers/email addresses for ABA support teams
Health Plans
Advocate Physicians Partners (APP) |
1-888-656-5409 |
AmeriHealth NJ |
1-888-656-4925 |
Blue Cross and Blue Shield of Texas (BCBSTX) |
1-888-656-4959 |
Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid |
1-888-656-0266 |
Blue Shield of California (BSC) |
BSCABARequest@MagellanHealth.com When sending records via email, ensure your message is encrypted. |
Dell Children's Health Plan |
1-888-656-0266 |
Health Plan of San Mateo (HPSM) |
1-888-656-3847 |
Independence Blue Cross (IBC) |
1-888-656-4925 |
Presbyterian Health Plan (PHP) Centennial Care |
1-505-843-3019 |
Presbyterian Health Plan (PHP) Commercial |
1-888-656-4942 |
Superior Texas Medicaid |
1-888-656-0368 |
US Family Health Plan - St Vincent’s (Tricare) |
1-888-656-4219 |
Employer Plans
Lowe’s |
1-888-656-4219 |
Michelin North America |
1-888-656-4219 |
State of Illinois |
1-888-656-4219 |
Yale Health Plan |
1-888-656-4219 |
HonorHealth |
1-888-656-4219 |
Family Medical Care Plan |
1-888-656-4219 |
Audit Tools
Forms
Send completed forms to the member's plan-specific fax number or email address shown below.
Plan-Specific Contacts for ABA Support Teams
Health Plans
Advocate Physicians Partners (APP) |
1-888-656-5409 |
AmeriHealth NJ |
1-888-656-4925 |
Blue Cross and Blue Shield of Texas (BCBSTX) |
1-888-656-4959 |
Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid |
1-888-656-0266 |
Blue Shield of California (BSC) |
BSCABARequest@MagellanHealth.com When sending records via email, ensure your message is encrypted. |
Dell Children's Health Plan |
1-888-656-0266 |
Health Plan of San Mateo (HPSM) |
1-888-656-3847 |
Independence Blue Cross (IBC) |
1-888-656-4925 |
Presbyterian Health Plan (PHP) Centennial Care |
1-505-843-3019 |
Presbyterian Health Plan (PHP) Commercial |
1-888-656-4942 |
Superior Texas Medicaid |
1-888-656-0368 |
US Family Health Plan - St Vincent’s (Tricare) |
1-888-656-4219 |
Employer Plans
Lowe’s |
1-888-656-4219 |
Michelin North America |
1-888-656-4219 |
State of Illinois |
1-888-656-4219 |
Yale Health Plan |
1-888-656-4219 |
HonorHealth |
1-888-656-4219 |
Family Medical Care Plan |
1-888-656-4219 |
Practice Guidelines
You’re there for your patients. We're here for you.
Lorem Ipsom
Audit Tools
Joining our Network
- Professional Provider Selection Criteria
- Credentialing Process
- Network Provider Agreement Exhibits
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