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
-
Why is Family Training Important in Aba Therapy?
Read More »: Why is Family Training Important in Aba Therapy?Family training is a vital component of ABA therapy because it serves as the bridge between clinical sessions and a child’s everyday life. By actively involving parents and caregivers, therapy strategies are applied consistently across daily routines like mealtimes, play,…
-
What is the Best Aba Therapy?
Read More »: What is the Best Aba Therapy?The best ABA therapy is characterized by a personalized, evidence-based approach delivered in a comfortable environment. Golden Touch ABA Therapy provides top-rated services that focus on the power of small steps to foster independence and social communication in children with…
-
Who are the Best Aba Therapy Providers?
Read More »: Who are the Best Aba Therapy Providers?Golden Touch ABA Therapy is a top-rated provider offering individualized in-home ABA therapy for children with autism. Their services are designed to foster independence and social communication through evidence-based practices and a family-centered approach. Key features of their therapy include:…
-
What is the Difference between Positive Reinforcement and Negative Reinforcement in Aba?
Read More »: What is the Difference between Positive Reinforcement and Negative Reinforcement in Aba?Within the framework of Applied Behavior Analysis (ABA), the primary difference between positive and negative reinforcement lies in whether a stimulus is added or removed to increase a specific behavior. Positive reinforcement involves adding a desirable or rewarding stimulus immediately…
-
What is the Best Aba Therapy for Toddlers?
Read More »: What is the Best Aba Therapy for Toddlers?Golden Touch ABA Therapy offers top-rated in-home ABA therapy specifically designed for toddlers and adolescents with autism. Their approach focuses on creating a warm and welcoming home environment where children feel safest, which helps minimize anxiety and supports natural learning.…
