July 2026 - Page 26 of 27

ABA Authorization Unit Tracking: Billed vs Approved Reconciliation

ABA practices lose 12-18% of authorized units to billing gaps. Learn how to reconcile billed vs approved units by CPT code before they expire or deny.

BH Denial Recovery Case Study: $1.04M Recovered in 90 Days (12-Site Provider, $70M Rev)

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| Behavioral Health

BH Denial Recovery Case Study: $1.04M Recovered in 90 Days (12-Site Provider, $70M Rev). Practical BH/ABA/SUD billing guidance from Revenant Care.

Massachusetts BH & ABA Billing 2026: MassHealth ACO Structure, MBHP Behavioral Health Carve-Out, and the Commercial Parity Enforcement Opportunity Every MA BH Practice Needs to Know

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| ABA

Massachusetts behavioral health billing in 2026 is shaped by three simultaneous pressures: the MassHealth ACO structure that carves BH out to Massachusetts Behavioral Health Partnership (MBHP), Massachusetts-specific commercial payer parity enforcement (BC/BS of MA, Point32Health), and Massachusetts DPH-specific SUD billing requirements different from most other states. If your MA BH, ABA, or SUD practice bills […]

Georgia BH & ABA Billing 2026: Amerigroup / Peach State / CareSource GA-Specific Modifier Requirements, Georgia Autism Benefit H0031/H2019 Compliance, and the DBHDD Rate Framework Every GA BH Practice Needs to Know

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| ABA

Georgia behavioral health billing in 2026 is shaped by three simultaneous pressures: Georgia Medicaid managed care rate compression across the three GA managed care organizations (Amerigroup, Peach State, CareSource), Georgia Autism Benefit-specific H0031 and H2019 modifier requirements different from most other Medicaid programs, and the Georgia DBHDD (Department of Behavioral Health and Developmental Disabilities) rate […]

Pennsylvania BH & ABA Billing 2026: HealthChoices Rate Compression, MA HealthChoices Modifier Requirements, and the Commercial Payer Parity Opportunity Every PA BH Practice Needs to Know

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| ABA

Pennsylvania behavioral health billing in 2026 is shaped by three simultaneous pressures: PA HealthChoices Medicaid managed care rate compression across the five statewide HealthChoices zones, MA HealthChoices-specific modifier documentation requirements different from most other Medicaid programs, and a MHPAEA parity opportunity on commercial denials most PA BH practices are not systematically pursuing. If your PA […]

Ohio Medicaid BH Billing 2026: The MyCare Ohio Transition, ODM Provider Enrollment Backlog, and the H0031/H2019 Autism Modifier Requirements Every OH Provider Needs to Know

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| ABA

Ohio behavioral health billing in 2026 is being reshaped by three simultaneous pressures: the MyCare Ohio transition to Next Generation MyCare (creating dual eligible billing complexity), the Ohio Department of Medicaid (ODM) provider enrollment backlog compressing new-provider revenue, and Ohio’s specific autism benefit modifier requirements on H0031 and H2019 codes. If your Ohio BH or […]

Florida ABA Billing 2026: Medicaid Rate Landscape, PE Roll-Up Density, and the Multi-Payer Modifier Fixes Every FL ABA Practice Needs

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| ABA

Florida is one of the highest-density ABA markets in the US and one of the most competitive PE-backed ABA roll-up battlegrounds. If your practice operates in Florida — whether independent, PE-backed, or founder-led — the 2026 Florida ABA billing environment demands precision that most in-house teams don’t have. Florida ABA billing hits three simultaneous pressures […]

California Behavioral Health Billing 2026: DMC-ODS Rate Landscape, LA County Contract Complexity, and the Multi-County Modifier Playbook

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| Behavioral Health

California behavioral health billing is different. If your practice bills DMC-ODS (Drug Medi-Cal Organized Delivery System), Medi-Cal fee-for-service, LA County DMH contracts, or Alameda County BHCS, you are operating in the most fragmented state Medicaid environment in the US. The 2026 California BH landscape hits three simultaneous pressures: DMC-ODS rate variance across 40+ opt-in counties, […]

Texas Medicaid U-Series Modifiers For ABA Concurrent Billing 2026: The Modifier Precision Playbook Every Texas ABA Org Needs

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| ABA

If your ABA practice bills Texas Medicaid, the concurrent billing rules for 97153 and 97155 have gotten more complex in 2026 — and getting the modifier stack wrong is now the single most common cause of denied concurrent claims across Texas ABA practices we work with. Texas Medicaid requires U-series modifiers (U1, U2, U3, and […]

Michigan PIHP Redesign 2026: The ABA + Autism Billing Fixes Every MI Practice Needs Before H0031/H2019 Denials Compound

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| ABA

If your Michigan ABA or autism-services practice bills through a PIHP (Pre-paid Inpatient Health Plan), 2026 is the year the rules got harder. The Michigan PIHP redesign for 2026 is creating denial cliffs on autism ABA H0031 (assessment) and H2019 (behavioral health services) codes that most in-house billing teams are treating as one-off denials when […]