ABA Therapy Programs
Applied behavior analysis providers face a distinctive stack: behavior analyst licensure through TDLR, BACB certification standards, Texas Medicaid ABA benefit rules, and commercial autism coverage requirements that vary plan by plan. Our VP of Operations is a BCBA and LBA, and this work is led from inside the discipline.
What regulates you
- Texas behavior analyst licensure through the Texas Department of Licensing and Regulation, including LBA and LaBA requirements
- Behavior Analyst Certification Board certification standards and ethics code
- Texas Medicaid ABA benefit requirements, including prior authorization and treatment plan standards
- Commercial plan autism coverage requirements and medical policy
- Supervision requirements for assistant behavior analysts and behavior technicians
What we do for you
- Program start-up, licensure and enrollment across Medicaid and commercial plans
- Credentialing for BCBAs and the group entity
- Supervision structure design and documentation that satisfies both licensure and payer requirements
- Treatment plan, assessment and progress documentation standards built for authorization and audit
- Policy and procedure manuals specific to clinic-based and in-home service models
- Staff training and curriculum development, including early intervention programming
- Payer contracting and rate negotiation for ABA service codes
- Compliance program design and internal audit
Frequently asked questions
What is the most common reason ABA authorizations are denied or reduced?
Treatment plan documentation that does not connect assessment findings to specific, measurable goals and to the requested service intensity. Payers reduce hours when the plan does not justify them in the plan’s own terms.
Do we need both TDLR licensure and BACB certification?
In Texas, practising as a behavior analyst requires state licensure, and BACB certification is generally the underlying credential on which that licensure rests. They serve different functions and both matter to payers.
How should supervision be documented?
In a way that simultaneously satisfies licensure supervision rules, BACB requirements and payer expectations — which are not identical. Building one record that serves all three is the practical goal.
Related services
Talk to someone who works with your provider type every week
Describe where you are — opening, cited, stalled, or renegotiating — and we will tell you what the path looks like.