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DIVA says ABA billing changes and a family‑planning rate increase cannot be implemented as written
Summary
Agency staff said new coding guidance will disallow concurrent ABA billing (estimated to reduce provider revenue about 12%) and that a legislature‑added $850,000 family‑planning increase is not implementable under current payment systems and is being removed from the BAA pending resolution.
During the BAA briefing, agency staff described two policy adjustments affecting providers and patient services: coding changes for applied behavior analysis (ABA) services and a separate family‑planning payment increase that the agency says it cannot implement under current payment systems.
ABA coding: agency staff said federal guidance and updates to procedure‑code rules will bar concurrent billing of two clinicians for the same unit of service, which…
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