Checking the Network for ABA Providers
ABA coverage that cannot be used is not much of a benefit.
What to ask about provider access
Network size
Ask how many licensed behavior analysts and board certified behavior analysts are in the network near your employees.
Wait times
Ask how long a new family waits for an intake and for ongoing hours.
Out-of-network care
Ask how the plan handles care outside the network when in-network openings are scarce.
Parity
Parity rules compare how behavioral health limits, including network practices, are applied against medical benefits.
Back to the ABA guide.
Checking the Network for ABA Providers: short answers
Can the plan limit ABA to in-network providers?
The statute allows participating provider requirements. Ask the carrier how it handles shortages.
What is a reasonable wait?
The statute sets none. Ask for the carrier’s actual figures and compare carriers at renewal.
Who can help?
Your adviser can request a provider directory sample and compare carriers on the same questions.
Checking the Network for ABA Providers: not legal advice. Send us your renewal.
Where these details come from
The laws and rules named on this page link to the official text. This is general information, not legal advice, and rules change, so check the current text.
MCL 500.3406s, Insurance Code of 1956
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The renewal letter
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Contribution split by tier
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