November 18, 2014 Applied Behavior Analysis Services (ABA) in MD, DC and VA Applied behavior analysis (ABA) services for the treatment of autism or autism spectrum disorders are an included benefit for certain risk business in Maryland, the District of Columbia and Virginia. Maryland • ABA services for children under the age of 19 are covered under the habilitative benefit for all MD risk plans with the exception of Consumer Direct Medigap plans. • There are no therapy maximums or visit limits. District of Columbia • ABA services are covered for all members under the habilitative benefit in DC for all DC non-grandfathered Consumer Direct and group products with a group size of 50 or smaller including Congressional groups 1RA7, 1RA8 and 1RA9 and all Consumer Direct non-grandfathered plans. Consumer Direct Medigap plans and FEHBP are excluded. • There are no therapy maximums or visit limits. Virginia • ABA services for children aged 2-6 are covered for VA 51+ risk groups. • There are no therapy limits. • There is a $35,000 annual maximum per member for ABA services. Preauthorization ABA services will be authorized and managed by Magellan effective 1/2/15 in all three jurisdictions. Previously, preauthorization was not required. Sincerely, Vickie Cosby Vice President, Consumer Direct Sales CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. are both independent licensees of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross and Blue Shield Association. ®’ Registered trademark of CareFirst of Maryland, Inc.