The Texas Health and Human Services Commission (HHSC) plans to reimburse for applied behavioral analysis (ABA) services for children with autism enrolled in the state’s Medicaid managed care program. HHSC would pay Medicaid managed care organization (MCO) plans using a non-risk model until experience data is available to set capitated rates. The state asked the Centers for Medicare & Medicaid Services (CMS) to approve the requested changes to allow non-risk payments by February 1, 2022.

On October 15, 2021, CMS began accepting comments on the state’s Section 1115 waiver application. Public comments will be accepted through . . .

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