Texas 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 · Texas Texas Medicaid *ABA rates.* ============================= Texas Medicaid FFS (TMHP, Texas Health Steps-CCP Autism Services). 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 Texas 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) LBA · Modifier HO ABA evaluation/re-evaluation; HO only; limited to 24 units per eval 15 min $27.56 97152 Supporting assessment (technician) All providers Not listed as reimbursable in TMPPM Children's Services Handbook 2.3.12 and absent from the TMHP Autism Services fee schedule. 15 min — 97153 Adaptive behavior treatment by protocol (technician) Behavior technician (billed under supervising LBA) No pricing modifier; HO/HN/HM informational only 15 min $14.50 97154 Group treatment by protocol (technician) Behavior technician (billed under supervising LBA) Fee effective 3/1/2024 15 min $1.63 97155 Treatment with protocol modification (QHP) LBA · Modifier HO 15 min $25.10 LaBA · Modifier HN 15 min $20.08 97156 Family treatment guidance (QHP) LBA · Modifier HO 15 min $23.01 LaBA · Modifier HN 15 min $18.40 97157 Multiple-family group guidance (QHP) All providers Not listed as reimbursable in TMPPM Children's Services Handbook 2.3.12 and absent from the TMHP Autism Services fee schedule. 15 min — 97158 Group treatment with protocol modification (QHP) LBA · Modifier HO Fee effective 3/1/2024 15 min $2.81 LaBA · Modifier HN Fee effective 3/1/2024 15 min $2.25 0362T Supporting assessment for severe behavior (team) All providers Not listed as reimbursable in TMPPM Children's Services Handbook 2.3.12 and absent from the TMHP Autism Services fee schedule. 15 min — 0373T Treatment for severe behavior (team) All providers Not listed as reimbursable in TMPPM Children's Services Handbook 2.3.12 and absent from the TMHP Autism Services fee schedule. 15 min — 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 --------------------------------- Ages 0-20 only (Texas Health Steps-CCP). Prior authorization required (CCP PA form; up to 180-day auths). Direct treatment capped at 8 hrs/day across 97153/97154/97155/97158. Modifiers: HO = Licensed Behavior Analyst (LBA), HN = Licensed Assistant Behavior Analyst (LaBA), HM = behavior technician (informational only on 97153/97154). Fee effective dates: 9/1/2025 for 97151/97153/97155/97156; 3/1/2024 for 97154/97158. Same fee in facility and non-facility columns. Most Texas Medicaid children are in STAR/STAR Kids managed care; MCO rates may differ. Also covers 99366 (interdisciplinary team meeting) at $33.96 (not an ABA CPT in scope). Modifier doc: https://www.tmhp.com/sites/default/files/file-library/resources/provider-manuals/tmppm/pdf-chapters/2026/2026-09-september/2\_04\_childrens\_services.pdf Program Texas Medicaid FFS (TMHP, Texas Health Steps-CCP Autism Services) Effective date 2025-09-01 Last reviewed 2026-09-30 Source [Texas Medicaid Fee Schedule - Autism Services (TMHP static schedule, printed 9/14/2026); modifiers per TMPPM Children's Services Handbook Sept 2026 §2.3.12](https://public.tmhp.com/feeschedules/staticfeeschedule/feeschedules.aspx?fn=%5C%5Ctmhp.net%5CFeeSchedule%5CPROD%5CStatic%5CTexas_Medicaid_Fee_Schedule_PRCR615C.pdf) National median · 97153 $15.04 per 15-min unit Texas: $14.50 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 Texas 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. 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