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Georgia Medicaid ABA Providers Face a 20% Rate Cut from CareSource, Delivered by Certified Mail and Without Public Notice. They Have 45 Days to Accept or Lose Their Contracts.

Georgia Medicaid ABA Providers Face a 20% Rate Cut from CareSource, Delivered by Certified Mail and Without Public Notice. They Have 45 Days to Accept or Lose Their Contracts.

by Ethan Webb | Apr 7, 2026 | Regulation

Key Takeaways Georgia ABA providers received a Notice of Material Amendment from CareSource Georgia on March 27, 2026, delivered by certified mail, reducing reimbursement for all covered services to 80 percent of the then-current Georgia Medicaid fee schedule for the...
In-Network Addiction Treatment Is Reshaping the SUD Industry. Not Every Provider Will Make It.

In-Network Addiction Treatment Is Reshaping the SUD Industry. Not Every Provider Will Make It.

by Ethan Webb | Apr 7, 2026 | M&A

Key Takeaways In-network residential SUD providers now command acquisition multiples of five to ten times EBITDA, according to a 2025 Scope Research analysis, while out-of-network-dependent operators trade at three to eight times, reflecting reimbursement volatility...
Pediatric Therapy Practice Valuation: Why EBITDA Multiples Mislead and What Actually Drives Value in ABA and Therapy M&A

Pediatric Therapy Practice Valuation: Why EBITDA Multiples Mislead and What Actually Drives Value in ABA and Therapy M&A

by Ethan Webb | Apr 6, 2026 | M&A

Key Takeaways Mergium Advisors tracked 42 pediatric therapy M&A transactions in 2025, a 14 percent increase over 2024.  Strategic buyers accounted for 38 percent of pediatric therapy deals in 2025, up from single digits in prior years.  EBITDA multiples for small...
TRICARE ABA Coverage, Direct Support Professionals, and the 1915 C Settings Rule: What CASP Brought to Capitol Hill at Its 2026 DC Fly-In

TRICARE ABA Coverage, Direct Support Professionals, and the 1915 C Settings Rule: What CASP Brought to Capitol Hill at Its 2026 DC Fly-In

by Ethan Webb | Apr 3, 2026 | Regulation

Key Takeaways The TRICARE Autism Care Demonstration, now in its twelfth year, still covers ABA services under a demonstration authority rather than as a basic TRICARE benefit, imposing administrative requirements and care-setting restrictions that standard coverage...
California’s Medi-Cal H.R. 1 Implementation Plan: What Behavioral Health Providers Need to Know Before October 2026

California’s Medi-Cal H.R. 1 Implementation Plan: What Behavioral Health Providers Need to Know Before October 2026

by Ethan Webb | Apr 2, 2026 | Regulation

Key Takeaways California’s Department of Health Care Services released its H.R. 1 implementation plan on January 30, 2026, outlining how the state will operationalize the largest federal changes to Medicaid in the program’s sixty-year history....
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