Indiana Medicaid is stepping down the ABA 97153 unit rate from $17.06 to $15.39 by 2027. That is a 10% cumulative revenue cut per unit, phased in a way that gives Indiana ABA CFOs a real planning window. The practices that survive this rate cycle will use the phased implementation to their advantage. The practices […]

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If your ABA practice bills New York Medicaid, your revenue just dropped 14% and it’s not coming back. New York Medicaid cut the ABA 97153 unit rate from $16.85 to $14.45 between October 2025 and April 2026. For a mid-size NY ABA practice billing 400 units per week per BCBA-supervised technician, that’s: Old revenue per […]

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If your ABA practice bills concurrent 97153 (behavior technician time under BCBA direction) and 97155 (BCBA protocol modification) simultaneously, 2026 is the year the rules got harder — and different in every state. The biggest news: Vermont Medicaid, effective January 2026, discontinued reimbursement for concurrent billing of 97153 and 97155, restricted telehealth ABA delivery, and […]

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The honest answer: Outsourcing your ABA billing makes financial sense when your collected revenue per BCBA hour is being suppressed by 4% or more in fixable categories you don’t have time to work. Below that threshold, in-house billing usually wins. Above it, you’re paying yourself to do work an outsourced team can do faster and […]

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