Medical Assistance ABA through IBHS
IBHS has three categories: individual services, ABA, and group services. ABA needs a written order from a licensed physician, licensed psychologist, certified registered nurse practitioner or similar prescriber. The order follows a face-to-face visit, lists a DSM or ICD diagnosis, sets maximum monthly hours and must be written within 12 months before ABA starts. Your county BH-MCO then authorizes services from an IBHS agency in its network. If a request stalls, DHS lists a help line for ABA problems the BH-MCO and county have not resolved.
- Philadelphia: Community Behavioral Health.
- Bucks, Montgomery, Lehigh, Northampton, Bedford, Cambria and Somerset: Magellan Behavioral Health of Pennsylvania.
- Dauphin, Lancaster, Cumberland, Lebanon, Franklin, Fulton and Perry: PerformCare.
- Allegheny, Erie, Delaware, Chester, York, Berks, Lackawanna and Luzerne, plus most other counties: Community Care Behavioral Health. Eleven western counties, including Butler, Washington and Westmoreland, use Carelon Health of PA.