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Autism Demonstration Table of Contents
Demonstration Referral Process

Referrals for Applied Behavioral Analysis: PRIME beneficiary must have their PCM or ASD specialist and Standard beneficiaries must have their primary care physician or ASD specialist submit information necessary to allow the Managed Care Support Contractor to confirm eligibility.  Diagnostic testing must be submitted if the diagnosis is made by someone other than an ASD Specialist. Referrals and clinical information may be faxed to the market ECHO Case Manager.

           
Southwest Market
(TX excluding the El Paso Area, Louisiana west of the Mississippi River, AR, OK)
Fax #:  (210) 614 4692

GulfSouth Market
(LA east of the Mississippi River, FL panhandle, TN, MS, AL)
Fax #: (228) 385 5138

Southeast Market (GA, SC, FL excluding the panhandle)
Fax #:    (706) 854 8604

Demonstration Case Managers can be reached by calling the toll free number in your area.

Southwest Market    (800) 447 8808
Gulf South Market   (866) 323 7155
Southeast Market    (800) 447 6072

 

Created: March 14, 2008