MedicaidCoverageMedium impact
Medicaid Applied Behavior Analysis Benefit Postponed by NYSDOH
EmblemHealth·NY · Psychiatry, Pediatrics·Provider News
Effective date
Oct 1, 2021
We identified it
Jun 20, 2026
Summary
The New York State Department of Health has postponed the integration of Medicaid Applied Behavioral Analysis benefits into Managed Care, which was originally scheduled to begin October 1, 2021. This delay affects billing and coverage for ABA services under New York Medicaid managed care plans.
Action Required
Monitor for updates from NYSDOH regarding the new effective date for Medicaid ABA benefit integration into managed care. Continue billing ABA services under current Medicaid fee-for-service arrangements until further notice. Review billing workflows once the new implementation date is announced.