Applied Behavioral Analysis Clinical Policy Revision

Fecha: 20/01/26

Revisions effective February 16, 2026

Effective February 16, 2026, CP.BH.104 Clinical Policy: Applied Behavior Analysis has been revised to strengthen clarity, improve consistency, and align with best practices in behavioral health care. These updates are designed to support accurate diagnosis, enhance treatment planning, and ensure high-quality service delivery for members.

Key updates include:

• Clearer Criteria for Initial Diagnosis and Evaluation
  The policy now outlines more specific requirements for initial assessments to support accurate diagnosis and treatment planning.
• Clarification of Treatment Plan Requirements
  Guidance has been refined to ensure treatment plans are comprehensive and meet clinical standards.
• Emphasis on Parent Training
  The policy highlights the critical role of parent/caregiver involvement in treatment success.
• Defined Expectations for Supervision
  Additional details clarify the level and frequency of supervision required for effective service delivery.

Please review the updated policy in its entirety to ensure compliance and alignment with these changes, Sunflower Clinical and Payment Policies.

If you have questions about this bulletin or other provider resources, please contact your Provider Relations Representative or call us at the numbers below:

• Sunflower KanCare Medicaid: 1-877-644-4623
• Ambetter from Sunflower Health Plan (Marketplace): 1-844-518-9505
• TTY 711