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PDFWAC 182-531A-1000

Applied behavior analysis (ABA)Noncovered services.

The medicaid agency does not cover certain services under the applied behavior analysis (ABA) program include, but are not limited to:
(1) Autism camps;
(2) Dolphin therapy;
(3) Equine therapy or hippo therapy;
(4) Primarily educational services;
(5) Recreational therapy;
(6) Respite care;
(7) Safety monitoring services;
(8) School-based health care services or early intervention program-based services under WAC 182-531A-0600 (3)(b)(iii), unless prior authorized;
(9) Vocational rehabilitation;
(10) Life coaching; and
(11) Treatment that is unproven or investigational (for example, holding therapy, Higashi (day life therapy), auditory integration therapy).
[Statutory Authority: RCW 41.05.021, 41.05.160. WSR 15-19-121, § 182-531A-1000, filed 9/21/15, effective 10/22/15; WSR 14-24-083, § 182-531A-1000, filed 12/1/14, effective 1/1/15.]
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