Budget Amendment ID: FY2026-S3-389

EHS 389

ABA Rate Review

Mr. Moore moved that the proposed new text be amended by inserting after section __ the following section:-

“SECTION __.  The office of Medicaid shall conduct a review of the rates used by all governmental units in making payments to eligible providers of applied behavior analysis to publicly aided individuals as governed by 101 CMR 358.00. Said review shall include, but not be limited to: (a) a comparison of payment rates paid to providers in jurisdictions with similar cost-of-living indexes; (b) payment rates’ effect on recruitment and retention of qualified providers during fiscal years 2021, 2022 and 2023; (c) increased cost of service delivery to comply with upcoming accreditation requirements; and (d) the feasibility of implementation of a regular rate review process with fixed timelines. The office shall report the findings of the review to (i) the clerks of the House of Representatives and the Senate; (ii) the chairs of the House and Senate committees on ways and means; and (iii) the chairs of the Joint Committee on Health Care Financing not later than December 31, 2025.”