The Federal Employee Program 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 place of service home and office.
Applied behavior analysis (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 Federal Employee Program. Applied behavior analysis (ABA) and related services for any condition other than an autism spectrum disorder are not covered under the Federal Employee Program.
Please contact the Blue Cross Blue Shield of North Dakota (BCBSND) Federal Employee Program at 1-800-548-4026 with any questions.