Step 1: Visit the KHS Provider Portal by going to https://provider.kernfamilyhealthcare.com/ and log in. Step 2: Click on "Authorization" in the menu. Step 3: Select "Menu," and then choose "New Request." Step 4: Provide the necessary member information. Step 5: In the "Action" field, select "Outpatient Request." Step 6: Under "Request Type," choose "Precertification." Step 7: For "Request Priority," select "Routine." Step 8: Input qualifying diagnosis Step 9: In the "Provider" section:
For the requesting provider, this would be you, the M.D., or Psy. D completing this request.
For the Treating Provider, search for "Maralina Tucker" to ensure the request is sent to Acceleration Behavioral Therapies (ABA provider).
Step 10: Under "Service Request," complete the following:
Service Type: "Behavioral Health"
Restricted Specialty: "None of the above"
Code Type: "HCPC"
Service Code:
H0031--MH health assessment by non-MD with modifier HO (Requested number 24)
H0032—MH Service plan development by non-MD with modifier HO (Requested number 16)
Step 11: Upload documentation from an M.D. or Psy D that states why ABA is medically necessary. Step 12: Review your request, and when ready, click "Submit Request." We thank you for your referral. If you have any other questions, please contact us at (818) 280-9614 option 1 for English and option 5 to connect to an ABT representative.