Medi-Cal members can access Applied Behavior Analysis (ABA) services through the Behavioral Health Treatment (BHT) Benefit.
Who Qualifies?
Medi-Cal covers all medically necessary behavioral health treatment (BHT), including ABA, for eligible beneficiaries. Children who have been recommended for ABA by a physician or psychologist can access services, with or without an Autism Spectrum Disorder (ASD) diagnosis.
Access Within Weeks
Through the BHT Benefit, CAC can provide access to ABA services within weeks, not months.
Comprehensive Services
Availability for children ages 5 or younger with availability Monday through Friday.
Accessing BHT Services
Referral From Physician
Step 1: Licensed physician determines that child would benefit from ABA services
Step 2: Physician submits referral through Medi-Cal
Step 3: Physician includes information necessitating BHT (ex. direct observation, parent concerns)
Step 4: Physician may include a note requesting to send an FBA authorization to CAC
Referral From CAC Psychologist
Step 1: CAC’s Family Liaison will schedule client for a visit with our Clinical Psychologist to determine if the child would benefit from ABA services
Step 2: If appropriate, CAC will request an authorization to conduct an FBA through Medi-Cal
Step 3: BCBA will conduct an FBA with the client to determine the appropriate treatment program and number of hours
