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New Applied Behavioral Analysis Visit Attestation Form
2024/8/28 • Posted by Provider Relations

Fidelis Care would like to inform providers of a new Fidelis Care Visit Attestation Form for ABA (Applied Behavioral Analysis), that is used for Applied Behavioral Analysis authorization reviews.

 

Please ensure your practice has the Fidelis Care Visit Attestation Form on file and includes it for any future Applied Behavioral Analysis authorization submissions to Fidelis Care.  The visit attestation form is available here on Fideliscare.org.

 

For additional questions, or if we can be of assistance in any way, please contact your Fidelis Care Provider Engagement Account Manager. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist. Thank you for being a valued Fidelis Care partner in the provision of quality care.

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