Minnesota Medicaid (DHS)

Medicaid

ABA billing requirements · Source: Minnesota 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 validity12 months

Re-eval cadenceEvery 12 months

Documentation Requirements

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsIndividual Treatment Plan (ITP) development and progress monitoring, Comprehensive multi-disciplinary evaluation (CMDE), Coordinated care conference, Intervention – individual, group and higher intensity, Observation and direction, Family or caregiver training and counseling, Telehealth, Travel time

Progress summary cadenceEvery 6 months

Policy Notes

Some EIDBI services require service authorization. Each service authorization request cannot exceed a 180-day span. The CMDE is required at least once per year or every three years as clinically necessary. Qualified providers and legal representatives must sign the ITP and CMDE.

CPT & Modifier Rules

CPT rules require a free account

View H-codes, modifiers, unit limits, and billing restrictions for Minnesota Medicaid (DHS).

Official policy source:Minnesota Medicaid — ABA Services Coverage

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

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