Forms & publications

Notice: If you are looking for Apple Health (Medicaid) client forms and publications, please visit our Free or low-cost forms library.

Applied Behavior Analysis (ABA) attestation

13-0008

Attestation for Applied Behavior Analysis (ABA).

Form

Applied Behavior Analysis (ABA) day program capacity attestation

13-0007

Attestation for Applied Behavior Analysis (ABA) day program capacity.

Form

Applied Behavior Analysis (ABA) level of support requirement

12-411

Use this form to request authorization. A copy of the COE evaluation, the prescription for ABA services, the Board Certified Applied Behavior Analyst’s (BCABA) assessment with the functional analysis, and the BCBA’s treatment plan must be attached to this request.

Form

Applied Behavioral Analysis (ABA) Billing Guide (2017-10-01)

Provider billing guide

Applied Behavioral Analysis (ABA) Billing Guide (2018-01-01)

Provider billing guide

Applied Behavioral Analysis (ABA) Billing Guide (2018-07-03)

Provider billing guide

Applied Behavioral Analysis (ABA) Billing Guide (2019-01-01)

Provider billing guide

Applied Behavioral Analysis (ABA) Program Billing Guide (2015-04-01)

Instructions for billing for services provided to Washington Apple Health clients.

Provider billing guide

Applied Behavioral Analysis (ABA) Program Billing Guide (2015-07-01)

Instructions for billing for services provided to Washington Apple Health clients.

Provider billing guide

Applied Behavioral Analysis (ABA) Program Billing Guide (2016-01-01)

Instructions for billing for services provided to Washington Apple Health clients.

Provider billing guide

Pages