Blog \| StreamABA [ ![StreamABA](https://streamaba.com/build/assets/logo-dark-Bta4omRy.svg) ](/) [Home](https://streamaba.com) [Blog](https://streamaba.com/blog) [ Log in ](https://streamaba.com/login) [ Goto the Live Demo ](#get-started) [Home](https://streamaba.com) [Blog](https://streamaba.com/blog) [Log in](https://streamaba.com/login) [ Goto the Live Demo ](#get-started) The StreamABA blog Running an ABA practice, in plain language. ============================================= Billing and authorization changes, payer news, and practice operations, written for BCBAs, clinical directors, and the people who keep ABA practices running. - [ ![](/images/blog/2026/06/rbt-supervision-audit-proofing-five-percent-rule.jpg) compliance The 5% Rule Just Became an Audit Weapon: How to Make Your RBT Supervision Defensible -------------------------------------------------------------------------------------- MassHealth ran a ratio check on every 2024 ABA claim in the state and sent six-figure recoupment letters to providers whose 97153-to-97155 ratios exceeded 20:1. No chart review. No records request. Just math. How the 5% supervision rule became a clawback trigger, and the monthly self-audit that keeps your practice off the list. Jun 22, 2026 8 min read ](https://streamaba.com/blog/2026/06/rbt-supervision-audit-proofing-five-percent-rule) - [ ![](/images/blog/2026/06/indiana-aba-provider-enrollment-moratorium.jpg) compliance Indiana Froze New ABA Provider Enrollment. It Froze Ownership Changes Too. ---------------------------------------------------------------------------- On June 2, Indiana FSSA announced a CMS-approved six-month moratorium on new ABA provider agency enrollments and on changes of ownership for existing agencies. Effective June 6, extendable indefinitely in six-month increments. Meanwhile, every enrolled Indiana ABA agency has until August 1 to prove it has started accreditation. Here's what both deadlines mean. Jun 18, 2026 8 min read ](https://streamaba.com/blog/2026/06/indiana-aba-provider-enrollment-moratorium) - [ ![](/images/blog/2026/06/colorado-hb26-1425-aba-licensure-law.jpg) compliance Colorado Answers Its $285M Audit: HB26-1425 Brings Licensure to ABA --------------------------------------------------------------------- Three months after the OIG found $285 million in improper and potentially improper ABA payments, Governor Polis signed HB26-1425. Behavior analyst licensure, facility licensure, fingerprint background checks -- and the first facility deadline is August 1, 2026. Jun 14, 2026 6 min read ](https://streamaba.com/blog/2026/06/colorado-hb26-1425-aba-licensure-law) - [ ![](/images/blog/2026/06/doj-largest-autism-medicaid-fraud-case-minnesota.jpg) compliance DOJ Charged the Largest Autism Medicaid Fraud Case in History. Read It Like an Auditor Will. ---------------------------------------------------------------------------------------------- A federal grand jury indicted two Minnesota women for allegedly billing the state's EIDBI autism program $46.6 million -- with cash kickbacks to parents, 3,000+ hours of family training billed to a single family, and claims submitted under the names of providers who never worked there. DOJ calls it the largest autism fraud scheme it has ever charged. Here's what was alleged, why it was visible in the data all along, and what separates a real practice from a target. Jun 9, 2026 8 min read ](https://streamaba.com/blog/2026/06/doj-largest-autism-medicaid-fraud-case-minnesota) - [ ![](/images/blog/2026/06/aba-authorization-utilization-why-payers-cut-hours.jpg) billing Approved for 30 Hours, Delivering 19: Why Your ABA Renewal Came Back Lower ---------------------------------------------------------------------------- Payers don't need to audit you to cut your hours. Your own claims data does the talking at every renewal, and if your practice chronically delivers 60-70% of what's authorized, the reviewer reads that as proof a smaller authorization would have been enough. How payers track utilization, what a defensible rate looks like, and the weekly loop that closes the gap. Jun 5, 2026 6 min read ](https://streamaba.com/blog/2026/06/aba-authorization-utilization-why-payers-cut-hours) - [ ![](/images/blog/2026/04/bcba-exam-pass-rate-workforce-crunch.jpg) practice management 51% Pass Rate, 132,000 Job Postings: The BCBA Supply Crunch Is Structural --------------------------------------------------------------------------- In 2025, 23,151 people sat for the BCBA exam at record volume — and only 51% passed on their first try, the lowest rate in BACB history. With 132,307 job postings requiring BCBA certification against a total certified workforce of 81,566, and 2027 credentialing changes narrowing the pipeline further, the BCBA shortage is a structural problem that will shape your practice's growth ceiling for years. Apr 28, 2026 9 min read ](https://streamaba.com/blog/2026/04/bcba-exam-pass-rate-workforce-crunch) - [ ![](/images/blog/2026/04/cms-50-state-medicaid-revalidation-aba.jpg) compliance CMS Gave All 50 States 30 Days to Submit Medicaid Fraud Plans. Autism Therapy Was Named. ------------------------------------------------------------------------------------------ On April 21, 2026, CMS Administrator Dr. Oz announced that letters are going to all 50 governors and state Medicaid directors demanding two-year provider revalidation strategies. States have 10 days to notify CMS and 30 days to submit a full plan. Oz named autism therapy specifically as a program area where federal authorities have already addressed fraud. Non-compliance is a threat multiplier: CMS has already frozen $243 million in Minnesota Medicaid payments over fraud concerns. Apr 24, 2026 9 min read ](https://streamaba.com/blog/2026/04/cms-50-state-medicaid-revalidation-aba) - [ ![](/images/blog/2026/04/house-energy-commerce-aba-medicaid-probe-10-states.jpg) compliance Congress Is Investigating ABA Medicaid Billing in 10 States. Is Yours One of Them? ------------------------------------------------------------------------------------ On March 3, 2026, the House Energy and Commerce Committee sent letters to governors and Medicaid directors in California, Colorado, Massachusetts, Maine, Nebraska, New York, Oregon, Pennsylvania, Vermont, and Washington — demanding records on ABA fraud, waste, and abuse dating back to 2021. This is not an OIG audit. It's Congressional oversight, and the pressure it creates on state Medicaid programs is different in kind, not just degree. Apr 22, 2026 8 min read ](https://streamaba.com/blog/2026/04/house-energy-commerce-aba-medicaid-probe-10-states) - [ ![](/images/blog/2026/04/nc-hb-696-aba-medicaid-overhaul.jpg) compliance NC Just Answered the 47% Question: HB 696 Bans Out-of-State BCBAs and Rewrites ABA Medicaid Coverage ------------------------------------------------------------------------------------------------------ On April 22, 2026, the NC General Assembly adopted the conference report for House Bill 696 (112–1 House, 48–1 Senate). Section 3C.18 bans out-of-state BCBA and QASP Supervisor Medicaid enrollment, rewrites Clinical Coverage Policy 8F with nine required changes, and imposes monthly reauthorization for any ABA plan above 16 weekly hours. Apr 22, 2026 10 min read ](https://streamaba.com/blog/2026/04/nc-hb-696-aba-medicaid-overhaul) - [ ![](/images/blog/2026/04/vermont-concurrent-billing-ban-aba-medicaid.jpg) billing Vermont Banned Concurrent ABA Billing. Revenue at Affected Clinics Dropped 17%. Your State Could Be Next. ----------------------------------------------------------------------------------------------------------- Vermont Medicaid banned concurrent billing of CPT codes 97153 and 97155 on January 1, 2026, citing an OIG audit that flagged $18.5 million in improper Wisconsin payments tied to the practice. Clinic revenue at affected providers dropped 16–17% within 60 days. CASP says the interpretation is wrong. Oregon allows it with documentation requirements. Most states have said nothing — and silence is now an audit risk. Apr 21, 2026 8 min read ](https://streamaba.com/blog/2026/04/vermont-concurrent-billing-ban-aba-medicaid) [ « Previous ](https://streamaba.com/blog?page=2) [ Next » ](https://streamaba.com/blog?page=4) Showing 21 to 30 of 54 results [ ](https://streamaba.com/blog?page=2) [ 1 ](https://streamaba.com/blog?page=1) [ 2 ](https://streamaba.com/blog?page=2) 3 [ 4 ](https://streamaba.com/blog?page=4) [ 5 ](https://streamaba.com/blog?page=5) [ 6 ](https://streamaba.com/blog?page=6) [ ](https://streamaba.com/blog?page=4) Live demo · No sales call Ready to Streamline your practice? ------------------------------------ StreamABA runs intake, scheduling, authorizations, session data, and billing in one place. Get instant access to the live demo. No sales call, no meeting. 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