by Ethan Webb | Apr 2, 2026 | Regulation
Key Takeaways California’s Department of Health Care Services released its H.R. 1 implementation plan on January 30, 2026, outlining how the state will operationalize the largest federal changes to Medicaid in the program’s sixty-year history....
by Ethan Webb | Mar 31, 2026 | Regulation
Key Takeaways ABA therapy hours typically range from 10-40 per week, but no standardized method exists for determining the right dosage for each child. State Medicaid ABA spending has surged by hundreds to thousands of percent in recent years, prompting rate cuts in...
by Ethan Webb | Mar 30, 2026 | Technology
Key Takeaways AI accelerates broken processes, it doesn’t fix them. Process discipline must come first. ABA’s 50-state Medicaid patchwork makes off-the-shelf AI tools unreliable without clean, specialty-specific data. Revenue cycle, workforce, and...
by Ethan Webb | Mar 27, 2026 | Regulation
Key Takeaways Michigan, Virginia, Vermont, and Texas have each imposed restrictions on ABA billing codes, with Vermont’s January 2026 changes (discontinuing concurrent billing for treatment codes, restricting telehealth delivery, and introducing new supervision...
by Ethan Webb | Mar 26, 2026 | Regulation
In the windowless back offices of state Medicaid programs from Indianapolis to Augusta, auditors have spent the past two years poring over session notes, treatment plans, and billing codes. What they have found is prompting a sweeping reassessment of how America pays...
