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 ABA Medicaid rates · Florida 

 Florida Medicaid *ABA rates.* 
===============================

 Florida Medicaid FFS (AHCA). 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 Florida Medicaid *pays.*
-----------------------------

Published. The state publishes a fee-for-service rate for these codes.

   Code Modifier / provider tier Unit Rate      97151 Behavior identification assessment (QHP)   Lead Analyst Max 24 units per behavior assessment  15 min $19.05    Lead Analyst · Modifier TS Behavior reassessment; max 18 units  15 min $19.05    97152 Supporting assessment (technician)   All providers Supporting assessment; max 8 units per behavior assessment  15 min $12.19    97153 Adaptive behavior treatment by protocol (technician)   RBT, BCaBA, or Lead Analyst  15 min $12.26    97154 Group treatment by protocol (technician)   Lead Analyst, BCaBA, or RBT · Modifier UN Group; max 6 clients per group; 2 clients  15 min $7.58    Lead Analyst, BCaBA, or RBT · Modifier UP Group; max 6 clients per group; 3 clients  15 min $7.08    Lead Analyst, BCaBA, or RBT · Modifier UQ Group; max 6 clients per group; 4 clients  15 min $6.58    Lead Analyst, BCaBA, or RBT · Modifier UR Group; max 6 clients per group; 5 clients  15 min $6.08    Lead Analyst, BCaBA, or RBT · Modifier US Group; max 6 clients per group; 6 clients  15 min $5.58    97155 Treatment with protocol modification (QHP)   Lead Analyst  15 min $19.17    BCaBA · Modifier HN  15 min $15.37    97156 Family treatment guidance (QHP)   Lead Analyst  15 min $19.05    Lead Analyst · Modifier GT Telemedicine; up to 2 hours per week  15 min $19.05    BCaBA · Modifier HN  15 min $15.24    97157 Multiple-family group guidance (QHP)   All providers Not listed on the AHCA BA fee schedule  15 min —    97158 Group treatment with protocol modification (QHP)   Lead Analyst or BCaBA · Modifier UN Group; max 6 clients per group; 2 clients  15 min $9.58    Lead Analyst or BCaBA · Modifier UP Group; max 6 clients per group; 3 clients  15 min $9.08    Lead Analyst or BCaBA · Modifier UQ Group; max 6 clients per group; 4 clients  15 min $8.58    Lead Analyst or BCaBA · Modifier UR Group; max 6 clients per group; 5 clients  15 min $8.08    Lead Analyst or BCaBA · Modifier US Group; max 6 clients per group; 6 clients  15 min $7.58    0362T Supporting assessment for severe behavior (team)   All providers Max 16 units for initial assessment or reassessment; prior authorization and medical necessity required  15 min $12.19    0373T Treatment for severe behavior (team)   All providers Prior authorization and medical necessity required  15 min $12.19    

Caveats
-------

- Most ABA in this state is paid through managed care plans; plan rates may differ from these FFS rates.

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

Rates in the posted 2026 BA Fee Schedule are identical to the Behavior Analysis Fee Schedule January 1, 2025 (https://ahca.myflorida.com/content/download/26138/file/2025%20Behavior%20Analysis%20Fee%20Schedule.pdf), which Rule 59G-4.002 incorporates; the 2026 PDF carries no stated effective date, so effective\_date reflects the Jan 1, 2025 promulgated schedule. Covered for recipients under 21. Since Feb 2025 (SMMC 3.0) BA services for MMA enrollees are delivered through Managed Medical Assistance plans, which may pay different rates; this schedule is the FFS maximum fee. 97157 is not listed on the schedule. XP-modifier concurrent-supervision lines (97153 XP, 97155 XP) are listed as not reimbursed. Only one practitioner reimbursed for concurrent services unless prior authorized and in the approved behavior plan.

   Program Florida Medicaid FFS (AHCA) 

 Effective date 2025-01-01 

 Last reviewed 2026-09-30 

 Source  [AHCA Behavior Analysis Fee Schedule 2026](https://ahca.myflorida.com/content/download/28096/file/2026%20BA%20Fee%20Schedule.pdf)  

National median · 97153

 $15.04 per 15-min unit

 Florida: $12.26 at the same tier.

  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)  

 [Compare every state](https://streamaba.com/tools/aba-medicaid-rates)

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

- These are Florida 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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