Treatment Services for Children with Autism - How to Apply

The ForwardHealth behavioral treatment benefit includes two different types of treatment: comprehensive and focused.

  • Comprehensive treatment is an early intervention treatment approach designed to address multiple aspects of development and behavior; typically, it involves higher weekly hours and longer duration.
  • Focused treatment is dedicated to addressing specific behaviors or developmental deficits; typically, it involves fewer weekly hours and shorter duration.

The ForwardHealth behavioral treatment benefit covers evidence-based treatments, including Applied Behavior Analysis and Early Start Denver Model.

In order to receive behavioral treatment, medical necessity must be determined first:

  • Medical necessity is determined by ForwardHealth through the prior authorization (PA) process.
  • The PA is requested by the behavioral treatment provider on behalf of the member.

For more information, visit the ForwardHealth page.

Last Revised: February 21, 2017