Medical record documentation requirements for ABA services are updated

We updated the medical record documentation requirements for applied behavior analysis services to clarify documentation requirements for services involving tutors and technicians.

These guidelines apply to services for Blue Cross' PPO (commercial) and BCN HMOSM (commercial) members.

You can view the guidelines on this website by clicking BCN or Blue Cross and then clicking Behavioral Health. Finally, click the Documentation requirements for applied behavior analysis services link.

You can also view the guidelines within Provider Secured Services. Here's how:

  1. Visit bcbsm.com/providers.
  2. Click Login and log in to Provider Secured Services.
  3. Click web-DENIS.

To access the guidelines through BCBSM Provider Publications and Resources:

  1. Click BCBSM Provider Publications and Resources.
  2. Click Newsletters & Resources.
  3. Click Clinical Criteria & Resources.
  4. Click Autism under the Resources heading.
  5. Click Documentation requirements for applied behavior analysis services.

To access the guidelines through BCN Provider Publications and Resources:

  1. Click BCN Provider Publications and Resources.
  2. Click Autism.
  3. Click Documentation requirements for applied behavior analysis services.

Posted: August 2019
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network