Behavioral Health Business January 17, 2025
Chris Larson

Indiana’s Medicaid program wants to cap coverage of applied behavior analysis (ABA) for children and roll out additional workforce regulations.

At a state budget committee on Dec. 17, officials with Indiana Medicaid unveiled a plan to limit ABA coverage to “30 hours per week for a duration of no longer than three (3) years,” according to a proposal document.

“Following the maximum 3-year duration, ABA recipients would be permitted to continue limited hour, behavior-specific, focused ABA, if medically necessary,” the document states.

The move is motivated by ballooning costs within Indiana Medicaid to cover ABA, a therapeutic cornerstone of autism therapy. The proposal document states that ABA cost the program $398 million in the state fiscal year 2024. Without the...

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