Which States have the Highest Autism Therapy Reimbursement in 2026?
Among the states analyzed for 2026, Arizona is projected to have the highest average Medicaid reimbursement rate for CPT code 97153 (adaptive behavior treatment), followed closely by Maryland.
According to the 2026 projections for Medicaid fee schedules, the rates per unit are:
- Arizona: Projected average rate of $13.50 per unit (despite a 3.6% reduction from 2025).
- Maryland: Projected average rate of $13.50 per unit (reflecting a 1.8% decrease from 2025).
- Utah: Projected average rate of $12.25 per unit (reflecting a 2% decrease from 2025).
While Arizona and Maryland are projected at the same average rate, Arizona historically started from a higher 2025 baseline ($14.00) compared to Maryland ($13.75).
It is important to note that these figures apply specifically to Medicaid. Private insurance reimbursement rates are negotiated between employer health plans and provider networks and typically offer different, often more flexible, rate structures compared to state-legislated Medicaid budgets.
Related FAQs
-
What is Behavioral Therapy?
Read More »: What is Behavioral Therapy?Behavioral therapy is an approach that utilizes learning principles to help individuals encourage positive behaviors while reducing challenging ones. A primary application of this method is Applied Behavior Analysis (ABA), which is widely used to support children and adolescents with…
-
What are the Various Behavioral Therapy Techniques?
Read More »: What are the Various Behavioral Therapy Techniques?Golden Touch ABA Therapy utilizes several evidence-based behavioral therapy techniques focused on Applied Behavior Analysis (ABA) to support children and adolescents with autism. These techniques are designed to encourage positive behaviors while reducing challenging ones through the power of small…
-
What are the Benefits of Behavioral Therapy for Autism?
Read More »: What are the Benefits of Behavioral Therapy for Autism?Behavioral therapy, specifically Applied Behavior Analysis (ABA), offers numerous benefits for children and adolescents with autism by utilizing evidence-based practices and learning principles. Key advantages include: Skill Development and Behavioral Improvement The therapy focuses on encouraging positive behaviors while reducing…
-
Can Family Training be Done Online for Aba Therapy?
Read More »: Can Family Training be Done Online for Aba Therapy?Yes, family training for ABA therapy can be conducted online. We offer remote coaching through telehealth, which uses secure video calls to connect your family with a Board Certified Behavior Analyst (BCBA). During these virtual sessions, the therapist can model…
-
How does Family Training Help Generalize Aba Skills at Home?
Read More »: How does Family Training Help Generalize Aba Skills at Home?Family training helps generalize ABA skills by extending learning beyond clinical sessions and into the natural routines of daily life. By actively involving parents and caregivers as partners, therapeutic strategies are consistently applied across various home and community activities, such…
