New York Medicaid Cuts Reimbursement For Some ABA Services By 50%

Between October 2025 and October 2026, the New York Medicaid program cut fee-for-service (FFS) reimbursement rates three times for Current Procedural Terminology (CPT) code 97153, which is used for applied behavior analysis (ABA) treatment delivered by unlicensed behavior technicians. Effective October 1, 2026, the reimbursement rate declined to $9.63 per 15-minute unit, a 50% reduction from $19.26 per unit. The most recent reduction, which took effect on October 1, 2026, was authorized by the state budget for fiscal year 2026-2027.Before the most recent October 1 rate cut, a reduction of 12.5% took . . .