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Virginia Medicaid ABA Rates Frozen Since 2021, Capped at 20 Hours a Week, as the DD Waiver Raised Behavior Analyst Pay by as Much as 26 Percent.

Virginia Medicaid ABA Rates Frozen Since 2021, Capped at 20 Hours a Week, as the DD Waiver Raised Behavior Analyst Pay by as Much as 26 Percent.

by Ethan Webb | Aug 14, 2026 | Regulation

Virginia has not changed its Medicaid ABA rates since 2021. In July 2026 it capped therapy at 20 hours a week and raised waiver behavior analyst pay. Key Takeaways A fee schedule frozen since 2021: The outpatient rates that govern Virginia’s ABA benefit took effect...
Virginia Medicaid Will Cap ABA at 20 Hours a Week Starting July 1

Virginia Medicaid Will Cap ABA at 20 Hours a Week Starting July 1

by Ethan Webb | Jul 1, 2026 | Regulation

Virginia’s new budget sets a 20-hour weekly Medicaid ABA cap and an autism diagnosis rule, softened by EPSDT exceptions and a coming utilization workgroup. Key Takeaways A statutory cap, not just a guideline. Beginning July 1, 2026, Virginia’s budget directs the...

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