The Federal Employee Program (FEP) covers outpatient treatment therapies for Applied Behavior Analysis (ABA) for the treatment of an autism spectrum disorder. Prior approval is required for ABA and all related services, including assessments, evaluations - and treatments. FEP ABA services are eligible with the place of service in home or at provider's office.
ABA services and related services performed as part of an education program, or provided in or by a school educational setting, or provided as a replacement for services that are the responsibility of the education system are not covered under the FEP. ABA and related services for any condition other than an autism spectrum disorder are not covered under the FEP.
Please contact BCBS ND Federal Employee Program at 1-800-548-4026 with any questions.