News

Acuity Media Network · October 2, 2026

New Jersey Raised Its ABA Technician Rate, but Analyst Pay Has Held Since 2020

New Jersey’s fee-for-service schedule keeps its 2020 ABA launch rates on every code but 97153. See how its rates compare with five neighbors.

Acuity Media Network · September 30, 2026

New York’s Third Medicaid ABA Rate Cut in a Year Takes CPT 97153 to $9.63

New York Medicaid cuts its ABA technician rate to $9.63 on October 1, half the 2025 rate. State officials told lawmakers in February that this was the plan.

Acuity Media Network · September 29, 2026

Delaware Medicaid ABA Rates Have Not Changed Since November 2022, and the State Pays by Degree. One Managed Care Plan Describes the Children’s Handoff Two Different Ways.

Delaware’s ABA schedule pays master’s-level clinicians nearly double the base rate. See how its 97153 and 97155 rates compare with five neighboring states.

Acuity Media Network · September 28, 2026

West Virginia Pays $9.90 for ABA’s Highest-Volume Medicaid Code, Currently the Lowest Rate in the Country. Its Behavior Analyst Workforce Ranks Among the Nation’s Thinnest.

The state with the highest share of residents on Medicaid has 186 behavior analysts, and no published review of the rate providers say is driving them out.

Behavioral Health Business · September 23, 2026

‘It Is a Death Sentence of a Rate Cut’: NY Medicaid Rolls Out 3rd ABA Rate Cut

New York State Medicaid has cut autism therapy reimbursement so drastically that providers say it effectively ends direct ABA therapy for the vulnerable populations covered by the safety-net program.

Acuity Media Network · September 22, 2026

Hawaii Medicaid ABA Rates Rose Sharply in 2025 on Funding Lawmakers Approved for One Year. The June 2026 Fee Schedule Still Carries the Higher Rates.

Hawaii raised its Medicaid ABA rates 41% at the technician tier in January 2025. The Legislature funded it for one year. The June 2026 fee schedule still carries the higher rates, but nobody has publicly explained how. Acuity Media Network published a full breakdown of Hawaii's current ABA reimbursement structure, with rate data from MediRate.

Acuity Media Network · September 18, 2026

New Mexico Medicaid ABA Rates Pay by Credential, and the Top Tier Earns Nearly Double the Technician Rate. State Directives Tell Turquoise Care Plans Not to Pay Less.

New Mexico prices ABA across five credential tiers, with 97153 at $19.85 for technicians and 97155 at $39.69 for BCBAs. The state tells plans not to pay less.

Acuity Media Network · August 26, 2026

Nebraska Medicaid ABA Rates 2026: SFY27 Fee Schedule & Policy Caps

Nebraska Medicaid holds SFY27 ABA rates flat after the August 2025 cuts, enforcing a 20-hour weekly prior authorization cap and school billing limits.

Acuity Media Network · August 25, 2026

Colorado Medicaid ABA Rates 2026: Benchmark Reset & OIG Audit

Colorado Medicaid's ABA rates hold at 95% of a 10-state benchmark following an OIG audit flagging $77.8M in improper fee-for-service payments.

Acuity Media Network · August 14, 2026

Virginia Medicaid ABA Updates for 2026

Virginia's frozen ABA rates face a new 20-hour weekly cap, while DD waiver analyst rates rise up to 26% under court order.

Acuity Media Network · August 13, 2026

West Virginia Medicaid ABA Rates 2026: Regional Floor at $9.90

West Virginia Medicaid's ABA fee schedule remains frozen since 2021, paying a regional floor of $9.90 per unit for 97153 while waiver rates rose in 2025.

Acuity Media Network · August 6, 2026

Kansas Medicaid ABA Rates 2026: KMAP Schedule & Fee Stasis

Kansas reissued its Medicaid ABA fee schedule effective July 2026 with 6 of 7 codes frozen since 2019 ($16.35 for 97153; $24.00 for 97155) and an Autism Waiver that funds no ABA.

Acuity Media Network · August 4, 2026

Mississippi Medicaid ABA Rates 2026: SPA 25-0003 Fee Increases

Mississippi Medicaid raised ABA rates twice in 2025 under SPA 25-0003, lifting CPT 97153 to $15.08 and 97155 to $24.35 per 15-minute unit.

Acuity Media Network · July 22, 2026

Alaska Medicaid ABA Rates Jump 41% in July 2026 Reset

Alaska Medicaid boosted ABA rates ~41% in July 2026 — CPT 97153 now $31.95, 97155 $41.97. Read the full rate breakdown.

Acuity Media Network · July 13, 2026

PA Medicaid ABA Rates Frozen: County Squeeze

Pennsylvania's Medicaid ABA rates stay frozen at 2020 levels under IBHS, pushing cost-containment down to county-level rules.

Acuity Media Network · July 11, 2026

North Dakota Medicaid ABA Rates 2026: The Regional Floor

North Dakota Medicaid keeps the region's lowest 97153 rate ($10.60), with modest 2% bumps compressing frontline provider margins.

Acuity Media Network · July 9, 2026

South Dakota Medicaid ABA Rates 2026: The Analyst Billing Rule

South Dakota Medicaid sets the region's highest ABA rates ($21.73 tech / $39.00 analyst) while enforcing strict analyst-only rules.

Acuity Media Network · July 2, 2026

Illinois Medicaid ABA Rates Frozen: Tech Expansion Strategy

Illinois reissued its Medicaid ABA fee schedule, keeping 97153 and 97155 rates frozen while widening billing provider categories.

Acuity Media Network · June 29, 2026

Idaho Medicaid ABA Code Shift 2026: The H-Code Crosswalk

Idaho Medicaid moved autism therapy into its Behavioral Intervention benefit, replacing 97-series CPT codes with H0004, H0005, H0032.

Acuity Media Network · June 24, 2026

Washington Apple Health ABA Rates 2026: 97153 & 97155 Split

Washington State's 2026 Apple Health fee schedule trims ABA rates, leaving core analyst code 97155 severely compressed against regional Western markets.

Acuity Media Network · June 24, 2026

Oregon Medicaid ABA Rates Held Steady Into 2026

Oregon's behavioral health fee schedule left ABA rates unchanged for 2026, keeping the 97155 analyst rate at $32.07 — among the highest in the Western states.

Behavioral Health Business · June 23, 2026

How State Medicaid Uncertainties Are Reshaping the SUD Treatment Environment

While federal policy dominates headlines, state-level Medicaid reimbursement and coverage disruptions are the immediate threat to SUD providers. MediRate's 2026 rate analysis shows modest increases in several states, stark code-by-code variation, and growing pressure from work requirements and eligibility paperwork.

“States with budget issues are passing across-the-board rate cuts, but in most other cases, we're seeing increases.”

Acuity Media Network · January 7, 2026

The Hidden Costs of Rate Cuts

How shrinking Medicaid reimbursement is squeezing ABA providers and what it means for families seeking autism care. Data compiled by MediRate reveals the scope of recent changes across state Medicaid rate adjustments for ABA and related services.

“Some states that had higher rates relative to the average, or that are dealing with near-term budget issues, have brought their rates down, while other states have been increasing rates.”

Acuity Media Network

Texas Medicaid ABA Rates: STAR Kids & LBA Licensure

Coverage of Texas Medicaid ABA reimbursement, STAR Kids program dynamics, and LBA licensure requirements—with MediRate data context.

Acuity Media Network

Indiana Medicaid ABA Reimbursement Phasedown (2026–2027)

How Indiana's phased ABA reimbursement changes affect providers and families, with rate analysis supported by MediRate.

Acuity Media Network

New York Medicaid ABA Reimbursement Rate Reduction (2026)

Examining New York's Medicaid ABA rate reductions and what they mean for provider sustainability.

Acuity Media Network

Arizona Medicaid ABA Reimbursement: AHCCCS Reform (2026)

Arizona AHCCCS reforms and ABA reimbursement updates, with comparative rate insights from MediRate.

Acuity Media Network

Kentucky Medicaid ABA Rate Increase — HB2 (2026)

Kentucky's HB2-driven ABA rate increases and the policy landscape for behavioral health providers.

Acuity Media Network

North Carolina Medicaid ABA Rates Restored — HB696 Oversight (2026)

North Carolina restores ABA rates under HB696 with new oversight mechanisms—data compiled with MediRate.

Acuity Media Network

Maryland Medicaid ABA: Carelon Transition & Rates (2026)

Maryland's Carelon transition and updated ABA reimbursement rates across the Medicaid program.

Acuity Media Network

Minnesota Medicaid EIDBI: Fraud, Licensure & Billing Caps (2026)

Minnesota EIDBI program changes covering fraud prevention, licensure, and billing caps affecting ABA services.

Acuity Media Network

California Medi-Cal/Medicaid ABA SPA 25-0028 Rates (2026)

California's SPA 25-0028 and updated Medi-Cal ABA reimbursement rates for 2026.

Acuity Media Network

Florida Medicaid ABA in 2026: Managed Care Carve-In & AHCA Rates

Florida's refreshed ABA coverage policy, managed care carve-in, and where AHCA rates sit across the Southeast.

Acuity Media Network

South Carolina Medicaid ABA Manual Rewrite — H3974 (2026)

South Carolina rewrites its Medicaid ABA manual under H3974 with updated billing and rate guidance.

Acuity Media Network

Alabama Medicaid ABA Provider Alerts & Rates (2026)

Alabama Medicaid ABA provider alerts and reimbursement rate updates for behavioral health services.

Acuity Media Network

MassHealth ABA Reimbursement Rate Freeze (101 CMR 358)

MassHealth's ABA reimbursement rate freeze under 101 CMR 358 and implications for Massachusetts providers.

Acuity Media Network

Vermont Medicaid ABA Billing Overhaul & Concurrent Ban (2026)

Vermont overhauls Medicaid ABA billing rules, including concurrent service restrictions for providers.

Acuity Media Network

Utah Medicaid ABA Rates: SB160 Permanent Mechanism (2026)

Utah establishes a permanent ABA rate mechanism through SB160 with updated Medicaid reimbursement levels.

Acuity Media Network

Nevada Medicaid ABA Reimbursement Rate Surge (2026)

Nevada's significant ABA reimbursement rate increases and what they mean for providers statewide.