ABA Providers in Massachusetts Are Facing Six-Figure Recoupments Over a Supervision Standard That Was Never Codified as a Payment Condition. They Have Retained Attorneys and Are Threatening to Sue.

ABA Providers in Massachusetts Are Facing Six-Figure Recoupments Over a Supervision Standard That Was Never Codified as a Payment Condition. They Have Retained Attorneys and Are Threatening to Sue.

Key Takeaways MassHealth conducted a retrospective audit of calendar year 2024 ABA Medicaid claims and directed Carelon Behavioral Health to issue recoupment letters to Massachusetts providers in late February 2026, setting a 30-day payment deadline. Providers had 30...