Form HCA12-0411 Applied Behavioral Analysis (Aba) Level of Support Requirement - Washington

What Is Form HCA12-0411?

This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form HCA12-0411?
A: Form HCA12-0411 is the Applied Behavioral Analysis (ABA) Level of Support Requirement form in Washington.

Q: What is Applied Behavioral Analysis (ABA)?
A: Applied Behavioral Analysis (ABA) is a therapy that focuses on improving specific behaviors and skills.

Q: What is the purpose of Form HCA12-0411?
A: The purpose of Form HCA12-0411 is to determine the level of support required for individuals receiving ABA therapy in Washington.

Q: Who needs to fill out Form HCA12-0411?
A: Form HCA12-0411 needs to be filled out by the individual's treating provider or licensed psychologist.

Q: What information does Form HCA12-0411 require?
A: Form HCA12-0411 requires information such as the individual's diagnosis, treatment goals, and level of support needed.

Q: Is there a fee for submitting Form HCA12-0411?
A: No, there is no fee for submitting Form HCA12-0411.

Q: How long does it take to process Form HCA12-0411?
A: The processing time for Form HCA12-0411 may vary, but usually takes around 10 business days.

Q: What happens after submitting Form HCA12-0411?
A: After submitting Form HCA12-0411, the individual's level of support requirement will be evaluated and a determination will be made by the Washington State Health Care Authority.