Kentucky Medicaid

MedicaidKY

ABA billing requirements · Source: Kentucky Medicaid — ABA Services Coverage Policy

Medium confidence

Verified 2026-03-01

Authorization Requirements

Requires prior auth Yes

Initial auth durationN/A

Renewal auth durationN/A

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 componentsBaseline data, Target behaviors, Methods

Progress summary cadenceEvery 6 months

Policy Notes

Prior authorization is required for ABA services. Passport by Molina requires PA after 48 units (12 hrs.) per member, per Calendar Year, except for 97151 and 97152.

CPT & Modifier Rules

CPT rules require a free account

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

Official policy source:Kentucky Medicaid — ABA Services Coverage Policy

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

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