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MassHealth ABA Recoupment Stands Firm as Providers Open a Second Front

MassHealth ABA Recoupment Stands Firm as Providers Open a Second Front

by Ethan Webb | Jun 5, 2026 | Regulation

MassHealth has told ABA providers that every line of its performance specifications is a condition of payment, hardening a Medicaid recoupment fight over the definition of supervision that is now spreading to other states. Inside the coalition's two-track...
Maryland Medicaid ABA: Carelon’s 2025 carve-in, the H2012 sunset, and where Maryland rates land regionally

Maryland Medicaid ABA: Carelon’s 2025 carve-in, the H2012 sunset, and where Maryland rates land regionally

by Ethan Webb | May 11, 2026 | Regulation

Key Takeaways Carelon replaced Optum as the Behavioral Health Administrative Services Organization on January 1, 2025: The transition consolidates ABA prior authorization and claims administration under a single carve-out vendor across HealthChoice and fee-for-service...

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