North Carolina Proposes Stricter ABA Therapy Rules Amid $505M Medicaid Spending
North Carolina lawmakers are pursuing tighter regulatory requirements for applied behavioral analysis (ABA) therapy providers following combined state and federal Medicaid spending of over $505 million in 2025. The proposed rules aim to reduce fraud and abuse in the rapidly growing autism treatment sector. The legislation would impose additional credentialing, supervision, and documentation standards on ABA providers participating in Medicaid. This follows nationwide scrutiny of ABA billing practices and improper payments in state Medicaid programs.
Managed care organizations contracting with ABA providers face potential network disruption, increased credentialing requirements, and heightened claims review obligations if North Carolina implements stricter provider standards.
Behavioral Health · Managed Care
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