Send completed forms to the member's plan-specific fax number or email address shown below.

ABA Initial Authorization 

ABA Treatment Plan/Concurrent Review

Texas-specific ABA Treatment Plan/Concurrent Review (commercial plans)

Checklist for completing the ABA Treatment Plan/Concurrent Review

Texas Medicaid ABA Initial Authorization Form

Texas Medicaid 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

Magellan bases authorization on a thorough assessment of the member's unique needs. We seek the least intruisive treatment, most appropriate treatment that may be administers in a timly and efficient manner.

How to know if authorization is required

You'll know that a member's service requires authorization when you check the member's eligibility. If you are uncertain, please verify by contacting us via the phone number on the back of the member's benefit card.

Pre-Authorization is typically required for facility and non-routine outpatient services. Examples of these types of services are:

• transcranial magnetic stimulation,

• psychological testing,

• residential treatment,

• partial hospitalization and intensive outpatient

If your authorization is required, then sign in and navigate to Request Member Care.

When authorization is not required

Most routine, outpatient visits do not require pre-authorization or concurrent review. If authorization is not needed, then you only need to file the claim. Magellan may call or email to followup.