Independence Blue Cross
Effective Jan. 1, 2024, you will need to be contracted with Independence Blue Cross (Independence) to provide behavioral health services to their members as an in-network provider.
Continue to contact Magellan to request authorization of applied behavior analysis (ABA) services through Dec. 31, 2024
For all other behavioral health requests, contact IBC at the number on the member’s ID card.
Pennsylvania Prior Authorization Process for Commercial and CHIP Plans
Medical Necessity Criteria/Medical Policy
Applied behavior analysis:
Prior Authorization Requirements
Requesting Prior Authorization
Complete the appropriate form below and fax it to Magellan.
- For autism-related forms, sign in to this website. From the Resources section, select State & Plan Information, then choose Autism-Specific Information to access:
- ABA Initial Authorization
- ABA Treatment Plan/Concurrent Review
- Fax number for completed form submissions: 1-888-656-4925
- If you have questions about ABA authorization, you may contact Magellan at the following customer service numbers:
- IBC BLUE CHIP: 1-800-294-0800
- COMMERCIAL: 1-800-688-1911
- If you have technical issues with the website, chat with us or contact the Provider Services Line at 1-800-788-4005.
Requesting a Peer-to-Peer Consultation
To request a peer-to-peer consultation, contact Magellan’s Utilization Management Support Team at 1-800-741-2304, option 3, then Option 2.