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Horizon Behavioral Health

PDF  Applied Behavior Analysis (ABA) Authorization Request

Behavioral Health providers may use this form for both initial and concurrent requests for authorization of ABA services. ID: 40001

PDF  Applied Behavior Analysis (ABA) Service Area Information

Other Healthcare Professionals who provide ABA services should complete this form to help us understand the counties in which center-based and/or in-home ABA services can be provided. This information will help us provide accurate referrals for ABA services to our members in their preferred setting and geographic area. ID: 40096

PDF  Continuity of Practitioner Care

Behavioral Health providers may use this form to request continuity of practitioner care for patients enrolled in Horizon BCBSNJ plans.ID: H3154_6049

PDF  Psychological And Neuropsychological Assessment Supplemental Form

Behavioral Health providers may use this form to submit information to us pertaining to the assessment of patients. ID: 40002