Wisconsin 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 · Wisconsin Wisconsin Medicaid *ABA rates.* ================================= Wisconsin Medicaid / BadgerCare Plus FFS - Behavioral Treatment Benefit (ForwardHealth). 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 Wisconsin 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) Licensed supervisor (34/400) or focused treatment licensed supervisor (34/403) Modifier TG or TF required on claim; rate not modifier-specific. 15 min $25.90 97152 Supporting assessment (technician) Specialties 34/400, 401, 403, 404 Modifier TG or TF required on claim. 15 min $22.93 97153 Adaptive behavior treatment by protocol (technician) Any behavioral treatment provider (34/000) · Modifier TG Comprehensive treatment. 15 min $11.91 BT licensed supervisor (34/400) · Modifier TF Focused treatment. 15 min $41.44 Focused treatment licensed supervisor (34/403) · Modifier TF Focused treatment. 15 min $41.44 BT therapist (34/401) · Modifier TF Focused treatment. 15 min $20.84 Focused treatment therapist (34/404) · Modifier TF Focused treatment. 15 min $20.84 BT technician (34/402) · Modifier TF, 52 Focused treatment rendered by technician. 15 min $11.91 97154 Group treatment by protocol (technician) Licensed supervisor (34/400 or 34/403) Effective 2022-12-01; TG or TF required. 15 min $12.71 Therapist (34/401 or 34/404) Effective 2022-12-01; TG or TF required. 15 min $6.39 BT technician (34/402) Effective 2022-12-01; TG or TF required. 15 min $3.65 97155 Treatment with protocol modification (QHP) Specialties 34/400, 401, 403, 404 TG or TF required. 15 min $22.93 97156 Family treatment guidance (QHP) Specialties 34/400, 401, 403, 404 TG or TF required (AM added for team meetings). 15 min $28.03 97157 Multiple-family group guidance (QHP) All providers Not on the Behavioral Treatment max fee schedule. 15 min — 97158 Group treatment with protocol modification (QHP) Licensed supervisor (34/400 or 34/403) Effective 2022-12-01; TG or TF required. 15 min $12.71 Therapist (34/401 or 34/404) Effective 2022-12-01; TG or TF required. 15 min $6.39 0362T Supporting assessment for severe behavior (team) All providers Not on the Behavioral Treatment max fee schedule. 15 min — 0373T Treatment for severe behavior (team) All providers Not on the Behavioral Treatment max fee schedule. 15 min — How we read this state's schedule --------------------------------- Behavioral treatment is an administered FFS benefit for all Medicaid members (carved out of HMOs, per Update 2022-54). Rates cross-checked against the ForwardHealth interactive max fee schedule for 97153 (DOS 09/30/2026). Effective dates: 97151/97152/97153/97155/97156 rows effective 2023-02-01; 97154/97158 rows effective 2022-12-01; all end 12/31/2299. Modifiers: TG = comprehensive, TF = focused, TF+52 = focused treatment rendered by technicians. Only 97153 has modifier-specific pricing; other codes are priced by rendering specialty with TG/TF required on claims. PT 34 specialties: 400 BT Licensed Supervisor, 401 BT Therapist, 402 BT Technician, 403 Focused Treatment Licensed Supervisor, 404 Focused Treatment Therapist (per ForwardHealth Provider Type and Specialty Listing). 97151 is limited to specialties 400/403. 97157, 0362T and 0373T are not on the Behavioral Treatment max fee schedule. Units are 15 minutes per CPT descriptor/handbook (Update 2022-54 states group codes reimbursed in 15-minute units). The schedule also lists a 34/000 97153 row with 'OI COVER' (other-insurance only) at 11.91 - omitted as duplicate. Program Wisconsin Medicaid / BadgerCare Plus FFS - Behavioral Treatment Benefit (ForwardHealth) Effective date 2023-02-01 Last reviewed 2026-09-30 Source [ForwardHealth Downloadable Max Fee Schedule - Behavioral Treatment (file dated 2026-09-05)](https://www.forwardhealth.wi.gov/MaxFee/behav_max_fee_20260905.csv) National median · 97153 $15.04 per 15-min unit Wisconsin: $11.91 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 Wisconsin 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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