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 ABA Medicaid rates · District of Columbia 

 District of Columbia Medicaid *ABA rates.* 
============================================

 DC Medicaid FFS (DHCF). Fee-for-service rates as the state publishes them, with the source and the date we last checked it.

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    Rates by code 

What District of Columbia Medicaid *pays.*
------------------------------------------

Not verified. A rate may exist, but we could not read it from the primary source.

   Code Modifier / provider tier Unit Rate      97151 Behavior identification assessment (QHP)   All providers Rate not verified: DC FFS fee schedule is published only on dc-medicaid.com, which is blocked by a Cloudflare challenge; archived 01/10/2026 file was truncated before this code  15 min —    97152 Supporting assessment (technician)   All providers Rate not verified: DC FFS fee schedule is published only on dc-medicaid.com, which is blocked by a Cloudflare challenge; archived 01/10/2026 file was truncated before this code  15 min —    97153 Adaptive behavior treatment by protocol (technician)   All providers Rate not verified: DC FFS fee schedule is published only on dc-medicaid.com, which is blocked by a Cloudflare challenge; archived 01/10/2026 file was truncated before this code  15 min —    97154 Group treatment by protocol (technician)   All providers Rate not verified: DC FFS fee schedule is published only on dc-medicaid.com, which is blocked by a Cloudflare challenge; archived 01/10/2026 file was truncated before this code  15 min —    97155 Treatment with protocol modification (QHP)   All providers Rate not verified: DC FFS fee schedule is published only on dc-medicaid.com, which is blocked by a Cloudflare challenge; archived 01/10/2026 file was truncated before this code  15 min —    97156 Family treatment guidance (QHP)   All providers Rate not verified: DC FFS fee schedule is published only on dc-medicaid.com, which is blocked by a Cloudflare challenge; archived 01/10/2026 file was truncated before this code  15 min —    97157 Multiple-family group guidance (QHP)   All providers Rate not verified: DC FFS fee schedule is published only on dc-medicaid.com, which is blocked by a Cloudflare challenge; archived 01/10/2026 file was truncated before this code  15 min —    97158 Group treatment with protocol modification (QHP)   All providers Rate not verified: DC FFS fee schedule is published only on dc-medicaid.com, which is blocked by a Cloudflare challenge; archived 01/10/2026 file was truncated before this code  15 min —    0362T Supporting assessment for severe behavior (team)   All providers Archived official DC Medical Fee Schedule (as of 01/10/2026) lists this code with value $0.00 and COVERED BENEFIT = NO, under its original 2014 descriptor; not re-verified on the live portal  15 min —    0373T Treatment for severe behavior (team)   All providers Archived official DC Medical Fee Schedule (as of 01/10/2026) lists this code with value $0.00 and COVERED BENEFIT = NO, under its original 2014 descriptor; not re-verified on the live portal  15 min —    

How we read this state's schedule
---------------------------------

ABA is covered as an EPSDT autism spectrum disorder service for under-21s (SPA 23-0009, effective 2023-10-01; rules at 29 DCMR Chapter 110). The SPA sets fees as of 2023-10-01 and says they are published at dc-medicaid.com. That portal returned a Cloudflare 'Suspected Phishing' challenge that can't be passed automatically, and the only Wayback capture (Medical\_Fee\_Schedule\_Current.csv, as of 01/10/2026) is truncated. The 2026 professional fee update XLSX on dhcf.dc.gov (Transmittal 26-10) has no ABA codes. The third-party $27.50 figure for 97153 is not confirmed and is not used. Most DC Medicaid children are in MCOs.

   Program DC Medicaid FFS (DHCF) 

 Effective date Not stated 

 Last reviewed 2026-09-30 

 Source  [District of Columbia SPA 23-0009 (ASD services), Attachment 4.19-B Part I p. 26.3](https://www.medicaid.gov/medicaid/spa/downloads/DC-23-0009.pdf)  

National median · 97153

 $15.04 per 15-min unit

 District of Columbia has no rate in the national median.

  Across 40 states, at the technician tier or the single rate where a state has no tiers. [How we count](https://streamaba.com/tools/aba-medicaid-rates#methodology)  

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Read this before you rely on a number
-------------------------------------

- These are District of Columbia Medicaid fee-for-service rates as published by the state. They are not commercial insurance rates and not managed care plan rates.
- This page is general information, not billing, coding or legal advice.
- Fee schedules change, often without notice. Verify every rate with the state Medicaid agency, or with the plan you bill, before you rely on it.
- CPT is a registered trademark of the American Medical Association. Code names here are our own short descriptions.

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