Attention Applied Behavior Analysis (ABA) providers:
The Health Care Authority (HCA) updated the Applied Behavior Analysis (ABA) Program Services Billing guide effective February 1, 2025.
What is Changing?
- HCA removed language regarding provider waitlists to clarify that ‘caregiver training only’ services may occur either prior to initiating direct ABA services or following discharge from direct ABA services.
- HCA added CPT® code 97156 to the list of procedure codes allowed using telemedicine.
- HCA clarified that day programs that bill as outpatient hospitals do not receive a facility fee in addition to the per diem rate on the ABA fee schedule.
See the What is Changed table in HCA’s Applied Behavior Analysis (ABA) Program Billing Guide, effective February 1, 2025.
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