by Ethan Webb | Apr 20, 2026 | Regulation
Key Takeaways ABA and behavioral health M&A bifurcated sharply in Q1 2026. Scaled, compliant operators drew competitive bids. Everyone else did not. Wall Street Journal investigations into Medicaid ABA billing, published in March, triggered federal OIG audits...
by Ethan Webb | Apr 16, 2026 | Regulation
Key Takeaways The ACD covers ABA under temporary demonstration authority rather than as a standard basic benefit, imposing enrollment requirements, mandatory assessments, and authorization cycles that civilian health plans do not require. ABA CPT codes remain on...
by Ethan Webb | Mar 6, 2026 | Regulation
Key Takeaways The FY2026 enacted budget already authorized two Medicaid rate reductions for CPT code 97153, the primary billing code for one-to-one ABA therapy: the first brought the rate to $16.85 per 15-minute unit on October 1, 2025; the second will reduce it to...
by Ethan Webb | Mar 4, 2026 | Technology
There is a clinic owner in Oklahoma who, until recently, had not taken a vacation in five or six years. Not because she lacked the desire, or the means, but because if she stepped away from her desk—even briefly—payroll might not make it to her employees. She was...
by Ethan Webb | Mar 2, 2026 | Technology
For decades, the field of Applied Behavior Analysis has wrestled with a deceptively simple question: How many hours of therapy does a child with autism need? The answer, depending on whom you ask, might be ten hours a week, or it might be forty. It might depend on the...
