by Ethan Webb | Apr 28, 2026 | Regulation
Key Takeaways Announced, not collected: Ten weeks after Georgia’s $25 million parity enforcement landed, an 11Alive Investigates open records request found none of it had been collected, with insurers holding statutory appeal rights the Office of Insurance Safety Fire...
by Ethan Webb | Apr 27, 2026 | Regulation, Technology
Key Takeaways Floreo filed a De Novo request, not a 510(k), which would create a new FDA device classification. The De Novo pathway is reserved for novel devices with no legally marketed predicate, meaning an FDA grant would establish FloreoRx as the first predicate...
by Ethan Webb | Apr 24, 2026 | Regulation
Key Takeaways AHCCCS ABA spending rose from $260 million in fiscal year 2024 to $371 million in fiscal year 2025. AHCCCS previewed proposed updates to AMPM 320S through provider and family webinars on April 15 and 16, 2026. Arizona’s FY26 ABA fee schedule,...
by Ethan Webb | Apr 23, 2026 | Regulation
Key Takeaways New York was the 49th state to implement Medicaid coverage of Applied Behavior Analysis, with the benefit becoming billable in 2021 and widely used only beginning in 2023. Effective April 1, 2026, the Medicaid reimbursement rate for CPT code 97153...
by Ethan Webb | Apr 16, 2026 | Regulation
Key Takeaways Indiana’s Medicaid ABA program grew from $21 million in 2016 to $611 million in 2023, the fastest rate of growth of any state ABA program in the country. In January 2024, Indiana replaced an uncapped 40%-of-billed-charges model with a fixed fee...
