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Adding a state means new Medicaid program, new mandate, new BCBA licensure rule, and potentially a new BH carve-out manager. ABA Insight tracks coverage and policy changes across all 50 states — so you know what hits you before it hits your denials.
Coverage maps, carve-out detection, licensure tracking, and legislative alerts — across every state you operate in.
See every state's ABA mandate at a glance: age limits, annual benefit caps, hour caps, and mandate status. Filter to highlight gaps in your expansion plan.
Identify which states route ABA through Optum, Carelon, Magellan, or eviCore — so you know which payor and which authorization workflow actually applies before you onboard the first client.
Some states license behavior analysts directly; others recognize the BACB credential by reference. ABA Insight tracks the licensure requirement, board contact, and renewal cadence for every state.
Active alerts for proposed and enacted ABA coverage legislation across all 50 states. Severity tiers route critical changes (mandate expansions, sunsetting) to email; routine changes go to your weekly digest.
Run each state's operations in its own workspace, with its own watched payors and denial log — but manage all of them from a single login.
See which states have the highest denial rates in your panel, and which payors are driving them. Plan staffing and training where the financial pain actually is.
Critical changes (auth window shrinks, new modifier requirements, FBA mandates) hit your inbox the day we detect them. Routine changes roll into a weekly digest. Every change links back to the source document.
Severity is decided by an LLM against your watched payors — calibrated to surface what actually moves your denial rate.
Auth submission window reduced from 30 days to 14 days. Affects all 97151–97158 codes.
New required modifier (HM) for 97155 supervision codes when delivered in clinic.
Telehealth 97153 coverage confirmed for POS 02 and POS 10.
Every state tracked. Every major commercial payor mapped to its BH carve-out manager. Every legislative session monitored.
$29/seat/month ($24 annual). No multi-state upcharge. Add a workspace per state, per entity, or per region — multi-org management is included.
Start FreeStart free with 3 anchor payors of your choice and full 50-state coverage data. Upgrade to Growth when you're ready for the full 192-payor database, alerts on every payor, denial tracking, and unlimited workspaces for multi-state ops.
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