Medicaid: Applied Behavior Analysis Service Updates; Benefits Submissions for Medicaid Fee-for-Service Pharmacy Billing; Medicaid Pharmacy Prior Authorization Programs;

Starting January 1, 2023, Applied Behavior Analysis services for Medicaid Managed Care enrollees will be covered by New York State Medicaid Managed Care Plans. For coverage, billing, and reimbursement guidance, Applied Behavior Analysis providers conducting services to a Medicaid Managed Care enrollee must contact the enrollee’s specific Medicaid Managed Care Plan(s). It can be found in the manual Information for All Providers – Managed Care Information.https://www.emedny.org/