MedicaidDocumentationHigh impact
Documentation Requirements for Applied Behavior Analysis
Missouri Medicaid (MO HealthNet)·MO · Psychiatry·Provider Notice
Effective date
Mar 10, 2026
We identified it
Jun 20, 2026
Summary
Missouri Medicaid has updated documentation requirements for Applied Behavior Analysis (ABA) services, requiring services to be documented within 5 business days and licensed behavior analysts to co-sign all progress notes for services rendered by behavior technicians. The policy also specifies NPI matching requirements and detailed treatment plan standards.
Action Required
By March 10, 2026: ABA providers must update documentation workflows to ensure all services are documented within 5 business days. Licensed behavior analysts must co-sign all progress notes for BT/RBT services. Billing team must verify NPI on claims matches either the service provider or licensed supervisor. Update EMR templates to include all required treatment plan elements. Consider implementing CASP session note templates with required modifications. Failure to meet documentation requirements could result in post-payment recoupment.