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Happy mother and son successful behavioral health treatment

Behavioral Health

Welcome to our Behavioral Health section. Find resources for your practice and patients, view patient assessments for behavioral health conditions, and access important documents.

Authorizations and UR Criteria

Request policy and procedures regarding Behavioral Health authorization and utilization review.

Autism Spectrum Disorder (ASD) Services

Highmark Blue Shield of Northeastern New York complies with the New York State Autism Mandate, Affordable Care Act, and Federal Parity provisions requiring health plans to provide specific coverage for Autism Spectrum Disorders (ASD), including Applied Behavior Analysis (ABA) and Assistive Communication Devices (ACD).

Not all benefit plans cover these services. Verification of benefits is necessary. To determine if ASD services are covered, call the provider service phone number on the back of your patient’s ID card.

Applied behavior analysis and assistive communication devices require preauthorization and medical necessity review.