Tennessee Medicaid (TennCare)

MedicaidTN

ABA billing requirements · Source: TennCare — ABA Services Provider Manual

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 cadenceTotal

Requires FBA Yes

Diagnostic eval validityN/A

Re-eval cadenceN/A

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsBaseline data, Target behaviors, Methods

Progress summary cadenceEvery 6 months

ABA services must be performed by a Board-Certified Behavior Analyst (BCBA) licensed in the state of Tennessee (LBAs).

CPT rules require a free account

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

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