TRICARE 2026 cost shares, copays, and enrollment fees: what ABA practices need to handle
TRICARE 2026 benefit year brings updated cost shares, copays, and enrollment fees across TRICARE Prime, Select, and the ABA-relevant ACD demonstration. Here is what your ABA front desk and billing tea
Read the analysis →Sunshine Health pauses new practitioner enrollment in existing FL ABA groups
Florida Centene subsidiary Sunshine Health stopped accepting new practitioner additions into existing ABA provider groups in October 2025. Here is what it means for hiring, transitions, and FL ABA cap
Read the analysis →Optum BH NPI and taxonomy edits on commercial ABA claims start January 2026
Optum BH (UHC commercial) begins enforcing NPI and taxonomy validation on ABA claims January 1, 2026. Soft-launch edits started Q4 2025. Here is what your billing team has to do, payer-by-payer.
Read the analysis →North Carolina rewrote ABA Medicaid in one bill
HB 696 banned telehealth-only ABA, locked out-of-state BCBAs out of NC Medicaid, and triggered the Policy 8F redraft. What every ABA chain operating in the Southeast needs to know.
Read the analysis →Indiana Bulletin BT202627: the most restrictive ABA Medicaid policy in the country
Indiana's April 1, 2026 ABA bulletin combines a 6% rate cut, 30-hour weekly cap, 4,000-hour lifetime cap, and an October 1 age-21 cliff. Here is what every ABA chain operating in Indiana must do in th
Read the analysis →The Dr. Oz Medicaid revalidation directive is now a CFO line item
CMS Administrator Dr. Oz directed all 50 governors to file a 2-year provider revalidation strategy in 30 days. ABA was named as high-risk. Here is what your billing back office must do this quarter.
Read the analysis →Arizona showed us what MCO termination looks like
Between October 2025 and March 2026, three Arizona MCOs terminated contracts with Centria Autism and Action Behavior Centers. Nearly 1,000 children lost their provider. Here is the playbook every mult
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