MedicaidCoverageMedium impact
Supplement 23-02: Applied Behavior Analysis (ABA) Guidance Replaces Supplement 22-02 – Revised
New Mexico Medicaid·NM · Pediatrics, Psychiatry, Family Medicine·Medical Policy
Effective date
Apr 13, 2023
We identified it
Jun 21, 2026
Summary
New Mexico Medicaid has updated guidance for Applied Behavior Analysis (ABA) services, replacing the previous 2022 supplement. This policy establishes comprehensive requirements for ABA services for individuals with autism spectrum disorder, including provider qualifications, service delivery stages, and telemedicine provisions.
Action Required
Immediately: Providers offering ABA services in New Mexico must review updated guidance for provider qualification requirements, service delivery stages, and documentation standards. Ensure all ABA practitioners meet the specified certification requirements (AEP, BCBA, BCBA-D, RBT, BCAT) and understand the multi-stage approach for recipients 12 months and older with ASD. Update billing workflows to align with EPSDT program requirements and coordinate with other medically necessary services.