Provider Manual & Forms
- ABA Provider Manual (updated 7/1/24)
- ABA Independent Learning Guide
- ABA Medical Necessity Criteria
- ABA Description of Services
Provider Forms
- Critical Incident Report Form
- Continuity of Care: Initial Assessment Request Form
- Maryland Medicaid Code Description
- Clinical Confirmation of Continued Autism Spectrum Disorder Diagnosis (pdf) (Updated 2024)
- Parent/Caregiver Document Checklist (English) (pdf)
- Treatment Plan Requirements
- Optum Maryland Medicaid ABA Treatment Plan Template