APPLIED BEHAVIOR ANALYSIS THERAPY - SECTION II - Arkansas Medicaid Participation Requirements and Provider Guidelines

Sep 20, 2026

Section II outlines Arkansas Medicaid participation requirements for applied behavior analysis (ABA) therapy providers, including both individual and group provider enrollment duties. It specifies eligibility prerequisites such as completing manual requirements, passing required background checks, and meeting credentialing, experience, training, and qualification standards. The section also defines provider participation rules by credential type (BCBA, BCaBA, RBT), documentation and referral expectations, program eligibility scope, service coverage distinctions, telemedicine guidance, prior authorization, administrative reconsideration and appeal, and reimbursement methods including fee schedules.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages19

Reading Time48 min

AccessFree to download

APPLIED BEHAVIOR ANALYSIS THERAPY CONTENTS

APPLIED BEHAVIOR ANALYSIS THERAPY GENERAL INFORMATION

APPLIED BEHAVIOR ANALYSIS THERAPY PROVIDER REQUIREMENTS

PROGRAM ELIGIBILITY

PROGRAM SERVICES

PRIOR AUTHORIZATION

REIMBURSEMENT

SECTION II -APPLIED BEHAVIOR ANALYSIS THERAPY CONTENTS 200.000 201.000 201.100 201.200 201.300 201.400 202.000 202.100 202.200 202.300 203.000 203.100 203.200 204.000 205.000 206.000 210.000 211.000 212.000 212.100 212.200 212.300 212.400 212.500 220.000 221.000 222.000 222.100 222.200 222.300 222.400 223.000 224.000 230.000 231.000 232.000 250.000 251.000 251.100 APPLIED BEHAVIOR ANALYSIS THERAPY GENERAL INFORMATION Arkansas Medicaid Participation Requirements for Applied Behavior Analysis Therapy Providers Individual Service Provider Participation Requirements Group Service Provider Participation Requirements Providers in Arkansas and Bordering States Providers in States Not Bordering Arkansas APPLIED BEHAVIOR ANALYSIS THERAPY PROVIDER REQUIREMENTS Board-Certified Behavior Analyst (BCBA) Participation Requirements Board-Certified Assistant Behavior Analyst (BCaBA) Participation Requirements Registered Behavior Technician (RBT) Participation Requirements Documentation Requirements Documentation Requirements for all Medicaid Providers Applied Behavior Analysis Therapy Service Documentation Requirements Electronic Signatures Required Referral to First Connections pursuant to Part C of Individuals with Disabilities Education Act (IDEA) Required Referral to Local Education Agency pursuant to Part B of Individuals with Disabilities Education Act (IDEA) PROGRAM ELIGIBILITY Scope Beneficiary Eligibility Requirements Age Requirement Qualifying Diagnosis Referral to Evaluate Treatment Prescription Comprehensive Assessment PROGRAM SERVICES Non-covered Services Covered Services Behavior Identification Assessment Services Applied Behavior Analysis Therapy Treatment Services Adaptive Behavior Treatment with Protocol Modification Services Family Adaptive Behavior Treatment Services Telemedicine Services Individualized Treatment Plan PRIOR AUTHORIZATION Prior Authorization for Applied Behavior Analysis Therapy Services Administrative Reconsideration and Appeal REIMBURSEMENT Method of Reimbursement Fee Schedules | 200.000 | APPLIED BEHAVIOR ANALYSIS THERAPY GENERAL INFORMATION | | | --- | --- | --- | | 201.000 | Arkansas Medicaid Participation Requirements for Applied Behavior Analysis Therapy Providers | 1-1-25 | | 201.100 Individual Service Provider Participation Requirements | 1-1-25 | | --- | --- | Individual providers of applied behavior analysis (ABA) therapy services must meet the following requirements to be eligible to participate in Arkansas Medicaid: A. Complete the provider participation and enrollment requirements contained within section 140.000 of this Arkansas Medicaid manual and enroll as an Arkansas Medicaid provider; B. Successfully pass the background checks and searches required by Ark. Code Ann. §20- 48-812(c)(1-4); and C. Meet the credentialing, experience, training, and other qualification requirements for the ABA therapy service under section 202.000 of this Arkansas Medicaid manual. | 201.200 Group Service Provider Participation Requirements | 1-1-25 | | --- | --- | A. Group providers of applied behavior analysis (ABA) therapy services must meet the following requirements to be eligible to participate in Arkansas Medicaid: 1. Complete the provider participation and enrollment requirements contained within section 140.000 of this Arkansas Medicaid manual; and 2. Each individual performing ABA therapy services on behalf of the group must complete the individual provider participation and enrollment requirements under section 201.100 of this Arkansas Medicaid manual. B. A group provider of ABA therapy services must identify the certified practitioner as the performing provider on the claim when billing Arkansas Medicaid for the service. | 201.300 Providers in Arkansas and Bordering States | 1-1-25 | | --- | --- | Providers with a principal place of business in Ar

FAQs

What requirements must individual ABA therapy providers meet to participate in Arkansas Medicaid?

Individual providers must complete Arkansas Medicaid provider participation/enrollment from section 140.000, pass required background checks and searches under Ark. Code Ann. §20-48-812(c)(1-4), and meet credentialing, experience, training, and qualification requirements under section 202.000.

What additional rules apply to group ABA therapy providers?

Group providers must meet the same eligibility requirements for group participation, and each individual performing ABA services for the group must complete the individual provider requirements under section 201.100. Providers must also identify the certified practitioner as the performing provider on the Medicaid claim.

How do provider requirements differ by ABA therapy credential (BCBA, BCaBA, and RBT)?

BCBA providers must hold board-certified behavior analyst certification in good standing from the Behavior Analyst Certification Board; BCaBA providers must hold board-certified assistant behavior analyst certification in good standing; RBTs must hold registered behavior technician certification in good standing.

Sep 20, 2026

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