AHCA Behavior Analysis
Electronic Visit Verification
Recipients & Parents/Guardians
Effective October 1, 2019, behavior analysis (BA) service claims submitted to the Florida Agency for Health Care Administration (AHCA) Medicaid program in Regions 9, 10, and 11 (Miami-Dade, Monroe, Broward, Indian River, Okeechobee, St. Lucie, Martin and Palm Beach) Counties must be submitted via the Tellus Electronic Visit Verification (EVV) Claims Console.
This change will not affect the prior authorization process for BA services.
What will change? As of October 1, 2019, your BA provider(s) will use a mobile application on a smart device or laptop as they deliver services to recipients. This mobile application automatically records and sends necessary information back to the scheduling and billing entity, who in turn, submit the claims and use the data to improve scheduling. This technology will also help identify any providers who are not delivering contracted services as approved through the prior authorization process, or according to scheduled day/times.
What you will experience during a visit:
If there are issues or visit disruptions that prevent the data from being entered at the time of the visit, the provider can complete the entry of the information later with help from a scheduler or biller.
For questions about Medicaid support of BA services or the content of those services, or if you want to find a BA services provider, please visit the resources below.
Useful links for parents and providers
Florida Association for Behavior Analysis
Behavior Analysis Certification Board
Medicaid BA policies, including prior authorization procedure
Medicaid BA service providers (download spreadsheet)