Arkansas Medicaid

MedicaidAR

ABA billing requirements · Source: Arkansas Medicaid — ABA Services Coverage

High confidence

Verified 2026-03-01

Authorization Requirements

Requires prior auth Yes

Initial auth duration6 months

Renewal auth duration6 months

Submission deadlineN/A

Unit tracking cadenceTotal

Requires FBA Yes

Diagnostic eval validityN/A

Re-eval cadenceN/A

Documentation Requirements

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsA written description of each goal or objective, A description of the specific practices, procedures, and strategies within the scope of ABA peer-reviewed literature anticipated to be utilized and the activities anticipated to be performed as part of applied behavior analysis therapy treatment services, The specific criteria and other data that will be collected on each ITP goal or objective during treatment service delivery to monitor and measure the beneficiary’s progress, The discharge criteria for the beneficiary transitioning out of prescribed ABA therapy services, When appropriate, include a positive behavior support plan for interfering behavior(s).

Progress summary cadenceEvery 6 months

Policy Notes

Beneficiaries must be between 18 months and 21 years of age. A comprehensive reevaluation must be performed at least every six (6) months for beneficiaries from eighteen (18) months to eight (8) years of age; and every twelve (12) months for beneficiaries from eight (8) to twenty-one (21) years of age. Weekly progress notes are required.

CPT & Modifier Rules

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View H-codes, modifiers, unit limits, and billing restrictions for Arkansas Medicaid.

Official policy source:Arkansas Medicaid — ABA Services Coverage

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Data last verified: 2026-03-01 · Confidence: High · See our methodology

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