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Attention Applied behavior analysis (ABA) providers:
Effective by June 30, 2025, all ABA providers, including Certified Behavior Technicians (CBTs) and Licensed Assistant Behavior Analysts (LABAs), must be enrolled with Apple Health as a servicing provider (also known as rendering or performing provider) to be paid for services provided to Apple Health clients. Once enrolled, their National Provider Identifier (NPI) must be listed on claims for services provided.
PLEASE NOTE – NEW INFORMATION
LABAs and CBTs may provide billable services to Medicaid clients once their Department of Health (DOH) license is approved, and their provider enrollment application has been submitted to the Health Care Authority (HCA). However, do not submit a bill to HCA or a Managed Care Organization for these services until enrollment has been completed with HCA. HCA will backdate the enrollment start date if requested by the provider.
Once a servicing provider’s DOH license is approved, please submit the provider’s enrollment application to HCA. Submit as soon as possible to avoid any delay in enrollment processing times, as the June 30, 2025, deadline approaches and more ABA providers submit their enrollment applications.
Enrollment Resources:
See HCA’s Provider Enrollment webpage for information on how to enroll as an ABA provider. For additional information on the requirements for enrolling ABA providers with HCA, see the June 2024 provider alert. Contact ABA with any questions.
Additional Information:
See WAC 182-502-0002 for eligible provider types.
See WAC 182-531A-0800 for ABA provider requirements.
See HCA’s Applied Behavior Analysis (ABA) Program Billing Guide.
See NPPES website NPPES (hhs.gov) to obtain an NPI.
See the DOH Provider Credential Search to check the status of a provider’s credentials online.
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