Please see the below link to access the ABA form that supports the information required to process prior authorizations for ABA (Applied Behavior Analysis) services.
ABA Form
Forfolks that do not have an electronic medical records system or if the system is not compatible with @YourService to attach this information, please see the below link to connect to the tutorial regarding how to use the Health Plans fax coversheet technology.
Fax Coversheet Tutorial
If you have questions, please call the Provider Services department at (702) 242-7088 or (800) 745-7065.
Thank you,
HPN/SHL Provider Services