New Jersey 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 · New Jersey New Jersey Medicaid *ABA rates.* ================================== NJ FamilyCare / Medicaid FFS. 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 New Jersey 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 Children's (under 21) rate; FEE-SPECIALIST and FEE-NON-SPECIALIST (adult) columns are NA; CHILDREN SPECIALIST and CHILDREN NON-SPECIALIST columns are identical. Listing does not state a unit; unit taken from CPT descriptor (per 15 min). 15 min $25.00 97152 Supporting assessment (technician) All providers Children's (under 21) rate; FEE-SPECIALIST and FEE-NON-SPECIALIST (adult) columns are NA; CHILDREN SPECIALIST and CHILDREN NON-SPECIALIST columns are identical. Listing does not state a unit; unit taken from CPT descriptor (per 15 min). 15 min $11.20 97153 Adaptive behavior treatment by protocol (technician) All providers Children's (under 21) rate; FEE-SPECIALIST and FEE-NON-SPECIALIST (adult) columns are NA; CHILDREN SPECIALIST and CHILDREN NON-SPECIALIST columns are identical. Listing does not state a unit; unit taken from CPT descriptor (per 15 min). 15 min $15.00 97154 Group treatment by protocol (technician) All providers Children's (under 21) rate; FEE-SPECIALIST and FEE-NON-SPECIALIST (adult) columns are NA; CHILDREN SPECIALIST and CHILDREN NON-SPECIALIST columns are identical. Listing does not state a unit; unit taken from CPT descriptor (per 15 min). 15 min $4.80 97155 Treatment with protocol modification (QHP) All providers Children's (under 21) rate; FEE-SPECIALIST and FEE-NON-SPECIALIST (adult) columns are NA; CHILDREN SPECIALIST and CHILDREN NON-SPECIALIST columns are identical. Listing does not state a unit; unit taken from CPT descriptor (per 15 min). 15 min $21.25 97156 Family treatment guidance (QHP) All providers Children's (under 21) rate; FEE-SPECIALIST and FEE-NON-SPECIALIST (adult) columns are NA; CHILDREN SPECIALIST and CHILDREN NON-SPECIALIST columns are identical. Listing does not state a unit; unit taken from CPT descriptor (per 15 min). 15 min $25.00 97157 Multiple-family group guidance (QHP) All providers Children's (under 21) rate; FEE-SPECIALIST and FEE-NON-SPECIALIST (adult) columns are NA; CHILDREN SPECIALIST and CHILDREN NON-SPECIALIST columns are identical. Listing does not state a unit; unit taken from CPT descriptor (per 15 min). 15 min $12.40 97158 Group treatment with protocol modification (QHP) All providers Children's (under 21) rate; FEE-SPECIALIST and FEE-NON-SPECIALIST (adult) columns are NA; CHILDREN SPECIALIST and CHILDREN NON-SPECIALIST columns are identical. Listing does not state a unit; unit taken from CPT descriptor (per 15 min). 15 min $5.60 0362T Supporting assessment for severe behavior (team) All providers Children's (under 21) rate; FEE-SPECIALIST and FEE-NON-SPECIALIST (adult) columns are NA; CHILDREN SPECIALIST and CHILDREN NON-SPECIALIST columns are identical. Listing does not state a unit; unit taken from CPT descriptor (per 15 min). 15 min $25.00 0373T Treatment for severe behavior (team) All providers Children's (under 21) rate; FEE-SPECIALIST and FEE-NON-SPECIALIST (adult) columns are NA; CHILDREN SPECIALIST and CHILDREN NON-SPECIALIST columns are identical. Listing does not state a unit; unit taken from CPT descriptor (per 15 min). 15 min $16.40 Caveats ------- - The file header says rates are proposed until CMS approval. How we read this state's schedule --------------------------------- Most current quarter posted on njmmis.com Rate and Code Information page (CY2026 Q3; no Q4 yet). File header says '\*Rates are proposed until CMS approval' (generic header for the whole listing). No modifier/provider-type tiers for ABA codes; single rate per code. Page is behind an NJMMIS CPT/CDT terms-of-use click-through (cookie). Most NJ FamilyCare members are in MCOs, which may pay differently; 97153 at $15.00 matches the Feb 1, 2022 increase from $11.20 reported by Autism NJ. Program NJ FamilyCare / Medicaid FFS Effective date 2026-07-01 Last reviewed 2026-09-30 Source [NJMMIS Procedure Master Listing - Medicaid Fee for Service, CY2026 3rd Quarter ('Medicaid Fee for Services: Update September 1, 2026'; 'Rates Effective July 1, 2026')](https://www.njmmis.com/documentDownload.aspx?document=CPTHCPCSCODES2026.pdf) National median · 97153 $15.04 per 15-min unit New Jersey: $15.00 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 New Jersey 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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