Dear Provider(s),
We are writing to inform you of important updates to the prior authorization process for Applied Behavioral Analysis (ABA) Therapy services. These changes apply to members enrolled in the following health plans:
-
Effective November 1, 2025
-
Health Plan of Nevada
-
Sierra Health and Life
-
Sierra Health-Care Options
-
Effective November 17, 2025
-
Health Plan of Nevada Medicaid
To enhance the quality of clinical reviews and support improved care for members with autism, our Behavioral Health team will review all ABA therapy authorization requests, according to InterQual guidelines. A copy of the guidelines is available upon request. As part of this transition, prior authorization is required for all ABA therapy services, regardless of billed charges per service line.
Prior Authorization Submission Guidelines:
-
Contracted providers, please submit prior authorization requests including any supporting documentation via the Online Provider Center, Provider.healthplanofnevada.com.
-
Non-Contracted Providers may submit requests submitted by phone or fax:
-
Phone: 702-240-8733
-
Fax: 702-341-7681
Need Help?
Contracted providers may contact Provider Services with any questions or concerns.
We appreciate your continued partnership and commitment to delivering high-quality care to our members.
Warm regards,
Provider Services Team
Health Plan of Nevada, Sierra Health and Life, Sierra Health-Care Options, and Health Plan of Nevada Medicaid. | 
