Missouri 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 · Missouri Missouri Medicaid *ABA rates.* ================================ MO HealthNet FFS - Applied Behavioral Analysis fee schedule. 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 Missouri Medicaid *pays.* ------------------------------ Published. The state publishes a fee-for-service rate for these codes. Code Modifier / provider tier Unit Rate 0362T Supporting assessment for severe behavior (team) Rural Health Clinic Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: Yes. 15 min $25.26 Behavior Analyst or Psychologist · Modifier HO Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: Yes. 15 min $25.26 Behavior Analyst or Psychologist · Modifier TM HO Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: No. 15 min $25.26 Behavior Analyst or Psychologist · Modifier U8 HO Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: Yes. 15 min $27.46 0373T Treatment for severe behavior (team) Rural Health Clinic Rate effective 2022-07-01; Covered; MHD max units 32; PA/precert required: Yes. 15 min $25.26 Behavior Analyst or Psychologist · Modifier HO Rate effective 2022-07-01; Covered; MHD max units 32; PA/precert required: Yes. 15 min $25.26 Behavior Analyst or Psychologist · Modifier TM HO Rate effective 2022-07-01; Covered; MHD max units 32; PA/precert required: No. 15 min $25.26 Behavior Analyst or Psychologist · Modifier U8 HO Rate effective 2022-07-01; Covered; MHD max units 32; PA/precert required: Yes. 15 min $27.46 97151 Behavior identification assessment (QHP) Rural Health Clinic Rate effective 2022-07-01; Covered; MHD max units 32; PA/precert required: Yes. 15 min $25.26 Behavior Analyst or Psychologist · Modifier HO Rate effective 2022-07-01; Covered; MHD max units 32; PA/precert required: Yes. 15 min $25.26 Behavior Analyst or Psychologist · Modifier TM HO Rate effective 2022-07-01; Covered; MHD max units 32; PA/precert required: No. 15 min $25.26 Behavior Analyst or Psychologist · Modifier U8 HO Rate effective 2022-07-01; Covered; MHD max units 32; PA/precert required: Yes. 15 min $25.26 97152 Supporting assessment (technician) Rural Health Clinic Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: Yes. 15 min $25.26 Assistant Behavior Analyst · Modifier HN Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: Yes. 15 min $17.12 Registered Behavior Technician · Modifier HN HM Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: Yes. 15 min $15.00 Behavior Analyst or Psychologist · Modifier HO Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: Yes. 15 min $25.26 Registered Behavior Technician · Modifier HO HM Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: Yes. 15 min $15.00 Registered Behavior Technician · Modifier TM HM Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: No. 15 min $15.00 Assistant Behavior Analyst · Modifier TM HN Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: No. 15 min $17.12 Behavior Analyst or Psychologist · Modifier TM HO Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: No. 15 min $25.26 Assistant Behavior Analyst · Modifier U8 HN Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: Yes. 15 min $17.12 Behavior Analyst or Psychologist · Modifier U8 HO Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: Yes. 15 min $25.26 97153 Adaptive behavior treatment by protocol (technician) Rural Health Clinic Rate effective 2022-07-01; Covered; MHD max units 32; PA/precert required: Yes. 15 min $17.73 Assistant Behavior Analyst · Modifier HN Rate effective 2024-07-01; Covered; MHD max units 32; PA/precert required: Yes. 15 min $20.13 Registered Behavior Technician · Modifier HN HM Rate effective 2024-07-01; Covered; MHD max units 32; PA/precert required: Yes. 15 min $16.37 Behavior Analyst or Psychologist · Modifier HO Rate effective 2024-07-01; Covered; MHD max units 32; PA/precert required: Yes. 15 min $20.13 Registered Behavior Technician · Modifier HO HM Rate effective 2024-07-01; Covered; MHD max units 32; PA/precert required: Yes. 15 min $16.37 Registered Behavior Technician · Modifier TM HM Rate effective 2024-07-01; Covered; MHD max units 32; PA/precert required: No. 15 min $16.37 Assistant Behavior Analyst · Modifier TM HN Rate effective 2024-07-01; Covered; MHD max units 32; PA/precert required: No. 15 min $20.13 Behavior Analyst or Psychologist · Modifier TM HO Rate effective 2024-07-01; Covered; MHD max units 32; PA/precert required: No. 15 min $20.13 Assistant Behavior Analyst · Modifier U8 HN Rate effective 2024-07-01; Covered; MHD max units 32; PA/precert required: Yes. 15 min $20.13 Behavior Analyst or Psychologist · Modifier U8 HO Rate effective 2024-07-01; Covered; MHD max units 32; PA/precert required: Yes. 15 min $20.13 97154 Group treatment by protocol (technician) Registered Behavior Technician · Modifier HN HM Rate effective 2025-05-01; Covered; MHD max units 8; PA/precert required: Yes. 15 min $2.05 Behavior Analyst or Psychologist · Modifier HO Rate effective 2025-05-01; Covered; MHD max units 8; PA/precert required: Yes. 15 min $2.05 Registered Behavior Technician · Modifier HO HM Rate effective 2025-05-01; Covered; MHD max units 8; PA/precert required: Yes. 15 min $2.05 97155 Treatment with protocol modification (QHP) Rural Health Clinic Rate effective 2022-07-01; Covered; MHD max units 24; PA/precert required: Yes. 15 min $25.26 Assistant Behavior Analyst · Modifier HN Rate effective 2022-07-01; Covered; MHD max units 24; PA/precert required: Yes. 15 min $17.73 Behavior Analyst or Psychologist · Modifier HO Rate effective 2022-07-01; Covered; MHD max units 24; PA/precert required: Yes. 15 min $25.26 Assistant Behavior Analyst · Modifier TM HN Rate effective 2022-07-01; Covered; MHD max units 24; PA/precert required: No. 15 min $17.73 Behavior Analyst or Psychologist · Modifier TM HO Rate effective 2022-07-01; Covered; MHD max units 24; PA/precert required: No. 15 min $25.26 Assistant Behavior Analyst · Modifier U8 HN Rate effective 2022-07-01; Covered; MHD max units 24; PA/precert required: Yes. 15 min $17.73 Behavior Analyst or Psychologist · Modifier U8 HO Rate effective 2022-07-01; Covered; MHD max units 24; PA/precert required: Yes. 15 min $27.46 97156 Family treatment guidance (QHP) Rural Health Clinic Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: Yes. 15 min $25.26 Assistant Behavior Analyst · Modifier HN Rate effective 2024-07-01; Covered; MHD max units 16; PA/precert required: Yes. 15 min $20.13 Behavior Analyst or Psychologist · Modifier HO Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: Yes. 15 min $25.26 Assistant Behavior Analyst · Modifier TM HN Rate effective 2024-07-01; Covered; MHD max units 16; PA/precert required: No. 15 min $20.13 Behavior Analyst or Psychologist · Modifier TM HO Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: No. 15 min $25.26 Assistant Behavior Analyst · Modifier U8 HN Rate effective 2024-07-01; Covered; MHD max units 16; PA/precert required: Yes. 15 min $20.13 Behavior Analyst or Psychologist · Modifier U8 HO Rate effective 2022-07-01; Covered; MHD max units 16; PA/precert required: Yes. 15 min $25.26 97157 Multiple-family group guidance (QHP) Rural Health Clinic Rate effective 2025-12-18; Covered; MHD max units 8; PA/precert required: Yes. 15 min $3.16 Assistant Behavior Analyst · Modifier HN Rate effective 2025-12-18; Covered; MHD max units 8; PA/precert required: Yes. 15 min $2.52 Behavior Analyst or Psychologist · Modifier HO Rate effective 2025-12-18; Covered; MHD max units 8; PA/precert required: Yes. 15 min $3.16 Assistant Behavior Analyst · Modifier TM HN Rate effective 2025-12-18; Covered; MHD max units 8; PA/precert required: No. 15 min $2.52 Behavior Analyst or Psychologist · Modifier TM HO Rate effective 2025-12-18; Covered; MHD max units 8; PA/precert required: No. 15 min $3.16 Assistant Behavior Analyst · Modifier U8 HN Rate effective 2025-12-18; Covered; MHD max units 8; PA/precert required: Yes. 15 min $2.52 Behavior Analyst or Psychologist · Modifier U8 HO Rate effective 2025-12-18; Covered; MHD max units 8; PA/precert required: Yes. 15 min $3.16 97158 Group treatment with protocol modification (QHP) Rural Health Clinic Rate effective 2022-07-01; Covered; MHD max units 6; PA/precert required: Yes. 15 min $3.16 Assistant Behavior Analyst · Modifier HN Rate effective 2022-07-01; Covered; MHD max units 6; PA/precert required: Yes. 15 min $2.14 Behavior Analyst or Psychologist · Modifier HO Rate effective 2022-07-01; Covered; MHD max units 6; PA/precert required: Yes. 15 min $3.16 Assistant Behavior Analyst · Modifier TM HN Rate effective 2022-07-01; Covered; MHD max units 6; PA/precert required: No. 15 min $2.14 Behavior Analyst or Psychologist · Modifier TM HO Rate effective 2022-07-01; Covered; MHD max units 6; PA/precert required: No. 15 min $3.16 Caveats ------- - The fee file does not state units; 15-minute units are assumed. How we read this state's schedule --------------------------------- effective\_date is the fee schedule publication date (MHD fee schedules list max allowable fees in effect as of publication; updated monthly). Per-row 'Rate Effective Date' varies (2022-07-01, 2024-07-01, 2025-05-01, 2025-12-18) and is in each row's notes. Units: MHD file does not state unit; all ten CPT descriptors are per 15 minutes (per-15-min assumed from CPT descriptor). Modifiers as listed by MHD: HO = Behavior Analyst or Psychologist, HN = Assistant Behavior Analyst, HM (stacked with HO/HN) = Registered Behavior Technician; TM and U8 are additional MHD modifiers (TM rows have no PA requirement; U8 rows carry higher rate for some codes) - meanings per MHD modifier list/ABA manual, not interpreted here. Rows with no modifier are Rural Health Clinic. Duplicate identical rows in the source (multiple provider specialties) collapsed. 0362T and 0373T are covered. Program MO HealthNet FFS - Applied Behavioral Analysis fee schedule Effective date 2026-08-27 Last reviewed 2026-09-30 Source [MO HealthNet Division Fee Schedules - Applied Behavioral Analysis (publication date 08/27/2026)](https://apps.dss.mo.gov/fmsFeeSchedules/dlfiles/Applied%20Behavioral%20Analysis.xlsx) National median · 97153 $15.04 per 15-min unit Missouri: $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 Missouri 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. 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