Pennsylvania Medicaid Has Paid the Same ABA Rates Since 2020, Set by a Statewide Schedule but Delivered Through County-Managed Care. In Philadelphia, the County Payer Is Now Tightening How Those Services Get Authorized.

Pennsylvania Medicaid Has Paid the Same ABA Rates Since 2020, Set by a Statewide Schedule but Delivered Through County-Managed Care. In Philadelphia, the County Payer Is Now Tightening How Those Services Get Authorized.

Pennsylvania’s statewide Medicaid ABA rates have held since 2020, but delivery runs through county behavioral health plans that are now tightening authorization. Key Takeaways Pennsylvania’s statewide Medicaid ABA rates sit at the low end of its region, particularly...
Washington Medicaid ABA Reimbursement Splits in Two for 2026: Technician Pay Tracks the Region While Analyst Pay Lags. The January Apple Health Fee Schedule Sets 97153 at $12.40 and 97155 at Just $14.09 per Unit.

Washington Medicaid ABA Reimbursement Splits in Two for 2026: Technician Pay Tracks the Region While Analyst Pay Lags. The January Apple Health Fee Schedule Sets 97153 at $12.40 and 97155 at Just $14.09 per Unit.

Washington’s 2026 Apple Health fee schedule pays ABA technicians near regional norms but sets the analyst 97155 rate far below Oregon and Nevada. Key Takeaways Washington cut its Apple Health (Medicaid) applied behavior analysis fee schedule by 2 percent effective...
Oregon Medicaid ABA Rates Held Steady Into 2026, Sitting at the Top of the Regional Range. The State’s $32.07 Analyst Rate and Coordinated Care Model Set It Apart From Neighboring Washington.

Oregon Medicaid ABA Rates Held Steady Into 2026, Sitting at the Top of the Regional Range. The State’s $32.07 Analyst Rate and Coordinated Care Model Set It Apart From Neighboring Washington.

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. Key Takeaways Oregon’s behavioral health fee schedule, reissued effective February 1, 2026, left every applied...