Indiana Medicaid ABA Program

Need help with the Provider Express secure portal?

The Technical Support team is available by chat or by calling
1-866-209-9320.

A streamlined way for all ABA providers to manage services

Both network and out-of-network providers manage ABA services in the Provider Express secure portal. A One Healthcare ID (OHID) is required to access the portal.

The self-paced guide provides step-by-step instructions for how to register for a One Healthcare ID and access the portal for the first time.

Use the Provider Express secure portal to:

Verify ABA Coverage and eligibility
Request ABA assessment and treatment authorizations
Submit additional information to the clinical team upon request
View real-time status updates on your requests

Prior Authorization requests

Prepare your prior authorization request

Refer to our submission checklist QRG to ensure you have all the required information. A complete submission helps prevent processing delays.

Review the ABA clinical review requirements
Provider data: Name, address, NPI and TIN
Member data: Name, address and Member ID*

Use these self-paced guides to learn how to:

Verify ABA eligibility and benefits
Submit an ABA prior authorization request
Get the status of submitted ABA authorization requests

Submit an authorization request in 5 steps

1. Select 'Auths' from the upper right menu
2. Click the 'Auth request' tab
3. Choose 'Request a new authorization'
4. Select ABA Assessment or Treatment from the drop down
5. Complete the required fields and submit

Optum is excited to announce that UnitedHealthcare Community Plan of Indiana has been awarded a contract to service the statewide Medicaid Managed Care program in Indiana. Optum has been selected by UnitedHealthcare Community Plan to develop and manage the ABA network for Indiana members, effective 4/1/2021. Your participation in our network helps to ensure access to comprehensive quality care for covered behavioral health services for enrolled members.

Onboarding Definitions

Enrollment - The process of loading a contracted and credentialed provider to all MCE internal systems, loading for claims payment, and loading to the provider directory (if applicable).
Credentialing - The process of reviewing the qualifications and appropriateness of a provider to join the health plan's network. Credentialing requirements and processes will follow NCQA guidelines.
Contracting/Negotiating – The process of the provider and MCE formally executing an agreement for the provider to deliver medical services that outlines reimbursement rates, scope of services, etc.