MedicaidCoverageMedium impact
Supplement 24-13: Applied Behavior Analysis (ABA) Guidance Replaces 23-02
New Mexico Medicaid·NM · Psychiatry, Pediatrics, Family Medicine·Medical Policy
Effective date
Sep 17, 2024
We identified it
Jun 21, 2026
Summary
New Mexico Medicaid has updated guidance for Applied Behavior Analysis (ABA) services, replacing previous supplement 23-02. This policy establishes comprehensive requirements for ABA services for autism spectrum disorder, including practitioner qualifications, multi-stage service delivery (Stages 1-3), and telemedicine provisions for recipients 12 months and older.
Action Required
Immediately: Review ABA service delivery protocols to ensure compliance with new practitioner qualification requirements (AEP, BCBA, BCBA-D, RBT, BCAT). Update billing procedures to align with the multi-stage approach (Stage 1 evaluation, Stage 2 assessment, Stage 3 treatment). Ensure all ABA practitioners meet certification requirements and that Stage 3 services have proper prior authorization from qualified reviewers. Verify telemedicine licensing requirements for out-of-state practitioners.