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 ABA Medicaid rates · Massachusetts 

 Massachusetts Medicaid *ABA rates.* 
=====================================

 MassHealth - 101 CMR 358.00 Rates for Applied Behavior Analysis. 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 Massachusetts 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)   All providers Behavior identification assessment (initial FBA and reassessment).  15 min $30.73    97153 Adaptive behavior treatment by protocol (technician)   All providers Adaptive behavior treatment by technician.  15 min $16.37    97154 Group treatment by protocol (technician)   All providers Social skills group, up to 8 participants.  15 min $13.91    97155 Treatment with protocol modification (QHP)   All providers  15 min $30.73    97156 Family treatment guidance (QHP)   All providers Parent training with or without the child present.  15 min $30.73    97157 Multiple-family group guidance (QHP)   All providers Multiple-family group parent training, up to 8 participants.  15 min $26.12    97152 Supporting assessment (technician)   All providers Not listed in the 101 CMR 358.03(3) fee schedule.  — —    97158 Group treatment with protocol modification (QHP)   All providers Not listed in the 101 CMR 358.03(3) fee schedule.  — —    0362T Supporting assessment for severe behavior (team)   All providers Not listed in the 101 CMR 358.03(3) fee schedule.  — —    0373T Treatment for severe behavior (team)   All providers Not listed in the 101 CMR 358.03(3) fee schedule.  — —    

Caveats
-------

- Most ABA in this state is paid through managed care plans; plan rates may differ from these FFS rates.
- MassHealth reports no current FFS use of this schedule.

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

Current in-force regulation. EOHHS filed proposed amendments on May 22, 2026, with a hearing on June 17, 2026, for an effective date of December 1, 2026. They keep every rate unchanged. No final adoption of the December 2026 version was posted on the 101 CMR 358.00 page as of 2026-09-30. EOHHS staff testimony (June 17, 2026) states there is currently no fee-for-service utilization under 101 CMR 358.00. ABA is delivered through MassHealth managed care networks. DPH EIBI providers and 101 CMR 349.00 early intervention also use these rates. Also listed: H0031-U2 30.73 per 15 min (assessment and case planning for home services by a licensed professional). Rates are the lower of the provider's usual charge or the fee schedule. mass.gov returns 403 to curl and WebFetch. The PDF was downloaded through a real browser session, and the numbers were read from its pdftotext output.

   Program MassHealth - 101 CMR 358.00 Rates for Applied Behavior Analysis 

 Effective date 2024-10-01 

 Last reviewed 2026-09-30 

 Source  [101 CMR 358.00: Rates for Applied Behavior Analysis (Final Adoption, published in Mass. Register 09/27/2024; effective for dates of service on or after October 1, 2024)](https://www.mass.gov/doc/rates-for-applied-behavior-analysis-effective-october-1-2024-0/download)  

National median · 97153

 $15.04 per 15-min unit

 Massachusetts: $16.37 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 Massachusetts 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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