West Virginia 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 · West Virginia West Virginia Medicaid *ABA rates.* ===================================== West Virginia Medicaid (BMS) FFS - Applied Behavior Analysis. 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 West Virginia 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) BCBA or BCaBA Code eff 04/01/2020. Manual 519.23 lists 15-minute unit. 15 min $29.14 97152 Supporting assessment (technician) RBT under BCBA/BCaBA supervision Code eff 04/01/2021. 15 min $9.90 97153 Adaptive behavior treatment by protocol (technician) RBT under BCBA/BCaBA supervision (BCBA/BCaBA may also bill) Code eff 04/01/2021. 15 min $9.90 97154 Group treatment by protocol (technician) All providers Code eff 04/01/2021. 15 min $4.50 97155 Treatment with protocol modification (QHP) BCBA or BCaBA Code eff 04/01/2020. 15 min $29.14 97156 Family treatment guidance (QHP) BCBA or BCaBA Code eff 04/01/2020. 15 min $17.43 97157 Multiple-family group guidance (QHP) All providers Not on the BMS ABA fee schedule. 15 min — 97158 Group treatment with protocol modification (QHP) All providers Code eff 04/01/2020. 15 min $11.79 0362T Supporting assessment for severe behavior (team) All providers Not on the BMS ABA fee schedule. 15 min — 0373T Treatment for severe behavior (team) All providers Not on the BMS ABA fee schedule. 15 min — How we read this state's schedule --------------------------------- Schedule has no single effective date; each code has its own Code Eff Date (04/01/2020 or 04/01/2021) and term date 12/31/2078 (see per-rate notes). No provider-tier modifiers. Unit of 15 minutes and prior authorization requirement come from BMS Provider Manual Chapter 519.23 (eff 4/1/2020); combined limit 40 hrs/week and 8 hrs/24 hrs across 97151-97156, 97158. Same schedule also prices non-ABA HCPCS codes (H0031, H0032, H2012, H2014, H2019), excluded here. MCO members follow MCO prior authorization. Program West Virginia Medicaid (BMS) FFS - Applied Behavior Analysis Effective date Not stated Last reviewed 2026-09-30 Source [WV BMS 'Contracts & Codes for: ABA - Medicaid' (Applied Behavior Analysis Fee Schedule), linked from bms.wv.gov/providers/west-virginia-medicaid-fee-schedules](https://bms.wv.gov/media/39954/download?inline) National median · 97153 $15.04 per 15-min unit West Virginia: $9.90 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 West Virginia 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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