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Applied Behavioral Analysis (ABA) Provider Type Billing Guidance

Date: 05/02/23

Heritage Health (Medicaid):

Nebraska Total Care is issuing the following provider billing reminder.

ABA providers who have historically identified as a BCBA, BCaBA & RBT and been enrolled with Nebraska Medicaid via Maximus as Provider Type 35 are reminded to review and update their Provider Type with Maximus to ensure alignment to the Mental Health and Substance Use fee schedule July, 1st 2022-Revised 8.10.22.

The following ABA providers who still have a Provider Type of 35 should be transitioning to Provider Types with Maximus that support accurate and timely payment in line with the Nebraska Medicaid Fee Schedule:

  • Provider Type 83 for BCBA
  • Provider Type 84 for BCaBA
  • Provider Type 85 for RBT

If you have questions, please contact Provider Relations.