New Hampshire Medicaid

MedicaidNH

ABA billing requirements · Source: New Hampshire Medicaid — ABA Services Provider Notice

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

State licensure requiredBCBA state licensure required via NH Office of Professional Licensure and Certification

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

Effective July 1, 2025, CPT code 97155 is no longer reimbursable for technician supervision and is reclassified as non-covered. Providers must use CPT 97153 for direct ABA treatment, with claims including supervising practitioner info. CPT 97154 is being implemented for group services to promote efficient care and mitigate overutilization.

CPT & Modifier Rules

CPT rules require a free account

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

Official policy source:New Hampshire Medicaid — ABA Services Provider Notice

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

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