Nebraska Medicaid

MedicaidNE

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

High confidence

Verified 2026-03-01

Authorization Requirements

Requires prior auth Yes

Initial auth durationN/A

Renewal auth durationN/A

Submission deadlineN/A

Unit tracking cadenceWeekly

Requires FBA Yes

Diagnostic eval validity12 months

Re-eval cadenceEvery 3 months

Documentation Requirements

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsIndividual’s strengths and needs, Available community, family and other supports, Targeted behaviors to be addressed or skills to be achieved, Long and short-term goals, objectives, and interventions defined in observable, measurable, and behavioral terms for both the individual and caregiver, Inclusion of baseline and ongoing measurement of skills, when applicable, using norm-referenced / standardized assessment tools, Schedule of services being provided to the individual, Documentation of specific setting(s) where services will be delivered and how skills will be generalized and maintained across settings, The planned frequency, intensity, and duration of treatment across all settings, Any adjustments made to the treatment plan, environment, or protocols to improve progress, Description of how supervision of technicians will be occurring, Evaluation of any barriers to accessing or fully benefiting from services and the proposed plan to manage barriers, Evaluation of needs and a plan to adjust and adapt treatment environments and procedures to account for sensory sensitivities

Progress summary cadenceEvery 6 months

Policy Notes

ABA services may not exceed 6 hours per day up to a total of 20-30 hours per week. Caregiver participation of 2-4 hours per month is expected. Direct supervision by observation of the technician must occur no less than 10% of direct service hours provided. An LBA may not supervise more than 24 technicians.

CPT & Modifier Rules

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

Official policy source:Nebraska Medicaid — ABA Services Coverage

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

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