State Medicaid & Children’s Health Insurance Program Applied Behavior Analysis Toolkit

In August 2026, the Centers for Medicare and Medicaid Services (CMS) published a toolkit with the purpose to support state Medicaid and Children’s Health Insurance Program (CHIP) agencies in making decisions regarding Applied Behavior Analysis (ABA) service provision for Medicaid and CHIP beneficiaries with autism spectrum disorder (ASD).

The toolkit addresses clinical standards for ABA as reflected in available literature and prevailing practical guidelines. The toolkit also addresses Medicaid benefit design, policy, and coverage; payment and utilization patterns; utilization management; provider enrollment, qualifications, and credentialing; and approaches to identify and address fraud, waste, and abuse . . .