Transition of ABA Services to Behavioral Health Platform - Billing Tip Sheet

Sep 17, 2026

Upload by Eliana

This document serves as an essential billing tip sheet regarding the transition of Applied Behavioral Analysis (ABA) services to the Behavioral Health (BH) platform for NH Healthy Families and Ambetter from NH Healthy Families, effective June 1, 2024. It provides critical guidance on updated Payer IDs for claims processing, instructions for handling overlapping service dates, and procedures for submitting prior authorization requests. Additionally, the guide outlines the specific provider enrollment forms required for both Medicaid and Marketplace plans, ensuring that all providers can navigate the administrative changes efficiently. The information provided is designed to streamline the transition process, minimize billing errors for service dates on or after the effective date, and clarify the operational requirements for new and existing provider authorizations within the new behavioral health framework.

LanguageEnglish

CategoryLetters

FormatPDF

Pages1

AccessFree to download

Billing and Payer Information

Prior Authorization Process

Submission Types

Authorization Conversion

Provider Enrollment

FAQs

What changes are happening to ABA services billing on June 1, 2024?

Effective June 1, 2024, Applied Behavioral Analysis (ABA) services will be adjudicated under the Behavioral Health (BH) billing platform for both NH Healthy Families and Ambetter from NH Healthy Families.

How should claims with service dates spanning across June 1, 2024, be handled?

Claims with overlapping service dates must be billed separately. Services prior to June 1, 2024, are billed to the medical platform, while services on or after June 1, 2024, must be billed to the BH platform.

Do existing prior authorizations need to be resubmitted after the transition?

No, existing authorizations will be automatically converted to the appropriate platform to match the new billing requirements and do not require re-authorization.

Sep 17, 2026

Upload by Eliana