Wisconsin Medicaid

MedicaidWI

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

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

State licensure requiredBCBA state licensure required via WI Department of Safety and Professional Services

Documentation Requirements

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsAssessment

Progress summary cadenceEvery 6 months

Policy Notes

Policy allows providers to bill for behavioral treatment in group settings. All providers must enroll as behavioral treatment providers. Comprehensive treatment focuses on broad skill acquisition, while focused treatment targets specific challenging behaviors and skill acquisition. Caregiver training is an essential feature of comprehensive treatment.

CPT & Modifier Rules

CPT rules require a free account

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

Official policy source:Wisconsin Medicaid — ABA Services Coverage Policy

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

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