Greater Oregon Behavioral Health, Inc., as the delegated administrator of behavioral health services for Columbia Pacific Coordinated Care Organization and Eastern Oregon Coordinated Care Organization, is committed to the treatment of children experiencing autism.
“Applied behavior analysis is the process of systematically applying interventions based upon the principles of learning theory to improve socially significant behaviors to a meaningful degree, and to demonstrate that the interventions employed are responsible for the improvement in behavior.”
(Baer, Wolf & Risley, 1968; Sulzer-Azaroff & Mayer, 1991)
At its core, ABA is based on the science of learning and behavior. This science includes general “laws” about how behavior works and how learning takes place.
ABA therapy applies these laws to behavior interventions in a way that helps increase useful or desired behaviors or to reduce behaviors that may interfere with learning or that may be harmful.
ABA is a covered service, for qualifying Members, by Coordinated Care Organizations starting July 1, 2016.
Members must have a referral, by a qualified physician or psychologist with experience or training in the diagnosis of autism spectrum disorder, for ABA services that states the ABA services are medically necessary to treat the Member's autism symptoms.
Members, physicians, or families requesting ABA services should be referred to their local community mental health program (CMHP), or GOBHI for more information.
Members must be enrolled with local CMHPs for intake and assessment for behavioral health services.
CMHPs will request ABA services for their Members using GOBHI’s prior authorization form and process.
For information about your local CMHP, please view the GOBHI Provider Web Sites page.
Prior to receiving services, individuals receiving ABA shall have an evaluation by a physician or psychologist experienced in the diagnosis and treatment of autism using the current DSM criteria that includes:
Recipients ages one through twelve are eligible for intensive and less intensive interventions:
Recipients age 13 and older are eligible for less intensive services only.
For more information individuals can contact their local community mental health program.