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Wyoming Medicaid ABA Runs on Two Tracks, and Only the DD Waiver Rate Was Cut. A Pandemic Funding Cliff Dropped 97153 to $7.00, and a July 2026 Schedule Restored It to $19.23.

Wyoming Medicaid ABA Runs on Two Tracks, and Only the DD Waiver Rate Was Cut. A Pandemic Funding Cliff Dropped 97153 to $7.00, and a July 2026 Schedule Restored It to $19.23.

by Ethan Webb | Jul 24, 2026 | Regulation

Wyoming’s pediatric ABA rate holds mid-range while its DD waiver cut 97153 to $7.00 after ARPA funds lapsed. A July 2026 schedule restored the waiver rate to $19.23. Key Takeaways A funding cliff cut waiver ABA pay. When enhanced pandemic-era federal funding for home-...
Alaska Medicaid ABA Rates Jumped Roughly 41 Percent on July 1, 2026, Lifting the State to the Top of the Regional Range. A Guidehouse Rate Study, Not Inflation, Reset the Numbers.

Alaska Medicaid ABA Rates Jumped Roughly 41 Percent on July 1, 2026, Lifting the State to the Top of the Regional Range. A Guidehouse Rate Study, Not Inflation, Reset the Numbers.

by Ethan Webb | Jul 22, 2026 | Regulation

Alaska’s July 2026 autism fee schedule raised 97153 to $31.95 and 97155 to $41.97 per unit, a rate-study-driven reset that tops its Western peers. Key Takeaways Alaska’s autism rates had drifted out of balance. Before July 2026, the state adjusted its autism fee...
North Dakota Medicaid Pays the Lowest ABA Technician Rate Among Its Neighboring States. Back-to-Back 2 Percent Increases in 2025 and 2026 Have Not Lifted It Off the Bottom.

North Dakota Medicaid Pays the Lowest ABA Technician Rate Among Its Neighboring States. Back-to-Back 2 Percent Increases in 2025 and 2026 Have Not Lifted It Off the Bottom.

by Ethan Webb | Jul 11, 2026 | Regulation

North Dakota Medicaid pays the lowest ABA technician rate among its neighboring states, and two straight 2 percent increases have not lifted it off the bottom of the range. Key Takeaways North Dakota sets the region’s lowest technician rate. Under the fee schedule...
Behavioral Health Isn’t All ABA: Inside the Medicaid Audit Wave

Behavioral Health Isn’t All ABA: Inside the Medicaid Audit Wave

by Ethan Webb | Jun 26, 2026 | Regulation

OIG audits flag hundreds of millions in improper autism therapy payments. Dr. Gina Green says providers and regulators share the blame, and the fix is partnership. A wave of federal audits has put Medicaid billing for ABA services for beneficiaries with autism under a...

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