Medical Policy Updates

Notification of Policy Revisions Effective January 01, 2022 (Posted October 1, 2021)

Medical Policy Revision

Adaptive Behavioral Treatment for Autism Spectrum Disorders "Notification"

Statement added to Policy Guidelines section Provider Qualifications, Providers performing services within North Carolina 8) Licensed Behavior Analyst. The General Assembly of North Carolina Session 2021, Senate Bill 103, Chapter 90 of the General Statues is amended by adding a new article (Article 43. Behavior Analyst Licensure. The newly established North Carolina Behavioral Analysis Board will issue a license to engage in the practice of behavior analyst if the applicant meets the qualifications set forth by the Board in accordance with G.S. 90-726.4(a) and provides satisfactory evidence to the Board that all criteria established are met. Update to Billing/Coding/Physician Documentation Information section for the number of number of units considered medically necessary. Notification given 10/1/2021 for effective date 1/1/2022.