Missouri Medicaid (MO HealthNet)

MedicaidMO

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

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

State licensure requiredBCBA state licensure required via MO State Committee of Psychologists

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsBaseline data, Target behaviors, Methods

Progress summary cadenceEvery 6 months

Precertification is required and has a maximum duration of 6 months. Travel time is not reimbursed. Do not use AH modifier with ABA codes.

CPT rules require a free account

View H-codes, modifiers, unit limits, and billing restrictions for Missouri Medicaid (MO HealthNet).

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