MedicaidAdministrativeHigh impact
BT202519: IHCP publishes formal FAQ for ABA therapy requirements
Indiana Medicaid (IHCP)·IN · Psychiatry·Specialty Services
Effective date
Nov 29, 2024
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) published an FAQ clarifying ABA therapy requirements, including mandatory enrollment deadlines for RBTs and BCaBAs by April 1, 2025, fingerprint background checks by July 1, 2025, and specific documentation requirements for prior authorization including three standardized assessment tools.
Action Required
By April 1, 2025: Ensure all Registered Behavior Technicians (RBTs) and Board Certified Assistant Behavior Analysts (BCaBAs) are enrolled in IHCP with Type 1 NPIs. By July 1, 2025: Complete fingerprint background checks for existing rendering providers. Immediately: Update ABA therapy prior authorization requests to include all three required standardized assessments (Vineland Adaptive Behavior Scales, BASC PRQ, and objective direct skills assessments) and ensure comprehensive diagnostic evaluations are current within one year. Update treatment plans to document caregiver participation and reassess every six months with updated assessment tools.