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Vermont Medicaid ABA Reimbursement Now Runs on Two Tracks After a January 2026 Billing Overhaul. A 14-Tier Case Rate Anchors Medicaid-Only Autism Care While Fee-for-Service Rates Sit Frozen Since 2019.

Vermont Medicaid ABA Reimbursement Now Runs on Two Tracks After a January 2026 Billing Overhaul. A 14-Tier Case Rate Anchors Medicaid-Only Autism Care While Fee-for-Service Rates Sit Frozen Since 2019.

by | Jun 14, 2026 | Regulation

Vermont Medicaid’s 2026 ABA overhaul curbs concurrent billing and assistant-analyst codes, splitting autism pay between a 14-tier case rate and frozen FFS rates. Key Takeaways Frozen base rates. Vermont Medicaid’s fee-for-service ABA rates have not moved...