Maine Medicaid ABA Rates: 97153 and Every ABA Code \| 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) ABA Medicaid rates · Maine Maine Medicaid *ABA rates.* ============================= MaineCare FFS - Chapter II/III Section 28 Adaptive Behavior Services for Children. Fee-for-service rates as the state publishes them, with the source and the date we last checked it. Website Work email Goto the Live Demo Rates by code What Maine Medicaid *pays.* --------------------------- Not billed under CPT. The state pays ABA under other (HCPCS) codes, not these CPT codes. Code Modifier / provider tier Unit Rate 97151 Behavior identification assessment (QHP) All providers Not on the MaineCare Section 28 schedule or the MaineCare UCR fee schedule (Sept 2026 file). MaineCare bills ABA under HCPCS H2021 (see state notes). — — 97152 Supporting assessment (technician) All providers Not on the MaineCare Section 28 schedule or the MaineCare UCR fee schedule (Sept 2026 file). MaineCare bills ABA under HCPCS H2021 (see state notes). — — 97153 Adaptive behavior treatment by protocol (technician) All providers Not on the MaineCare Section 28 schedule or the MaineCare UCR fee schedule (Sept 2026 file). MaineCare bills ABA under HCPCS H2021 (see state notes). — — 97154 Group treatment by protocol (technician) All providers Not on the MaineCare Section 28 schedule or the MaineCare UCR fee schedule (Sept 2026 file). MaineCare bills ABA under HCPCS H2021 (see state notes). — — 97155 Treatment with protocol modification (QHP) All providers Not on the MaineCare Section 28 schedule or the MaineCare UCR fee schedule (Sept 2026 file). MaineCare bills ABA under HCPCS H2021 (see state notes). — — 97156 Family treatment guidance (QHP) All providers Not on the MaineCare Section 28 schedule or the MaineCare UCR fee schedule (Sept 2026 file). MaineCare bills ABA under HCPCS H2021 (see state notes). — — 97157 Multiple-family group guidance (QHP) All providers Not on the MaineCare Section 28 schedule or the MaineCare UCR fee schedule (Sept 2026 file). MaineCare bills ABA under HCPCS H2021 (see state notes). — — 97158 Group treatment with protocol modification (QHP) All providers Not on the MaineCare Section 28 schedule or the MaineCare UCR fee schedule (Sept 2026 file). MaineCare bills ABA under HCPCS H2021 (see state notes). — — 0362T Supporting assessment for severe behavior (team) All providers On MaineCare's Non-Covered Codes list (BENE - Maine Excluded Services), effective 1/1/2015 to 12/31/2078. — — 0373T Treatment for severe behavior (team) All providers On MaineCare's Non-Covered Codes list (BENE - Maine Excluded Services), effective 1/1/2015 to 12/31/2078. — — Caveats ------- - ABA is billed here under HCPCS codes, not only the CPT codes shown. See the state notes for those rates. How we read this state's schedule --------------------------------- Status 'not\_covered' applies to the requested CPT codes only; ABA itself IS covered under HCPCS codes (see below). MaineCare does not pay ABA under CPT 97151-97158. 0362T and 0373T are explicitly non-covered. ABA is covered, but billed under HCPCS H2021 in Section 28. Current Applied Behavior Analysis rates per 15 min (effective 4/30/2026): H2021 U1 HK one-to-one 27.87; U1 HK UN 2-member group 15.19; U1 HK UP 3-member 10.82; U1 HK UQ 4-8 member 8.76. School-related: U2 HK 23.43; U2 HK UN 12.96; U2 HK UP 9.14; U2 HK UQ 7.29. Adaptive Skills Training (BHP): H2021 TJ HI 20.51 / UN 11.19 / UP 7.97 / UQ 6.44. School-related: TR HI 17.36 / UN 9.58 / UP 6.78 / UQ 5.39. The PDF and XLSX values match. The earlier 'Rehabilitative and Community Support Services for Children' schedule (1/1/2026-4/29/2026) had the same H2021 rates. Checked for ABA CPT codes: MaineCare UCR CSV (updated 2026-09-28), Section 65 Behavioral Health 2026, Section 90 Physician 2026. Non-Covered Codes CSV (updated 2026-09-28). Program MaineCare FFS - Chapter II/III Section 28 Adaptive Behavior Services for Children Effective date 2026-04-30 Last reviewed 2026-09-30 Source [Section 28 - Adaptive Behavior Services for Children, Effective April 30, 2026 - December 31, 2026 (Updated 6/4/2026)](https://mainecare.maine.gov/Provider%20Fee%20Schedules/Rate%20Setting/Section%20028%20-%20Adaptive%20Behavior%20Services%20for%20Children/Section%2028%20-%20Adaptive%20Behavior%20Services%20for%20Children%202026.pdf) National median · 97153 $15.04 per 15-min unit Maine 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) [Compare every state](https://streamaba.com/tools/aba-medicaid-rates) Read this before you rely on a number ------------------------------------- - These are Maine 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. Spotted a change or an error? [Tell us](https://streamaba.com/support) and we will re-check the source. Live demo · No sales call Bill the rate you're actually owed. ------------------------------------- StreamABA keeps each payer's fee schedule, authorizations and claims in one place, so every session bills at the right rate. Get instant access to the live demo. No sales call, no meeting. 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