BlueCross BlueShield of Tennessee Medical Policy Manual

Behavioral Health

• Acupuncture

• Applied Behavioral Analysis (ABA)

• Biofeedback and Neurofeedback

• Cranial Electrotherapy Stimulation

• Genetic Testing, Including Chromosomal Microarray Analysis and Next-Generation Sequencing Panels, for Prenatal Evaluation and Evaluation of Children with Developmental Delays/Intellectual Disability, Autism Spectrum Disorder and/or Congenital Anomalies

• Genetic Testing for Mental Health Conditions

• Navigated Transcranial Magnetic Stimulation

• Quantitative Electroencephalography as a Diagnostic Aid for Attention-Deficit/Hyperactivity Disorder (ADHD)

• Sensory and Auditory Integration Therapies

• Speech / Language Therapy, Occupational Therapy and Physical Therapy for Autism Spectrum Disorder

• Transcranial Magnetic Stimulation (TMS)

This document has been classified as public information.