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...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

Continue Reading

 
Topics: Insurance, Medicaid, Provider
Related Articles:
Where did the private payers go?
ACA Impact on Medicare Beneficiaries Linked to Reduced Costs, Improved Health
As Congress Looks to Reduce Federal Spending, Medicare and Medicaid Remain Broadly Popular, and At Least Twice as Many People Want to Increase Spending Rather Than Cut It
Medicaid Eligibility for Nursing Home Residents Updated to Account for Inflationary Costs
44 million people enrolled in ACA programs, KFF finds

Share This Article