[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-316424-105":59,"doc-detail-316424-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","ihcp-issues-additional-aba-guidance-for-providers-indiana-health-coverage-programs-bulletin-bt202662-april-28-2026","IHCP issues additional ABA guidance for providers - Indiana Health Coverage Programs bulletin BT202662 - April 28, 2026","","Indiana Health Coverage Programs (IHCP) issues additional ABA guidance in response to provider questions and stakeholder feedback following Bulletin BT202627. The bulletin clarifies how Indiana’s ABA supervision and caregiver involvement expectations, including UA modifier direction, are applied, monitored, and documented. It specifies the clinical supervision scope, the 1:8 supervision ratio measurement, member-specific documentation requirements, telehealth supervision using modifier 95, and how billable versus nonbillable supervision counts toward compliance.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/ihcp-issues-additional-aba-guidance-for-providers-indiana-health-coverage-programs-bulletin-bt202662-april-28-2026/316424/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/ihcp-issues-additional-aba-guidance-for-providers-indiana-health-coverage-programs-bulletin-bt202662-april-28-2026/316424.png","ImageObject",300,407,{"name":92,"@type":93},"Elsa","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-26","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What does the IHCP require regarding ABA supervision scope for technician-delivered services?","Question",{"text":112,"@type":113},"Supervision applies to clinical case supervision and includes direct oversight of treatment implementation for a specific member, for both individual and group technician-delivered ABA services billed under the specified CPT codes.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How is the 1:8 supervision requirement measured starting April 1, 2026?",{"text":117,"@type":113},"It is measured on a monthly basis for each calendar month in which technician-delivered ABA services are billed for a member, and it is subject to claim audit and postpayment review.",{"name":119,"@type":110,"acceptedAnswer":120},"Do nonbillable supervision activities count toward the 1:8 supervision ratio requirement?",{"text":121,"@type":113},"Yes. Both billable and nonbillable supervision activities count toward meeting the 1:8 ratio when appropriately documented and clinically relevant to the member’s services, including member-specific fidelity review and review of technician session notes.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},316424,1790833214,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52},137455077381,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","IHCP bulletin  \nINDIANA HEALTH COVERAGE PROGRAMS BT202662 APRIL 28 , 2026  \nIHCP issues additional ABA guidance for providers  \nThe Indiana Health Coverage Programs (IHCP) is issuing additional guidance in response to questions and  \nstakeholder feedback received following the publication of IHCP Bulletin BT202627, which established a minimum  \nsupervision requirement for applied behavior analysis (ABA) therapy services , caregiver involvement expectations  \nand UA modifier direction. This bulletin further expands on how these  \nrequirements are applied, monitored and documented and how they relate to applicable Current Procedural Terminology (CPT®1) codes.  \nAdditional ABA supervision  \nThe following sections provide additional guidance on supervision  \nrequirements for ABA therapy services.  \nScope of supervision requirement  \nThe supervision requirement applies to clinical case supervision and includes direct oversight of treatment  \nimplementation for a specific member. It applies to both individual and group technician-delivered ABA therapy  \nservices billed under CPT codes 97153 – Adaptive behavior treatment by technician using an established plan, each  \n15 minutes and 97154 – Adaptive behavior treatment by technician with multiple patients using an established plan,  \neach 15 minutes. The supervision requirement is intended to support clinical quality and patient safety by ensuring  \nappropriate oversight and direction of technician-delivered services.  \nThe requirement that supervision be provided at a ratio of one hour of supervision for every eight hours (1:8) of  \nRegistered Behavior Technician (RBT)-delivered services is not based solely on a ratio of billed units of CPT code  \n97155 – Adaptive behavior treatment by professional using an established plan, each 15 minutes to units billed under  \nCPT codes 97153 and 97154.  \nNot all supervision activities are separately reimbursable. However, all supervision activities , both billable and  \nnonbillable, count toward meeting the 1:8 supervision ratio requirement, provided the activities are appropriately  \ndocumented and clinically relevant to the member’s services. Supervision services may be rendered via synchronous  \ntelehealth and billed using modifier 95 – Synchronous telemedicine service rendered via real-time interactive audio  \nand video telecommunications system. The IHCP reinforces that telehealth supervision is intended to supplement,  \nnot replace, the majority of in-person services, and supervision models should reflect clinically appropriate use of in  \nperson oversight.  \n1CPT copyright 2026 American Medical Association. All rights reserved. CPTis a registered trademark of the American Medical Association  \nMeasurement of the 1:8 supervision requirement  \nDuring each calendar month in which technician-delivered ABA therapy services are billed for a member, providers  \nmust maintain documentation of at least one hour of supervision for every eight hours (1:8 ratio) of technician  \ndelivered services provided to that member during that same month.  \nEffective April 1, 2026 , compliance with the 1:8 supervision requirement will be:  \n◼ Measured on a monthly basis  \n◼ Subject to claim audit and postpayment review  \nThe requirement is member-specific and is not aggregated across  \ntechnicians or across Medicaid members. This means that for each Medicaid  \nmember receiving technician-delivered ABA therapy services (services billed  \nunder CPT code 97153 or 97154), providers must ensure that the required  \nsupervision ratio is met for that individual member. Failure to meet this  \nrequirement may result in claim adjustments, recoupment or other  \nadministrative action following an audit.  \nThe supervision requirement is proportional. In instances where a member receives fewer than eight hours of RBT  \ndelivered services in a given calendar month under CPT codes 97153 or 97154, the supervising clinician must still  \nprovide a medically appropriate, proportiona","cbCaiiqZKSQMAXbm","https://ap.wps.com/l/cbCaiiqZKSQMAXbm","pdf",389895,"English","# Additional ABA supervision\n## Scope of supervision requirement\n## Measurement of the 1:8 supervision requirement\n## Nonbillable case supervision services that count toward compliance\n## Nonbillable administrative supervision that does not count toward compliance\n## Billable supervision services","[{\"question\":\"What does the IHCP require regarding ABA supervision scope for technician-delivered services?\",\"answer\":\"Supervision applies to clinical case supervision and includes direct oversight of treatment implementation for a specific member, for both individual and group technician-delivered ABA services billed under the specified CPT codes.\"},{\"question\":\"How is the 1:8 supervision requirement measured starting April 1, 2026?\",\"answer\":\"It is measured on a monthly basis for each calendar month in which technician-delivered ABA services are billed for a member, and it is subject to claim audit and postpayment review.\"},{\"question\":\"Do nonbillable supervision activities count toward the 1:8 supervision ratio requirement?\",\"answer\":\"Yes. Both billable and nonbillable supervision activities count toward meeting the 1:8 ratio when appropriately documented and clinically relevant to the member’s services, including member-specific fidelity review and review of technician session notes.\"}]","IHCP issues additional ABA guidance for providers - Indiana Health Coverage Programs bulletin BT202662 - April 28, 2026 | PDF",1789916788]