Celebrating Mothers (and Everyone Else Who Deserves a Break): 50% Off the ABA Business Leaders Platform This Weekend Only!
Experts, X-Rays, and Indiana Drama: Live discussion today at 9:00 AM Eastern
Who Gets to Speak in ABA—and What Does That Say About Us?
How Applied Behavior Analysis Can Improve Healthcare Systems
Dealing with workplace drama!
🧩 Trends, Truths & Turning Points: What’s Shaping Autism and Behavioral Health in 2025
Arkansas Mom Releases Powerful Children’s Book on Autism and Mealtime Struggles
“What are we really doing here?”: The Push to Standardize Quality in Autism Therapy
Behavioral Health Deal Volume Up 53% in Early 2025: What This Means for ABA Practices
The Growing Gap in Autism and IDD Care: Why the Industry Must Scale Ethically and Strategically
Should a BCBA Always Own the Clinic? Maybe Not.
Staff, Tariffs, and RFK Jr.: What ABA Companies Need to Know Right Now - Live today at 8 AM Eastern!
ABA Staff Turnover Is Still Out of Control — Here’s What the Data Says
How the New Tariffs Could Impact ABA Businesses (And What You Can Do About It)
RFK Jr.’s Autism Registry Proposal: Understanding the Implications for ABA Companies
How Margin Keepers Can Help You Master Payroll & Financial Planning
Quality over Quantity- Is more supervision always better?
Denials, Audits & Billing Headaches: ABA News Roundup – April 14, 2025
Nebraska Issues New ABA Medicaid Service Definitions Amid Federal Audit Scrutiny
Concerns Grow Over Insurance Misuse of Medically Unlikely Edits (MUEs) in ABA Therapy Denials
Federal Audit Finds $56 Million in Improper Medicaid Payments for ABA Therapy in Indiana
UnitedHealthcare’s Strategy to Limit ABA Therapy Raises Alarm in the Autism Community
It’s Time to Get Real: ABA Business Owner Burnout
From Policy Shifts to Legal Hits: ABA News Roundup – April 7, 2025 - Live event today at 11AM Eastern!
Texas Recognizes QABA® for Behavior Analyst Licensure
Maryland Clinic Settles HIPAA Violations After Ransomware Attack
New York’s Proposed Medicaid Cuts Raise Concerns for Autism Services
Massachusetts Expands ABA Therapy Coverage to Children with Down Syndrome
Indiana’s Updated Medicaid Policy for ABA Therapy: What You Need to Know
Expanding to a Clinic? Do this first!
From Big Deals to Big Trouble: ABA Business News - March 31, 2025
The truth behind the client and staff cancellations
Top ABA Headlines
Local Owner Highlight- When to scale your ABA Business
Understanding the journey- Improving caregiver relationships with Melanie Thurston
How Effective Bookkeeping Ensures Payroll Stability and Helps You Retain ABA Staff
The Importance of Bookkeeping Services for ABA Business Owners
Mastering Marketing – Local Outreach Done Right
How to Scale Your ABA Business
You Just Closed Your ABA Company... Now What?
Building the Future of Small ABA Businesses – Join Us in This Mission
Red Flags in ABA Service Providers
Coaching Session- Discussing Onboarding with a New Owner
Would You Rather: Hiring in ABA
Grow your own BCBAs vs. hiring- What you need to know
Aligning Leadership with Values: Behavioral Intelligence in ABA with Dr. Paul Gavoni
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AI meets clinical decision making- Using AI to improve patient outcomes- with Amanda Ralston
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Leadership in ABA: Building Values, Managing Relationships, and Driving Progress with Martin Myers
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Building Better Care; Public Policy and Staff Empowerment
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Building Resilience in ABA Practices: Lessons in Staffing, Billing, and Growth
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I Hate My Job: Exploring Real Solutions
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I Hate My Job: Voicing the Frustrations of ABA Professionals
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Free Download! Boost Your Established ABA Practice with MarginKeepers' Essential Accounting Tips
Inside the World of ABA Audits and Legal Guidance with Kim Mack Rosenberg, Esq.
Ethical Practices for ABA Testimonials and Reviews with Dr. Jon Bailey
Navigating Growth and Challenges in ABA Business with Alecia Barrett
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Collaboration in ABA: Strengthening Connections Among ABA Business Owners
"I Hate My Job" Series Kickoff: Discussing Burnout and Unethical Practices in the ABA Field
Top Five Essentials for Your Company Policies
Discount Ends Tomorrow – Last Chance to Get 20% Off Our Comprehensive ABA Billing Training Series!
Mastering Digital Marketing for ABA Practices with Reece from Reputation Elevation
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Unlock Your Billing Potential: Our New ABA Billing Course and Free ABA Billing Tips!
Navigating Company Policies: A Blueprint for ABA Practices
Free Chart of Accounts: Optimize Your Bookkeeping with MarginKeepers
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Steering Clear of Fraud: Mastering Insurance Billing in ABA Practice
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Beyond the Startup: Common Mistakes by Seasoned ABA Business Owners
Essential Elements of an Employee Handbook for ABA Practices
Don’t Do That!: Avoiding Common Missteps in Your ABA Practice
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Navigating the Credentialing Conundrum: Insights from ABA Leaders
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Client Hours Discussion with April, Mallory Stinger, and Jennifer Helton
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Indiana Is Back in the News: What ABA Providers Need to Know About the State’s Latest Push for Cost Controls
Indiana is back in the news—and once again, about ABA therapy.
According to a May 2025 report from the Indiana Capital Chronicle, the state has launched a 21-member working group to explore new cost-control strategies for Applied Behavior Analysis (ABA) services under Medicaid. The group is expected to deliver its recommendations by the end of the year.
This isn’t the first time Indiana has taken a hard look at ABA therapy spending. Earlier in 2025, it implemented a three-year cap on intensive services and introduced a tiered system based on autism severity levels. But this new panel signals that even more changes are likely on the way.
Why Indiana’s Move Should Get Your Attention
It’s not just the formation of the panel that’s noteworthy—it’s the numbers behind it. Medicaid spending on ABA in Indiana grew from just $14 million in 2017 to a staggering $639 million in 2023 (KFF, 2024).
This kind of increase is going to raise flags. In fact, a recent audit found that Indiana's Family and Social Services Administration (FSSA) may have paid out over $133 million in improper or questionable ABA claims (Indiana Capital Chronicle, Jan 2025).
States like Indiana are now asking: How do we continue to fund needed services while keeping the system sustainable?
This Isn’t Just Indiana’s Problem
Indiana may be making the headlines, but it’s not alone. In early 2024, Massachusetts passed legislation requiring all ABA providers to be accredited by 2028, citing quality assurance and cost efficiency (SkyCare ABA, 2024).
Other states are watching closely. If your practice is based in Florida, Texas, California, or anywhere with strong Medicaid coverage, these conversations are likely coming your way too.
What Providers Should Do Right Now
Here are a few steps you can take to get ahead of changes like these:
1. Review Clinical Rationale for Hours
Make sure your team can explain, with data, why each client is receiving the number of hours they are. Outcomes-based justification is going to matter more than ever.
2. Tighten Supervision Systems
If service caps tighten, you’ll need strong supervision protocols to maintain quality. Build in systems for regular review, fidelity checks, and flexible support.
3. Get Your Data Ready
Legislators and payers want numbers. How many goals are being met? What’s the staff-to-client ratio? Are clients transitioning or making progress? If you’re not tracking it, you can’t prove it.
4. Communicate Proactively
Uncertainty breeds fear. Talk with your team and the families you serve. Let them know you’re watching what’s happening and preparing to protect continuity of care.
Accreditation Might Be Next
One possible outcome of Indiana’s review? A push for statewide accreditation as a means to reduce waste and ensure consistency. Accreditation isn’t just a checkbox—it could become the baseline for access to funding.
If your ABA practice isn’t accredited, or you’re unsure how to get started, it’s a good time to explore your options. If you’d like support with that, feel free to reach out: 👉 https://3piesquared.com/stephen-booking-page
What’s Really at Stake
This isn’t just about money. It’s about whether the ABA field is seen as trustworthy, effective, and accountable. If we want to expand access to services, we need to operate with clarity, ethics, and a commitment to quality—and that starts with providers.
The truth is, the practices that survive and thrive in this new environment will be the ones that lead with intention. They’ll get clear on clinical models, tighten systems, and show up to conversations with real data and solutions.
Final Thoughts
Indiana may finalize its panel recommendations by the end of this year. But if you’re an ABA business leader, now is the time to act—not react. Build systems. Train your team. Audit your model. And start thinking like someone who’s going to be at the table when change happens.
Because the future of ABA doesn’t belong to the biggest providers. It belongs to the ones who are ready.
Sources:
- Indiana’s Updated Medicaid Policy for ABA Therapy: What You Need to Know
- Indiana panel to consider ABA therapy cost controls – Indiana Capital Chronicle
- ABA and the Medicaid Budget – Indiana Capital Chronicle
- Medicaid Enrollment & Spending Growth – KFF
- Massachusetts Implements ABA Accreditation Requirement – SkyCare ABA
