Welcome to our Behavioral Health section. Find resources for your practice and patients, view patient assessments for behavioral health conditions, and access important documents.
Authorizations and UR Criteria
Request policy and procedures regarding Behavioral Health authorization and utilization review.
Autism Spectrum Disorder (ASD) Services
Highmark Blue Cross Blue Shield of Western New York complies with the New York State Autism Mandate, Affordable Care Act, and Federal Parity provisions requiring health plans to provide specific coverage for Autism Spectrum Disorders (ASD), including Applied Behavior Analysis (ABA) and Assistive Communication Devices (ACD).
Not all benefit plans cover these services
Verification of benefits is necessary. To determine if ASD services are covered, call the provider service phone number on the back of your patient’s ID card.
Applied behavior analysis and assistive communication devices require preauthorization and medical necessity review.
Medicaid Managed Behavioral Health
Learn about the transition to Managed Medicaid.
Highmark Blue Cross Blue Shield of Western New York is working with the NYS Health Plan Association to make available a variety of training programs through the Center for Practice Innovation at Columbia Psychiatry at the New York State Psychiatric Institute.