Join Us Live Today at 8:00 AM Eastern!
ABA providers are facing two urgent challenges: payment instability and regulatory change. Florida’s Medicaid reimbursement crisis is leaving providers unpaid, while Illinois has joined New York in requiring clinician-only ownership of ABA practices. On top of that, practices everywhere are searching for affordable ways to keep cash flow steady. This roundup covers both news stories and introduces a billing solution built to help. Join us live at 8 AM on our Facebook page to discuss what this means for your practice.
Florida Medicaid Crisis: ABA Providers Struggle...
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to Get Paid
Florida ABA providers report months-long delays on Medicaid payments, denials of clean claims, and blocked single case agreements. Some can’t even get into networks, leaving families with no access to care. Practices are carrying large unpaid balances while payroll, rent, and staff costs remain constant. Families see sessions canceled or reduced, and children risk regression.
The message is clear: ABA providers cannot rely solely on Medicaid. Diversifying payers, tightening billing, and preparing for reimbursement delays are essential steps for survival in a changing landscape.
Illinois Joins New York: Licensed Professionals Must Own ABA Practices
Illinois now requires that ABA practices be fully owned by licensed behavior analysts by January 2027, joining New York’s long-standing clinician-ownership rules. Non-licensed investors, management-only partners, and publicly traded corporations cannot own ABA entities under these laws. Practices must restructure into professional corporations or PLLCs where only licensed professionals hold ownership.
For providers, this means reviewing ownership agreements, entity type, and governance structures now. For investors, it means pivoting toward management services organizations (MSOs) that provide non-clinical support without violating CPOM rules.
Smarter Billing at 2.99%: Keep Costs Down and Get Paid
Whether it’s slow Medicaid payments or new ownership restrictions, ABA providers can’t afford to leave money on the table. Denials, missed follow-ups, and claim errors add unnecessary strain. That’s why we launched our billing service built specifically for ABA practices—priced at just 2.99% .
Our billing service ensures accurate submissions, aggressive denial follow-up, and transparent reporting. The goal is simple: lower your overhead while improving collections so you can focus on care, training, and growth instead of chasing payers.
Learn More About Our Billing Service
Join the Conversation Live
These issues affect every ABA provider—from solo practices to multi-site organizations. We’ll be breaking down the news and answering your questions live. Bring your concerns about Medicaid, ownership changes, and billing challenges, and leave with practical steps you can use right away.
