Changes Coming to Medicaid ABA Services in January 2018

by | Oct 5, 2017 | Medicaid, News

Attention Medicaid Providers of Behavior Analysis and Interested Parties:

In case you have not already heard, ABA (Applied Behavior Analysis) will be carved back into the separate Managed Care Organizations (MCOs) in January of 2018.  This means that ABA providers (of services via Medicaid EPSDT) will no longer be credentialed through and paid by Magellan, but will instead need to be in network with the six organizations who manage EPSDT (or providers will need to have a single-case agreement).  [Edited 10/25] Here are the contacts for the MCOs:

Providers who wish to continue to provide ABA to Medicaid participants should check with their clients to see in which MCOs clients are enrolled and make sure to become credentialed and contracted by each of those individual organizations.  If you already are in network with the MCOs, you may just need to amend your contract to include Medicaid services.

If you have any questions about this, please post them below or email by October 11, 2017.  We are attending a meeting to discuss the information and welcome your feedback.