State Issues to Watch in Autism Therapy: ABA Hour Caps, Rate Cuts

New years bring new starts. That includes new legislative sessions, executive administration and potential changes to the regulatory landscape. The challenge of understanding state-level regulatory changes is multiplied 50 times over. Given the lack of a specific division within the federal government to oversee autism therapy, state providers must watch the patchwork of state rules […]

[Updated] Who Does the Accrediting? New Autism Therapy Regulation Highlights Big Question for the Industry

Last month, Massachusetts became the first state to require applied behavioral analysis (ABA) providers to become accredited. The Massachusetts Executive Office of Health and Human Services adopted the new rule in October after the Massachusetts attorney general and inspector general questioned the level of quality control at ABA clinics in the past year. Providers who […]

Behavioral Health Benefits Remain Key Focus for Medicaid Programs

State Medicaid programs continue to expand behavioral health benefits, especially for specific high-needs populations. Several states have rolled out new behavioral health benefits or enhanced existing ones. All the while, no states have plans to restrict behavioral health benefits during fiscal year 2023, according to a new survey of state Medicaid leaders from the Kaiser […]

Massachusetts’ Medicaid to Cover Certain Prescription Digital Therapeutics Offered by Pear Therapeutics Inc.

Last week, Pear Therapeutics announced that MassHealth will reimburse for prescriptions for Pear’s products reSET and reSET-O. The former treats substance use disorder while the latter treats opioid use disorder. Founded in 2013, Pear Therapeutics develops prescription digital therapeutics: or PDTs. The company has successfully received clearance to commercialize three PDTs. The third, other than […]