---
title: Aetna Better Health of Oklahoma ABA coverage (SoonerSelect).
url: "https://carelu.com/payers/aetna-better-health-oklahoma"
markdown_url: "https://carelu.com/payers/aetna-better-health-oklahoma.md"
state: OK (Oklahoma)
payer: Aetna Better Health of Oklahoma
kind: Medicaid managed care plan (MCO)
parent_program: Oklahoma Medicaid (SoonerCare / SoonerSelect) - Oklahoma Health Care Authority
description: "How Aetna Better Health of Oklahoma handles SoonerCare ABA as a SoonerSelect plan: the OHCA rules it delivers, its behavioral health PA form with an ABA section, the PA fax and phone lines, state decision deadlines, claim filing and payment deadlines, and what to confirm because the PA code list sits behind the plan’s portal."
last_reviewed: October 2026
---

# Aetna Better Health of Oklahoma ABA coverage (SoonerSelect).

_Payer Guide · Aetna Better Health of Oklahoma · Last updated October 2026 · 12 primary sources_

> SoonerSelect MCO. Delivers the SoonerCare ABA benefit; its August 2026 manual adds ABA parameters: 10% case supervision, 97153 up to 6 hrs/day or 30 hrs/week, 97151-TS reassessment.

Aetna Better Health of Oklahoma is one of the three SoonerSelect health plans, and OHCA says all three "cover all services that SoonerCare fee-for-service covers," so OHCA’s Part 30 rules define the ABA benefit. The plan’s August 2026 provider manual (readable through a text-extraction proxy; the site still refuses direct requests) adds its own ABA parameters: 24 units for the initial 97151 assessment, 16 units every six months for a 97151-TS reassessment, 97153 up to 6 hours a day or 30 a week, 97156 up to 2 hours a week, and case supervision of at least 10% of direct treatment hours. Its behavioral health prior authorization form does carry an ABA section. Treat the state rules as the benefit and confirm Aetna Better Health’s current PA list and supervision expectations by phone before the first request.

This plan administers the **Oklahoma Medicaid (SoonerCare / SoonerSelect) - Oklahoma Health Care Authority** ABA benefit: the state rules are the floor, and this page covers what the plan layers on top. Read it together with the [Oklahoma Medicaid (SoonerCare / SoonerSelect) - Oklahoma Health Care Authority guide](https://carelu.com/payers/oklahoma-medicaid).

## Prior authorization and diagnosis at a glance

- **Prior auth for the assessment:** Not published / unverified. Verify via: ProPAT (Aetna Better Health of Oklahoma PA lookup) or provider services at 844-365-4385: enter 97151, 97153, 97155 and 97156. [17][6]
- **Prior auth for treatment**: Required — the plan’s Behavioral Health Prior Authorization Request (OK-23-08-01) has an "APPLIED BEHAVIOR ANALYSIS (ABA)" section for initial and concurrent requests, faxed to 833-923-0829; OHCA’s 1–6 month authorizations and seven-day extension window are the state floor. [1][6][7]
- **Autism diagnosis required?**: Yes — the SoonerCare rule: a definitive ASD diagnosis from a discipline OAC 317:30-5-313 names, evaluation no older than two years at the start of ABA. The plan’s August 2026 manual, read in full, adds no ABA diagnostic criteria of its own; it says behavioral health coverage for members under 21 "applies to children diagnosed with autism spectrum disorder." [5][9]

## At a glance

- **Plan type:** SoonerSelect health plan (Aetna Better Health)
- **Clinical rules:** SoonerCare benefit — OHCA ABA rules at OAC 317:30-5-310 to -318; no plan ABA policy found
- **Billable codes:** 97151, 97153, 97155, 97156 per OHCA — confirm the plan’s PA list in ProPAT
- **ABA request:** Behavioral Health PA Request form (OK-23-08-01), ABA section 6; fax 833-923-0829, phone 844-365-4385
- **Fee schedule:** Contracted; state law (56 O.S. § 4002.12) requires at least 100% of the OHCA fee schedule for in-network providers
- **Case supervision:** At least 10% of direct treatment hours (August 2026 manual, citing CASP)
- **Decision clock:** 7 calendar days standard, 72 hours urgent (August 2026 manual; 56 O.S. § 4002.6)
- **Other insurance:** August 2026 manual: no plan PA needed when a primary insurer covers the service
- **Timely filing:** 6 months from the date of service; resubmissions within a further 6 months (August 2026 manual; OAC 317:55-5-25)

## The state benefit is the benefit

For an Aetna Better Health member, build the ABA request to OHCA’s rules: a definitive ASD diagnosis from a discipline OAC 317:30-5-313 names and no more than two years old, disruptive behaviour documented within the last 30 days, the intensity tier that decides whether an FBA or BIP is needed, one-to-six-month authorizations, the three-month limit on approved school or daycare ABA, no ABA billed concurrently with other therapies, and the extension rules with their seven-day window and parent-training thresholds. The plan’s August 2026 manual, read in full, says only that behavioral health coverage for members under 21 "applies to children diagnosed with autism spectrum disorder" and that "There are no treatment limitations for behavioral health services for members under 21 years of age," plus the ABA parameters described above. [4][5][6][7][9]

## Submitting requests, and what the plan has not published

The plan’s Behavioral Health Prior Authorization Request (OK-23-08-01) has an "APPLIED BEHAVIOR ANALYSIS (ABA)" service type and a dedicated ABA section for initial and concurrent requests, faxed to 833-923-0829 (phone 844-365-4385). The August 2026 manual points to the secure portal and ProPAT for the list of services needing PA ("Unauthorized services will not be reimbursed"), and decides standard requests within seven calendar days and urgent ones within 72 hours, matching 56 O.S. § 4002.6 and the plan’s 2025 metrics report. We could not read the ProPAT code list or an Oklahoma ABA clinical policy, and found no 2026 supervision or reassessment notice like those the other two plans issued; the manual’s own ABA parameters (10% case supervision, 97151-TS reassessment) are the closest equivalent. Ask about the PA code list on the first call. [1][9][2][8]

## Switching agencies, the payment floor, and joining the network

Follows the SoonerCare rule — the plan’s August 2026 manual sets no separate rule for changing ABA agencies: under OAC 317:30-5-313, “If a member changes agencies, the comprehensive diagnostic evaluation or clinical assessment will be required during the initial authorization period,” and an OHCA discharge notification form is filed when “the member has moved to a new provider.” For members moving into the plan, the manual refers to its “requirement to honor existing prior authorizations for a minimum of one hundred twenty (120) days.” [9][5][10][11]

56 O.S. § 4002.12 sets a floor on what SoonerSelect plans pay: at least 100% of the OHCA fee schedule rate for a participating, in-network provider, and 90% of the OHCA rate as of January 1, 2021 for an out-of-network provider. The version in force through October 31, 2026 runs that floor “Until July 1, 2027”; HB 3650 (Laws 2026, c. 310), effective November 1, 2026, extends it to July 1, 2028. Credentialing is shared across the three plans: the manual says that since July 1, 2025 every provider in a SoonerSelect plan must be credentialed, that applications go once through the Availity portal “for access by all SoonerSelect health plans,” that BCBAs and BCaBAs are among the practitioner types credentialed, and that credentialing is “completely processed within 60 calendar days of receipt of a completed credentialing application.” Whether the plan is adding ABA providers is a question for provider services. [9][5][10][11]

## Claims: filing deadline, payment clock, required fields and disputes

The plan’s August 2026 manual: new claims "must be filed on a valid claim form within six (6) months from the date services were performed unless there is a contractual exception," and resubmissions are due "within an additional six (6) months from the date of service." Its prompt-pay standard is the state’s: "Ninety percent (90%) of all clean claims must be paid within fourteen (14) days of the date of receipt," and 99% within 90 days. OAC 317:55-5-25 and 56 O.S. § 4002.7 set the same 14-day floor for every SoonerSelect plan, with 1.5% monthly interest on late clean claims. [9][13][14]

Both the billing and the rendering provider sections of the claim need the NPI (or the SoonerSelect provider number for atypical providers) and the taxonomy code. Payment disputes run in two steps: a reconsideration "within 30 calendar days" of the plan’s remittance advice, then a written appeal within 30 calendar days of the reconsideration decision letter, sent through the portal, to PO Box 81040, Cleveland, OH 44181, to OKAppealAndGrievance@Aetna.com or by fax to 833-805-3310. The manual scopes electronic visit verification to "State Plan Personal Care and home health services"; it does not list ABA. [9][13][14]

## Intake gates

The questions that decide whether a family can start with Aetna Better Health of Oklahoma, and what they have to bring.

- **Age limit**: Follows the SoonerCare rule — the plan’s August 2026 provider manual, read in full on 10/7/2026, sets no ABA rule of its own on this point: Under 21. OAC 317:30-5-313 requires that "The member is under twenty-one (21) years of age," and OHCA provides ABA "under the EPSDT benefit" (OAC 317:30-3-65.12). No lower age bound is set. (OHCA’s provider application page words it as "ages 21 and younger"; the rule text says under 21.) [9][5][21][20]
- **Diagnosis recency**: Follows the SoonerCare rule — the plan’s August 2026 provider manual, read in full on 10/7/2026, sets no ABA rule of its own on this point: The comprehensive diagnostic evaluation or clinical assessment "will only need to be completed at the first initiation of ABA services and should be no older than two (2) years old." No annual or biannual update is required, but OHCA may ask for one if diagnosis and recommendations are unclear or there are significant medical or behavioral changes, and a member who changes agencies must supply the evaluation during the initial authorization period. Separately, disruptive behaviour must be documented within the most recent 30 calendar days. [9][5]
- **Who may diagnose**: Follows the SoonerCare rule — the plan’s August 2026 provider manual, read in full on 10/7/2026, sets no ABA rule of its own on this point: A definitive ASD diagnosis from one of: pediatric neurologist or neurologist; developmental pediatrician; licensed psychologist; psychiatrist or neuropsychiatrist; other licensed physician experienced in the diagnosis and treatment of ASD; or an interdisciplinary team of a licensed psychologist, physician, physician assistant or APRN. The provider must be in Oklahoma or within 50 miles of the border (OAC 317:30-3-89 through 92); out-of-state evaluations are accepted only if they meet the documentation standard and come from one of these disciplines. [9][5]
- **Diagnostic tools required**: Follows the SoonerCare rule — the plan’s August 2026 provider manual, read in full on 10/7/2026, sets no ABA rule of its own on this point: No single instrument is mandatory. The evaluation must include a complete medical and social history and be "based on criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM)", and "may also include scores" from formal tests such as the ADI-R, ADOS-2 or CARS "or other tools with acceptable psychometric properties." "Screening scales are not sufficient to make a diagnosis and will not be accepted as the only formal scale." For the ABA clinical assessment itself, OHCA cites validated measures such as the Vineland, and accepts supporting assessments such as the ABLLS-R, AEPS and VB-MAPP with the PA request. [9][5][16][6]
- **Referral required?**: No referral needed. The plan’s August 2026 provider manual: "Aetna Better Health does not require referrals from PCP or treating providers," and "Members have direct access to behavioral health care" (self-referred services must come from an in-network provider). OHCA’s ABA rules require no physician referral or order either: the gate is the definitive diagnosis plus prior authorization submitted by the contracted ABA provider "to the Oklahoma Health Care Authority (OHCA) or its designated agent." [9][6][5][3]
- **Telehealth**: Follows the SoonerCare rule — the plan’s August 2026 provider manual, read in full on 10/7/2026, sets no ABA rule of its own on this point: Allowed with justification. "ABA treatment may be rendered via in-person service delivery, telehealth, or a hybrid," the modality must be defined in the PA template and treatment plan, and the provider must explain how telehealth benefits the member and parents. OHCA’s list of medical codes allowed for telehealth (updated 8/10/2026) includes 97151, 97155 and 97156 but not 97153, so technician-delivered treatment is in person. Telehealth claims carry the appropriate modifier (OHCA’s rules do not name one), minors need annual written parent consent, and documentation must show the service was delivered by telehealth and where. The plan’s manual adds only generic telehealth terms: telehealth is reimbursed "at the same rate as a standard office visit if the service is the same, regardless of modality of delivery," the provider must keep documentation of verbal or written consent, and must assess whether the telehealth modality suits the patient’s acuity. [9][6][18][19][22]
- **Prior-auth decision time**: The August 2026 manual: standard requests are decided "in a timeframe not to exceed seven (7) calendar days following receipt of the request for service," and urgent ones within 72 hours, "in accordance with Oklahoma Statute Title 56 § 4002.6." A non-urgent decision can be extended by up to 7 more days to obtain necessary information; urgent requests can no longer be extended. State law also deems a service authorized if a complete portal request is not decided in time, and 42 CFR 438.210(d) caps standard decisions at 7 calendar days from January 2026. Extensions of ABA authorizations follow OHCA’s seven-day window. [9][8][23]
- **Other insurance (who pays first)**: Medicaid pays last, so bill the primary carrier first and include its EOB. The plan’s August 2026 manual: "If other insurance is the primary payer before Aetna Better Health, prior authorization of a service is not required, unless it is known that the service provided is not covered by the primary payer. If the service is not covered by the primary payer, the provider must follow our prior authorization rules." OHCA’s rule adds that the state’s authorization meets the primary insurer’s PA requirement. [9][24]

## Delivery and billing rules

Coverage decides whether Aetna Better Health of Oklahoma pays. These decide whether the claim survives: staffing and supervision, concurrent billing, per-day ceilings, who signs the note, where the service is payable, and whose NPI the claim goes out under.

- **Supervision**: Aetna Better Health of Oklahoma’s August 2026 provider manual lists for ABA: "Required case supervision minimum 10% of direct treatment hours, consistent with Council of Autism Service Providers (CASP) guidance" — double the SoonerCare floor, under which RBTs "must obtain ongoing supervision for a minimum of five percent (5%) of the hours they spend providing behavioral-analytic services each calendar month" and practise "under the close and ongoing supervision of a BCBA." OHCA’s conditions for billing RBT and supervision time concurrently still apply. [9][15][6]
- **Concurrent billing (97153 + 97155)**: Follows the SoonerCare rule — the plan’s August 2026 provider manual, read in full on 10/7/2026, sets no ABA rule of its own on this point: Allowed, with conditions. "Providers may only concurrently bill RBT and supervision hours when the following criteria is outlined in the prior authorization request," and the BCBA or licensed psychologist must have directed the RBT in session. "ABA is not allowed to be billed concurrently during any other therapies (i.e., OT, PT speech, etc.)," and "ABA hours approved for one CPT code cannot be used in place of another." [9][6]
- **Daily limits / MUEs**: The plan’s August 2026 manual sets "standard parameters" for ABA: initial assessment (97151) 24 units (6 hours) per assessment; reassessment (97151 with modifier TS) 16 units (4 hours) every 6 months; adaptive behavior treatment by protocol (97153) "6 hours per day or 30 hours per week"; and family guidance (97156) up to 2 hours per week. Under the SoonerCare rule, units are authorized for 1–6 months against OHCA’s intensity guidelines, and anything above them goes to physician and BCBA consultant review. [9][5][6]
- **Session-note signature**: Follows the SoonerCare rule — the plan’s August 2026 provider manual, read in full on 10/7/2026, sets no ABA rule of its own on this point: Every assessment and treatment service must record the date, start and stop time for each session or unit billed, the physical location, the "Signature of the provider(s) rendering services" and their credentials, goals addressed, methods, progress, the member’s response and any new problems. Treatment plans and updates are "not valid until all signatures are present": the supervising BCBA or licensed psychologist, a parent or legal guardian, and any minor aged 14 or older, each dated with month, day and year. [9][16]
- **Place of service**: Follows the SoonerCare rule — the plan’s August 2026 provider manual, read in full on 10/7/2026, sets no ABA rule of its own on this point: Home, community or clinic ("ABA may be provided in a variety of settings, including home, community, or clinical"). "ABA services are not allowed in a daycare setting or school setting, without OHCA approval. If approved, it will be time-limited to three (3) months or less," with a plan to fade support to school staff; private-school transitions are also capped at three months. School or daycare shadowing and aide work is excluded. Telehealth is allowed if justified in the PA (97151, 97155, 97156 on OHCA’s telehealth code list). [9][17][6][18]
- **Bill as provider**: Follows the SoonerCare rule — the plan’s August 2026 provider manual, read in full on 10/7/2026, sets no ABA rule of its own on this point: Payment goes to the contracted, licensed provider, not the supervisee: "Payment is not made to under supervision ABA practitioners/paraprofessionals, including but not limited to, BCaBAs and RBTs," and OHCA’s provider page says payment for a BCaBA or other supervised practitioner "may only be made to his or her supervisor, or the employing agency or corporate entity." The RBT "works under the license number of a BCBA." Every staff member must still be individually contracted with OHCA, and the rule adds that "All ABA services should be billed under the rendering provider that performed the services." Telehealth services take the appropriate modifier. On the plan’s own claims, its manual requires the NPI (or SoonerSelect provider number for atypical providers) and the taxonomy code in both the billing and the rendering provider sections. [9][19][20][15][6]

## What intake should collect for Aetna Better Health of Oklahoma

- **Plan assignment:** Confirm Aetna Better Health of Oklahoma on the member ID card or through the OHCA Provider Helpline (800-522-0114, option 1). ABD and waiver children stay in fee-for-service.
- **Diagnosis report, date and diagnostician:** A definitive ASD diagnosis from a discipline OAC 317:30-5-313 names, in Oklahoma or within 50 miles, no older than two years at the start of ABA.
- **Behaviour from the last 30 days:** Required by the state medical-necessity rule the plan applies.
- **Current authorization end date:** The OHCA seven-day extension window applies to plan members too.
- **Parent training capacity:** Under two hours a month of documented parent involvement reduces or denies hours under the state rule.

Free verification-call checklist (PDF): https://carelu.com/downloads/aba-verification-call-checklist.pdf

## Common questions

### Does Aetna Better Health of Oklahoma cover ABA therapy?

Yes. As a SoonerSelect plan it covers all SoonerCare services, including ABA for members under 21 with a definitive ASD diagnosis. Confirm its current PA list before the first request.

### How do I request ABA authorization from Aetna Better Health of Oklahoma?

Its Behavioral Health Prior Authorization Request form has an ABA section for initial and concurrent requests, faxed to 833-923-0829; the phone line is 844-365-4385. Check the portal or ProPAT for current codes.

### Which ABA codes can I bill to Aetna Better Health of Oklahoma?

OHCA pays four for SoonerCare ABA: 97151, 97153, 97155 and 97156. Confirm the plan’s current list before billing anything else.

### How much supervision does Aetna Better Health of Oklahoma require for ABA?

Its August 2026 manual requires case supervision of at least 10% of direct treatment hours, citing CASP guidance, which is above the 5% SoonerCare floor for RBTs.

### What happens if a family switches ABA agencies with Aetna Better Health of Oklahoma?

The SoonerCare rule applies: an OHCA discharge notification form when the member moves, and the diagnostic evaluation or clinical assessment again during the new agency’s initial authorization period.

### How do I join Aetna Better Health of Oklahoma’s ABA network?

Credential once through the Availity SoonerSelect portal, which all three plans use. The manual says credentialing is completed within 60 calendar days of a complete application.

### What is Aetna Better Health of Oklahoma’s timely filing limit?

Six months from the date of service for a new claim, with resubmissions due within a further six months (August 2026 provider manual).

### Does Aetna Better Health of Oklahoma require taxonomy on the claim?

Yes. Its manual requires the taxonomy code, with the NPI, in both the billing and the rendering provider sections of the claim.

## Primary sources

1. [Aetna Better Health of Oklahoma — Behavioral Health Prior Authorization Request (OK-23-08-01, ABA section 6) — read via Wayback](https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/oklahoma/pdf/OK_2023_BHForm.pdf)
2. [Aetna Better Health of Oklahoma — 2025 Auth and Appeals Metrics (CMS rule timeframes from 1/1/2026) — read via Wayback](https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/oklahoma/pdf/2025_ABHOK_CMS_Web_Metrics_Provider.pdf)
3. [OHCA — Learn about SoonerSelect (last modified 6/9/2026)](https://oklahoma.gov/ohca/soonerselect/about.html)
4. [OHCA — SoonerSelect Health Program Member Quick Reference Guide (Feb 2026)](https://oklahoma.gov/content/dam/ok/en/okhca/soonerselect/docs/health/SoonerSelect%20Health%20Member%20Guide.pdf)
5. [OAC 317:30-5-313 — Medical necessity criteria, covered services, frequency and duration Revised 09-01-25](https://oklahoma.gov/ohca/policies-and-rules/xpolicy/medical-providers-fee-for-service/individual-providers-and-specialties/applied-behavior-analysis-services/medical-necessity-criteria-and-covered-services-for-members-under-twenty-one-years-of-age-and-frequency-and-duration.html)
6. [OAC 317:30-5-314 — Prior authorization, service limitations, and exclusions to treatment Revised 09-01-25](https://oklahoma.gov/ohca/policies-and-rules/xpolicy/medical-providers-fee-for-service/individual-providers-and-specialties/applied-behavior-analysis-services/prior-authorization-service-limitations-and-exclusions-to-treatment.html)
7. [OAC 317:30-5-315 — ABA extension requests Revised 09-01-25](https://oklahoma.gov/ohca/policies-and-rules/xpolicy/medical-providers-fee-for-service/individual-providers-and-specialties/applied-behavior-analysis-services/aba-extension-requests.html)
8. [56 O.S. § 4002.6 — SoonerSelect contracted entity prior authorization rules (as amended by HB 1810, eff. 11/1/2025) — OSCN](https://www.oscn.net/applications/oscn/DeliverDocument.asp?CiteID=489236)
9. [Aetna Better Health of Oklahoma Provider Manual (published 8/20/2026; direct requests return 403, read in full via r.jina.ai)](https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/oklahoma/pdf/abhok_provider_manual.pdf)
10. [56 O.S. § 4002.12 — SoonerSelect minimum provider reimbursement (as amended by HB 3650, Laws 2026, c. 310, eff. 11/1/2026) — OSCN](https://www.oscn.net/applications/oscn/DeliverDocument.asp?CiteID=489244)
11. [56 O.S. § 4002.12 — version in force through 10/31/2026 ("Until July 1, 2027") — OSCN superseded document](https://www.oscn.net/applications/oscn/DeliverDocument.asp?CiteID=553197)
12. [Aetna Better Health of Oklahoma — Provider Notices & Newsletters](https://www.aetnabetterhealth.com/oklahoma/providers/notices-newsletters.html)
13. [OAC 317:55-5-25 — SoonerSelect claims processing and methodology; post payment audits Revised 09-01-24](https://oklahoma.gov/ohca/policies-and-rules/xpolicy/managed-care/requirements-for-contracted-entities-and-dental-benefits-managers/finance/claims-processing-and-methodology-post-payment-audits.html)
14. [56 O.S. § 4002.7 — SoonerSelect claims processing and adjudication — OSCN](https://www.oscn.net/applications/oscn/DeliverDocument.asp?CiteID=489238)
15. [OAC 317:30-5-311 — Eligible providers and requirements Revised 09-01-25](https://oklahoma.gov/ohca/policies-and-rules/xpolicy/medical-providers-fee-for-service/individual-providers-and-specialties/applied-behavior-analysis-services/eligible-provider-and-requirements.html)
16. [OAC 317:30-5-312 — Treatment plan components and documentation requirements Revised 09-01-25](https://oklahoma.gov/ohca/policies-and-rules/xpolicy/medical-providers-fee-for-service/individual-providers-and-specialties/applied-behavior-analysis-services/treatment-plan-components-and-documentation-requirements.html)
17. [OAC 317:30-5-310 — ABA purpose ("ABA services require prior authorization") Issued 09-12-22](https://oklahoma.gov/ohca/policies-and-rules/xpolicy/medical-providers-fee-for-service/individual-providers-and-specialties/applied-behavior-analysis-services/purpose-aba.html)
18. [OHCA — Medical codes allowed for Telehealth (updated 8-10-26)](https://oklahoma.gov/content/dam/ok/en/okhca/docs/providers/telehealth/Medical%20codes%20allowed%20for%20Telehealth.pdf)
19. [OAC 317:30-5-316 — ABA reimbursement methodology Revised 09-01-25](https://oklahoma.gov/ohca/policies-and-rules/xpolicy/medical-providers-fee-for-service/individual-providers-and-specialties/applied-behavior-analysis-services/reimbursement-methodology.html)
20. [OHCA — Applied Behavioral Analysis Application and Coding Information for Providers](https://oklahoma.gov/ohca/providers/applied-behavioral-analysis-application.html)
21. [OAC 317:30-3-65.12 — ABA services under the EPSDT benefit Revised 09-12-22](https://oklahoma.gov/ohca/policies-and-rules/xpolicy/medical-providers-fee-for-service/general-provider-policies/early-and-periodic-screening-diagnostic-and-treatment-program-child-health-services/applied-behavior-analysis-services.html)
22. [OAC 317:30-3-27 — Telehealth Revised 03-13-26](https://oklahoma.gov/ohca/policies-and-rules/xpolicy/medical-providers-fee-for-service/general-provider-policies/general-scope-and-administration/telehealth.html)
23. [42 CFR 438.210(d) — Medicaid managed care authorization timeframes (eCFR)](https://www.ecfr.gov/current/title-42/section-438.210)
24. [OAC 317:30-3-24 — Third party liability Revised 09-01-25](https://oklahoma.gov/ohca/policies-and-rules/xpolicy/medical-providers-fee-for-service/general-provider-policies/general-scope-and-administration/third-party-liability.html)

Payer policies change frequently and vary by plan, state, and funding type. This guide was compiled from the sources above and last reviewed October 2026; it is general information, not billing, legal, or clinical advice. Always verify current requirements against the payer's live policy and a benefits check for the specific member.

Source: Carelu ABA Payer Directory — https://carelu.com/payers. Free to cite with attribution.