Click a state on the map to view its provider roles and top-line reimbursement rates. Toggle the regulatory overlay to compare which states require state-issued licenses versus deferring to BACB credentials.
Washington, DC
Maryland
Pennsylvania
Virginia
West Virginia
State-regulated
BACB-deferred
Hybrid
Select a state on the map to view details
Medicaid fee schedule rates for ABA services by CPT code, provider tier, and state. All rates are per 15-minute unit unless otherwise noted.
| State | CPT | Modifier | Service | Provider Tier | Rate | Unit | Daily Max | Source | Effective |
|---|---|---|---|---|---|---|---|---|---|
| DC | 97151 | — | Behavior Identification Assessment | All | N/A | 15 min | 32 Units | DC Interactive Fee Schedule | 2019-01-01 |
| DC | 97152 | — | Behavior ID Supporting Assessment | All | N/A | 15 min | 1 Units | DC Interactive Fee Schedule | 2019-01-01 |
| DC | 97153 | TL, 93 | Adaptive Behavior Treatment by Protocol | All | $27.50 | 15 min | 32 Units | DC Interactive Fee Schedule | 2023-03-21 |
| DC | 97154 | TL, 93 | Group Adaptive Behavior Treatment by Protocol | All | $18.43 | 15 min | 18 units | DC Interactive Fee Schedule | 2023-03-01 |
| DC | 97155 | TL, 93 | Adaptive Behavior Treatment with Protocol Modification | All | $31.25 | 15 min | 24 units | DC Interactive Fee Schedule | 2023-03-01 |
| DC | 97156 | — | Family Guidance (child present) | All | N/A | 15 min | 16 units | DC Interactive Fee Schedule | 2019-01-01 |
| MD | 97151 | - | Behavior Identification Assessment | BCBA-D-level | $38.34 | 15 min | 32 units | MD ABA Manual | 2024-07-01 |
| MD | 97151 | - | Behavior Identification Assessment | BCBA-level | $38.34 | 15 min | 32 units | MD ABA Manual | 2024-07-01 |
| MD | 97152 | - | Behavior ID Supporting Assessment | BCaBA-level | $19.17 | 15 min | 32 units | MD ABA Manual | 2024-07-01 |
| MD | 97152 | - | Behavior ID Supporting Assessment | Technician | $19.17 | 15 min | 32 units | MD ABA Manual | 2024-07-01 |
| MD | 97153 | - | Adaptive Behavior Treatment by Protocol | BCBA-D-level | $24.41 | 15 min | 32 units | MD ABA Manual | 2024-07-01 |
| MD | 97153 | - | Adaptive Behavior Treatment by Protocol | BCBA-level | $24.41 | 15 min | 32 units | MD ABA Manual | 2024-07-01 |
| MD | 97153 | - | Adaptive Behavior Treatment by Protocol | BCaBA-level | $20.91 | 15 min | 32 units | MD ABA Manual | 2024-07-01 |
| MD | 97153 | - | Adaptive Behavior Treatment by Protocol | BCaBA-level | $20.91 | 15 min | 32 units | MD ABA Manual | 2024-07-01 |
| MD | 97153 | - | Adaptive Behavior Treatment by Protocol | Technician | $19.17 | 15 min | 32 units | MD ABA Manual | 2024-07-01 |
| MD | 97154 | — | Group Adaptive Behavior Treatment by Protocol | BCBA-D-level | $10.45 | 15 min | 16 units | MD ABA Manual | 2024-07-01 |
| MD | 97154 | — | Group Adaptive Behavior Treatment by Protocol | BCBA-level | $10.45 | 15 min | 16 units | MD ABA Manual | 2024-07-01 |
| MD | 97154 | — | Group Adaptive Behavior Treatment by Protocol | BCaBA-level | $8.36 | 15 min | 16 units | MD ABA Manual | 2024-07-01 |
| MD | 97154 | — | Group Adaptive Behavior Treatment by Protocol | Technician | $6.96 | 15 min | 16 units | MD ABA Manual | 2024-07-01 |
| MD | 97155 | - | Adaptive Behavior Treatment with Protocol Modification | BCBA-D-level | $38.34 | 15 min | 24 units | MD ABA Manual | 2024-07-01 |
| MD | 97155 | - | Adaptive Behavior Treatment with Protocol Modification | BCBA-level | $38.34 | 15 min | 24 units | MD ABA Manual | 2024-07-01 |
| MD | 97155 | GT | Remote Direction of Technician | BCBA-level | $38.34 | 15 min | 24 units | MD ABA Manual | 2024-07-01 |
| MD | 97156 | - | Family Guidance (child absent) | BCBA-D-level | $20.91 | 15 min | 16 units | MD ABA Manual | 2024-07-01 |
| MD | 97156 | U2 | Family Guidance (child present) | BCBA-D-level | $38.34 | 15 min | 16 units | MD ABA Manual | 2024-07-01 |
| MD | 97156 | - | Family Guidance (child absent) | BCBA-level | $20.91 | 15 min | 16 units | MD ABA Manual | 2024-07-01 |
| MD | 97156 | U2 | Family Guidance (child present) | BCBA-level | $38.34 | 15 min | 16 units | MD ABA Manual | 2024-07-01 |
| MD | 97156 | - | Family Guidance (child absent) | BCaBA-level | $12.21 | 15 min | 16 units | MD ABA Manual | 2024-07-01 |
| MD | 97156 | U2 | Family Guidance (child present) | BCaBA-level | $20.91 | 15 min | 16 units | MD ABA Manual | 2024-07-01 |
| VA | 97151 | HN | Behavior Identification Assessment | LABA-level | $23.48 | 15 min | — | Project Bravo Service Rates | 2021-12-01 |
| VA | 97151 | HO | Behavior Identification Assessment | LBA-level | $46.63 | 15 min | — | Project Bravo Service Rates | 2021-12-01 |
| VA | 97151 | TF | Behavior Identification Assessment | LMHP-level | $39.40 | 15 min | — | Project Bravo Service Rates | 2021-12-01 |
| VA | 97152 | HN | Behavior ID Supporting Assessment | LABA-level | $23.48 | 15 min | — | Project Bravo Service Rates | 2021-12-01 |
| VA | 97152 | — | Behavior ID Supporting Assessment | $15.00 | 15 min | — | Project Bravo Service Rates | 2021-12-01 | |
| VA | 97153 | HN | Adaptive Behavior Treatment by Protocol | LABA-level | $23.48 | 15 min | — | Project Bravo Service Rates | 2021-12-01 |
| VA | 97153 | HO | Adaptive Behavior Treatment by Protocol | LBA-level | $46.63 | 15 min | — | Project Bravo Service Rates | 2021-12-01 |
| VA | 97153 | TF | Adaptive Behavior Treatment by Protocol | LMHP-level | $39.40 | 15 min | — | Project Bravo Service Rates | 2021-12-01 |
| VA | 97153 | — | Adaptive Behavior Treatment by Protocol | $15.00 | 15 min | — | Project Bravo Service Rates | 2021-12-01 | |
| VA | 97154 | HN | Group Adaptive Behavior Treatment by Protocol | LABA-level | $15.60 | 15 min | — | Project Bravo Service Rates | 2021-12-01 |
| VA | 97154 | HO | Group Adaptive Behavior Treatment by Protocol | LBA-level | $15.55 | 15 min | — | Project Bravo Service Rates | 2021-12-01 |
| VA | 97154 | TF | Group Adaptive Behavior Treatment by Protocol | LMHP-level | $13.13 | 15 min | — | Project Bravo Service Rates | 2021-12-01 |
| VA | 97154 | — | Group Adaptive Behavior Treatment by Protocol | $12.77 | 15 min | — | Project Bravo Service Rates | 2021-12-01 | |
| VA | 97155 | HN | Adaptive Behavior Treatment with Protocol Modification | LABA-level | $23.48 | 15 min | — | Project Bravo Service Rates | 2021-12-01 |
| VA | 97155 | HO | Adaptive Behavior Treatment with Protocol Modification | LBA-level | $46.63 | 15 min | — | Project Bravo Service Rates | 2021-12-01 |
| VA | 97155 | TF | Adaptive Behavior Treatment with Protocol Modification | LMHP-level | $39.40 | 15 min | — | Project Bravo Service Rates | 2021-12-01 |
| VA | 97156 | HN | Family Guidance (child absent) | LABA-level | $23.48 | 15 min | — | Project Bravo Service Rates | 2021-12-01 |
| VA | 97156 | HO | Family Guidance (child absent) | LBA-level | $46.63 | 15 min | — | Project Bravo Service Rates | 2021-12-01 |
| VA | 97156 | TF | Family Guidance (child absent) | LMHP-level | $39.40 | 15 min | — | Project Bravo Service Rates | 2021-12-01 |
Provider qualification requirements by state and role. Each role may have multiple qualification pathways (OR logic) — within each pathway, all listed requirements must be met (AND logic).
Washington, DC
3 rolesLicensed Behavior Analyst
BCBA-level
BCaBA
BCaBA-level
RBT
Technician
Licensed Behavior Analyst — 1 qualification pathway
Standard
BACB cert + master's + DC license
Effective: 2024-07-19
BCaBA — 1 qualification pathway
BACB Only
Current BCaBA (no state license)
Effective: 2024-07-19
RBT — 1 qualification pathway
BACB Only
Current RBT (no state license)
Effective: 2024-07-19
Maryland
5 rolesLicensed Psychologist
Psychologist
LBA (BCBA/BCBA-D)
BCBA-level
BCaBA
BCaBA-level
RBT
Technician
BT
Technician
Licensed Psychologist — 1 qualification pathway
Standard
Licensed psychologist pathway
- licenseMust hold Maryland psychologist license
COMAR 10.09.28.02(E) - scopeMust act within scope of practice
COMAR 10.09.28.02(E)
Effective: 2022-07-01
LBA (BCBA/BCBA-D) — 1 qualification pathway
Standard
BCBA/BCBA-D with state license
- licenseMust hold Maryland LBA license
COMAR 10.09.28.02(F-G) - credentialMust have current BACB certification
COMAR 10.09.28.02(F-G)
Effective: 2022-07-01
BCaBA — 1 qualification pathway
Standard
BCaBA with supervision
- credentialMust have current BCaBA certification
COMAR 10.09.28.02(H) - supervisionMust work under LBA or psychologist
COMAR 10.09.28.02(H) - documentationSupervision must be documented in writing
COMAR 10.09.28.02(H)
Effective: 2022-07-01
RBT — 1 qualification pathway
Standard
RBT with supervision
- ageMust be at least 18 years old
COMAR 10.09.28.02(I) - credentialMust be registered with BACB as RBT
COMAR 10.09.28.02(I) - educationMust have HS diploma or GED
COMAR 10.09.28.02(I) - supervisionMust work under LBA or psychologist
COMAR 10.09.28.02(I) - documentationSupervision must be documented in writing
COMAR 10.09.28.02(I)
Effective: 2022-07-01
BT — 1 qualification pathway
Standard
BT with 90-day registration requirement
- ageMust be at least 18 years old
COMAR 10.09.28.02(J) - credentialMust register with BACB within 90 days
COMAR 10.09.28.02(J) - educationMust have HS diploma or GED
COMAR 10.09.28.02(J) - supervisionMust work under LBA or psychologist
COMAR 10.09.28.02(J) - documentationSupervision must be documented in writing
COMAR 10.09.28.02(J)
Effective: 2022-07-01
Pennsylvania
6 rolesAdministrative Director
Admin
Clinical Director
Director
Behavior Analytic Services
BCBA-level
Behavior Consultation-ABA
BCaBA-level
Assistant Behavior Consultation-ABA
Assistant
BHT-ABA
Technician
Administrative Director — 2 qualification pathways
Bachelor's Degree
Bachelor's in qualifying field
- educationBachelor's degree in qualifying field
§ 5240.81(a)(1) - accreditationFrom accredited institution
§ 5240.81(a)(1)
Effective: 2019-10-19
Clinical Director Quals
Meets clinical director requirements
- qualificationSame quals as clinical director
§ 5240.81(a)(2)
Effective: 2019-10-19
Clinical Director — 3 qualification pathways
Licensed + BCBA + Experience
Licensed professional with BCBA and 2 years experience
- licenseLicensed in Pennsylvania
§ 5240.81(c)(1) - credentialBCBA or equivalent certification
§ 5240.81(c)(1) - experience2 years ABA experience
§ 5240.81(c)(1)
Effective: 2022-07-01
Psychologist + 5yr Experience
Licensed psychologist with 5 years ABA oversight + 40hr training
- licenseLicensed psychologist in PA
§ 5240.81(c)(2) - experience5 years overseeing ABA program
§ 5240.81(c)(2) - training40 hours ABA training
§ 5240.81(c)(2)
Effective: 2022-07-01
Psychologist + ABA Degree
Licensed psychologist with graduate ABA degree/certificate
- licenseLicensed psychologist in PA
§ 5240.81(c)(3) - educationGraduate ABA degree/certificate
§ 5240.81(c)(3)
Effective: 2022-07-01
Behavior Analytic Services — 1 qualification pathway
Licensed + BCBA
Licensed professional with BCBA certification
- licenseLicensed in Pennsylvania
§ 5240.81(d) - credentialBCBA or equivalent certification
§ 5240.81(d) - ongoing training16 hours annual training
§ 5240.83(b)
Effective: 2019-10-19
Behavior Consultation-ABA — 4 qualification pathways
Licensed + BCaBA
Licensed professional with BCaBA or equivalent
- licenseLicensed in Pennsylvania
§ 5240.81(e)(1) - credentialBCaBA or equivalent certification
§ 5240.81(e)(1)(i) - ongoing training16 hours annual training
§ 5240.83(b)
Effective: 2019-10-19
Licensed + Experience + Credits
Licensed with 1yr experience + 12 ABA credits
- licenseLicensed in Pennsylvania
§ 5240.81(e)(1) - experience1 year ABA experience
§ 5240.81(e)(1)(ii) - education12 college credits in ABA
§ 5240.81(e)(1)(ii)
Effective: 2019-10-19
Licensed + Supervised Experience
Licensed with 1yr supervised experience + 40hr training
- licenseLicensed in Pennsylvania
§ 5240.81(e)(1) - experience1 year supervised ABA experience
§ 5240.81(e)(1)(iii) - training40 hours ABA training
§ 5240.81(e)(1)(iii)
Effective: 2019-10-19
Psychologist + Experience
Licensed psychologist with 1yr experience + 40hr training
- licenseLicensed psychologist in PA
§ 5240.81(e)(2) - experience1 year ABA experience
§ 5240.81(e)(2) - training40 hours ABA training
§ 5240.81(e)(2)
Effective: 2019-10-19
Assistant Behavior Consultation-ABA — 3 qualification pathways
Behavior Specialist Quals
Meets behavior specialist licensure quals (minus experience)
- qualificationBehavior specialist quals minus experience
§ 5240.81(f)(1)
Effective: 2019-10-19
BCaBA + Bachelor's
BCaBA certification + bachelor's in qualifying field
- credentialBCaBA or equivalent certification
§ 5240.81(f)(2) - educationBachelor's in qualifying field
§ 5240.81(f)(2) - initial training20 hours initial training
§ 5240.83(c)(1) - ongoing training20 hours annual training
§ 5240.83(c)(2)
Effective: 2019-10-19
Experience + Bachelor's + Credits
6 months experience + bachelor's + 12 ABA credits
- experience6 months ABA experience
§ 5240.81(f)(3) - educationBachelor's in qualifying field
§ 5240.81(f)(3) - education12 college credits in ABA
§ 5240.81(f)(3)
Effective: 2019-10-19
BHT-ABA — 6 qualification pathways
BCaBA
BCaBA certification
- credentialBCaBA certified
§ 5240.81(g)(1)
Effective: 2020-07-01
RBT
RBT certification
- credentialRBT certified
§ 5240.81(g)(2) - ongoing training20 hours annual training
§ 5240.83(d)(2)
Effective: 2020-07-01
BCAT
BCAT certification
- credentialBCAT certified
§ 5240.81(g)(3)
Effective: 2020-07-01
Other NCCA/ANSI Cert
Behavior analysis cert from NCCA or ANSI accredited org
- credentialOther accredited behavior cert
§ 5240.81(g)(4)
Effective: 2020-07-01
40-Hour Training
HS diploma + 40hr RBT Task List training from BCBA/BCaBA
- educationHS diploma or GED
§ 5240.81(g)(5) - training40-hr RBT Task List training
§ 5240.81(g)(5) - trainerTrainer must be BCBA/BCaBA
§ 5240.81(g)(5)
Effective: 2020-07-01
Experience + Training
2 years ABA experience + 40hr approved training
- experience2 years ABA experience
§ 5240.81(g)(6) - training40 hours ABA training
§ 5240.81(g)(6)
Effective: 2020-07-01
Virginia
4 rolesLicensed Behavior Analyst (LBA)
BCBA-level
Licensed Assistant Behavior Analyst (LABA)
BCaBA-level
Licensed Mental Health Professional
LMHP
Technician (RBT/UBT)
Technician
Licensed Behavior Analyst (LBA) — 1 qualification pathway
Standard
BCBA with Virginia LBA license
- credentialMust have current BACB certification
18VAC85-150-60 - licenseMust hold Virginia LBA license
18VAC85-150-60
Effective: 2021-10-14
Licensed Assistant Behavior Analyst (LABA) — 1 qualification pathway
Standard
BCaBA with Virginia LABA license
- credentialMust have current BACB certification
18VAC85-150-60 - licenseMust hold Virginia LABA license
18VAC85-150-60 - supervisionMust work under LBA supervision
18VAC85-150-120
Effective: 2021-10-14
Licensed Mental Health Professional — 1 qualification pathway
Standard
LMHP with ABA training
- licenseMust hold Virginia LMHP license
DMAS MHS Manual - trainingMust have ABA training
DMAS Bulletin 12/16/2025 - limitationCannot supervise technicians
DMAS Bulletin 12/16/2025
Effective: 2021-10-14
Technician (RBT/UBT) — 5 qualification pathways
LMHP Resident
LMHP-R/LMHP-RP/LMHP-S under supervision
- credentialMust be LMHP in training status
MHS Manual App D p.30 - supervisionSupervised per board requirements
MHS Manual App D p.30
Effective: 2021-10-14
LABA under LBA
LABA working under LBA supervision
- licenseMust hold Virginia LABA license
MHS Manual App D p.30 - supervisionMust work under LBA supervision
MHS Manual App D p.30
Effective: 2021-10-14
Personnel under LBA/LABA
Non-licensed staff under LBA or LABA
- supervisionMust work under LBA or LABA
18VAC85-150-10
Effective: 2021-10-14
Personnel under Psychologist
Non-licensed staff under Licensed Clinical Psychologist
- supervisionMust work under licensed psychologist
VA Code §54.1-3614
Effective: 2021-10-14
Licensed acting as Tech
LBA or LMHP billing at technician rate
- credentialMust be licensed LBA or LMHP
MHS Manual App D p.30 - billingLicensed professional billing at tech level
MHS Manual App D p.30
Effective: 2021-10-14
West Virginia
3 rolesBCBA / BCBA-D
BCBA-level
BCaBA
BCaBA-level
RBT
Technician
BCBA / BCBA-D — 1 qualification pathway
Standard
BCBA or BCBA-D certification
- credentialMust have current BACB certification
BMS 519.23.4 - standingCertification must be in good standing
BMS 519.23.4 - enrollmentMust meet BMS enrollment criteria
BMS 519.23.3
Effective: 2018-09-01
BCaBA — 1 qualification pathway
Standard
BCaBA under BCBA/BCBA-D supervision
- credentialMust have current BACB certification
BMS 519.23.4 - standingCertification must be in good standing
BMS 519.23.4 - supervisionMust work under BCBA/BCBA-D supervision
BMS 519.23.4 - enrollmentMust meet BMS enrollment criteria
BMS 519.23.3
Effective: 2018-09-01
RBT — 1 qualification pathway
Standard
RBT under BCBA/BCBA-D/BCaBA supervision
- credentialMust have current BACB RBT credential
BMS 519.23.4 - supervisionMust work under BCBA/BCBA-D/BCaBA
BMS 519.23.4 - enrollmentMust meet BMS enrollment criteria
BMS 519.23.3
Effective: 2018-09-01
Side-by-side reimbursement rate comparison across states for each CPT code. Rates shown by provider credential tier — useful for staffing cost analysis and multi-state expansion planning.
97151 — Behavior Identification Assessment
| Provider Tier | DC | MD | PA | VA | WV |
|---|---|---|---|---|---|
| All | N/A | — | — | — | — |
| BCBA-level | — | $38.34 | — | — | — |
| BCBA-D-level | — | $38.34 | — | — | — |
| LABA-level | — | — | — | $23.48 | — |
| LBA-level | — | — | — | $46.63 | — |
| LMHP-level | — | — | — | $39.40 | — |
97152 — Behavior ID Supporting Assessment
| Provider Tier | DC | MD | PA | VA | WV |
|---|---|---|---|---|---|
| All | N/A | — | — | — | — |
| BCaBA-level | — | $19.17 | — | — | — |
| Technician | — | $19.17 | — | — | — |
| LABA-level | — | — | — | $23.48 | — |
97153 — Adaptive Behavior Treatment by Protocol
| Provider Tier | DC | MD | PA | VA | WV |
|---|---|---|---|---|---|
| All | $27.50 | — | — | — | — |
| BCaBA-level | — | $20.91 | — | — | — |
| BCBA-level | — | $24.41 | — | — | — |
| BCBA-D-level | — | $24.41 | — | — | — |
| Technician | — | $19.17 | — | — | — |
| LABA-level | — | — | — | $23.48 | — |
| LBA-level | — | — | — | $46.63 | — |
| LMHP-level | — | — | — | $39.40 | — |
97154 — Group Adaptive Behavior Treatment by Protocol
| Provider Tier | DC | MD | PA | VA | WV |
|---|---|---|---|---|---|
| All | $18.43 | — | — | — | — |
| BCBA-level | — | $10.45 | — | — | — |
| BCBA-D-level | — | $10.45 | — | — | — |
| BCaBA-level | — | $8.36 | — | — | — |
| Technician | — | $6.96 | — | — | — |
| LABA-level | — | — | — | $15.60 | — |
| LBA-level | — | — | — | $15.55 | — |
| LMHP-level | — | — | — | $13.13 | — |
97155 — Adaptive Behavior Treatment with Protocol Modification
| Provider Tier | DC | MD | PA | VA | WV |
|---|---|---|---|---|---|
| All | $31.25 | — | — | — | — |
| BCBA-level | — | $38.34 | — | — | — |
| BCBA-D-level | — | $38.34 | — | — | — |
| LABA-level | — | — | — | $23.48 | — |
| LBA-level | — | — | — | $46.63 | — |
| LMHP-level | — | — | — | $39.40 | — |
97156 — Family Guidance (child present)
| Provider Tier | DC | MD | PA | VA | WV |
|---|---|---|---|---|---|
| All | N/A | — | — | — | — |
| BCBA-level | — | $20.91 | — | — | — |
| BCBA-D-level | — | $20.91 | — | — | — |
| BCaBA-level | — | $12.21 | — | — | — |
| LABA-level | — | — | — | $23.48 | — |
| LBA-level | — | — | — | $46.63 | — |
| LMHP-level | — | — | — | $39.40 | — |