Cutting Through Prior Authorization Red Tape: How SILNA Helps ABA Businesses Thrive
If you run an ABA practice in North America, you’ve probably felt the growing pressure of Medicaid Managed Care prior authorizations. Whether it’s waiting days for approval, chasing down denial notices, or juggling appeals, the process can eat into your time, disrupt therapy schedules, and even jeopardize client outcomes.
With Medicaid Managed Care Organizations (MCOs) now covering three-quarters of all Medicaid enrollees, prior authorization has become a routine — and often frustrating — part of delivering care. But with the right systems and strategies, your ABA business doesn’t...
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have to be held back.
That’s where SILNA comes in.
The Challenge for ABA Businesses
A 2023 report from the U.S. Department of Health and Human Services (OIG) revealed that Medicaid MCOs deny prior authorizations at more than double the rate of Medicare Advantage (12.5% vs. 5.7%). Even more concerning, 89% of Medicaid enrollees don’t appeal those denials, often because the process is confusing or they receive notices too late.
In ABA, that means missed sessions, inconsistent therapy, and financial strain on practices. Add in the paperwork, tracking deadlines, and the constant back-and-forth with insurers, and it’s no surprise many providers feel like they’re fighting a losing battle.
Policy Changes Are Coming — But Not Fast Enough
Federal rules taking effect in January 2026 will require standard prior authorization decisions within 7 calendar days. Several states are also introducing limits on prior authorization, and insurers have pledged to make processes easier.
But here’s the reality: change is slow. While these measures are promising, ABA providers need solutions now to keep services flowing and businesses stable.
How SILNA Empowers ABA Businesses
SILNA isn’t just another software tool — it’s your operations ally.
- Streamlined Documentation & Tracking — Keep every prior authorization request organized, with built-in timelines so nothing slips through the cracks.
- Faster Response to Denials — Instantly flag and prioritize denials so you can appeal within tight deadlines — even when notices are delayed.
- Compliance with Evolving Rules — Stay aligned with upcoming federal and state requirements without needing to track every policy change yourself.
- Data to Prove Medical Necessity — Generate clear, thorough documentation that meets payer criteria and reduces the likelihood of denial in the first place.
- ABA-Specific Workflows — Unlike generic medical billing tools, SILNA is built with ABA providers in mind, reflecting the unique codes, reports, and service plans you work with every day.
ABA Business Leaders + SILNA: A Partnership for Growth
Through the ABA Business Leaders platform, we bring together industry insights, operational strategies, and powerful tools like SILNA to help your practice succeed — not just survive — in the current payer landscape.
We believe ABA business owners deserve more than reactive fixes. With SILNA, you can take a proactive stance, reduce administrative chaos, and focus on what matters most: delivering life-changing services to your clients.
Final Word
Prior authorization will always be part of the ABA billing puzzle — but it doesn’t have to be the roadblock it is today. With the right system, the right partner, and the right mindset, you can keep your business running smoothly, even in the face of payer delays and denials.
Ready to take the pressure off your admin team? If you're tired of losing time and money to benefit checks, authorizations, and backend chaos, you're not alone — and you don’t have to keep doing it the hard way. Silna Health is offering an exclusive extended free trial just for 3 Pie Squared fans, so you never have to worry about another benefit check again.
Their Care Readiness Platform makes sure every client is cleared before care starts — so you can focus on what matters most: delivering quality, ethical ABA services.
✅ Claim your extended trial of Silna Health: https://3piesquared.com/business-affiliate/silna
Still figuring out if you're ready to start or scale your ABA business? These tools can help:
✅ Take the free ABA Business Readiness Assessment: https://3piesquared.com/aba-business-readiness-assessment
✅ Book a call with me for honest, personalized guidance: https://3piesquared.com/stephen-booking-page
Let’s stop the guessing — and start building something sustainable, efficient, and aligned with your values.
