by Ethan Webb | Jun 12, 2026 | Regulation
MassHealth proposes to re-adopt its ABA fee schedule unchanged on December 1, 2026, keeping 97153 at $16.37 and 97155 at $30.73 as providers press for rate reviews. Key Takeaways Flat rates under fire. MassHealth reimburses roughly $65 an hour for direct ABA, a figure...
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...
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...
