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As States Cut ABA Rates One by One, Pressure Builds for a National Medicaid Conversation. Providers Want Reimbursement and Fraud Rules Set Together, Not State by State.

As States Cut ABA Rates One by One, Pressure Builds for a National Medicaid Conversation. Providers Want Reimbursement and Fraud Rules Set Together, Not State by State.

by Ethan Webb | Jul 16, 2026 | Regulation

ABA rate cuts and billing rules now vary sharply from state to state. Providers and clinicians want autism therapy on the national Medicaid agenda before the patchwork hardens. Key Takeaways State ABA policy is fragmenting fast. New York cut Medicaid ABA rates 25%,...
Medicaid ABA Rate Cuts Will Not Stop Fraud, Waste, and Abuse, Provider Advocates Argue

Medicaid ABA Rate Cuts Will Not Stop Fraud, Waste, and Abuse, Provider Advocates Argue

by Ethan Webb | Jul 6, 2026 | Regulation

Federal auditors flagged nearly $200 million in improper Medicaid ABA payments. Providers and clinicians say the fix is targeted oversight, not deeper rate cuts. Key Takeaways Rate cuts can make fraud worse, not better. When reimbursement falls below sustainable...

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