Denials, Audits & Billing Headaches: ABA News Roundup – April 14, 2025

Live Event Today at 8AM Eastern!

If you’re running an ABA practice or working in the field right now, the message from insurance companies and Medicaid is pretty clear:

We want to pay less. We want to pay slower. And we want to look for every reason not to pay at all.

This week’s ABA News Roundup covers four critical stories shaping the future of ABA — what’s happening, why it matters, and what providers should do next.

This Week’s Top Stories:

1. UnitedHealthcare’s Internal Plan to Limit ABA Services Exposed

Documents reveal UnitedHealthcare actively working to cut ABA hours, remove providers, and reduce access — even while admitting ABA is the gold standard for autism care.

If you’ve ever felt like insurance decisions make no clinical sense — this story shows why.

2. Indiana’s $56 Million Medicaid ABA Audit Should Be a Warning to Every Provider

Federal auditors reviewed Indiana’s Medicaid ABA program and found issues in nearly every single claim they touched.

If you bill Medicaid for ABA, you need to see what went wrong — because these are exactly the mistakes other states will be looking for.

3. Insurance Companies Are Misusing MUEs to Deny ABA Therapy

MUEs — Medically Unlikely Edits — were designed to prevent obvious billing errors. But in the hands of certain insurance companies, they’ve become another tool to deny legitimate ABA services.

Are you prepared to catch these denials before they crush your cash flow?

4. Nebraska Tightens ABA Medicaid Rules — Could Other States Be Next?

Nebraska just rolled out new ABA Medicaid service definitions — changing requirements for documentation, supervision, service hours, and more.

Even if you’re not in Nebraska — this matters. Medicaid programs across the country watch and borrow from each other.

Final Thoughts

If your ABA business isn’t thinking about billing audits, compliance, and documentation quality every single week — you’re playing a dangerous game.

This week’s stories aren’t isolated. They’re connected. They’re the new landscape of ABA.

We’ll be breaking them all down LIVE today at 8AM Eastern — with real talk about what providers should be doing now to stay ahead of these challenges.