MO HealthNet Division — Applied Behavioral Analysis fee schedule (publication date 07/28/2026), from the MHD F
| Code | Service | Rate | Unit |
|---|---|---|---|
| 97151 | Bhv id assmt by phys/qhp — Behavior Analyst or Psychologist (HO) · Rate effective 2022-07-01. Same $25.26 with TM (telemedicine) and U8. Rural Health Clinic, no modifier: $25.26. | $25.26 | not stated |
| 97152 | Bhv id suprt assmt by 1 tech — Behavior Analyst or Psychologist (HO) · Rate effective 2022-07-01. | $25.26 | not stated |
| 97152 | Bhv id suprt assmt by 1 tech — Assistant Behavior Analyst (HN) · Rate effective 2022-07-01. Same with TM HN and U8 HN. | $17.12 | not stated |
| 97152 | Bhv id suprt assmt by 1 tech — Registered Behavior Technician (HN HM / HO HM / TM HM) · Rate effective 2022-07-01. | $15.00 | not stated |
| 97153 | Adaptive behavior tx by tech — Behavior Analyst or Psychologist (HO) · Rate effective 2024-07-01. Same with TM HO and U8 HO. | $20.13 | not stated |
| 97153 | Adaptive behavior tx by tech — Assistant Behavior Analyst (HN) · Rate effective 2024-07-01. Same with TM HN and U8 HN. | $20.13 | not stated |
| 97153 | Adaptive behavior tx by tech — Registered Behavior Technician (HN HM / HO HM / TM HM) · Rate effective 2024-07-01. | $16.37 | not stated |
| 97153 | Adaptive behavior tx by tech — Rural Health Clinic (no modifier) · Rate effective 2022-07-01. | $17.73 | not stated |
| 97154 | Grp adapt bhv tx by tech — Behavior Analyst or Psychologist (HO) and Registered Behavior Technician (HN HM / HO HM) · Rate effective 2025-05-01. Same figure for both provider types. No Rural Health Clinic row. | $2.05 | not stated |
| 97155 | Adapt behavior tx phys/qhp — Behavior Analyst or Psychologist (HO) · Rate effective 2022-07-01. U8 HO is higher at $27.46. | $25.26 | not stated |
| 97155 | Adapt behavior tx phys/qhp — Assistant Behavior Analyst (HN) · Rate effective 2022-07-01. Same with TM HN and U8 HN. | $17.73 | not stated |
| 97156 | Fam adapt bhv tx gdn phy/qhp — Behavior Analyst or Psychologist (HO) · Rate effective 2022-07-01. | $25.26 | not stated |
| 97156 | Fam adapt bhv tx gdn phy/qhp — Assistant Behavior Analyst (HN) · Rate effective 2024-07-01. | $20.13 | not stated |
| 97157 | Mult fam adapt bhv tx gdn — Behavior Analyst or Psychologist (HO) · Rate effective 2025-12-18. | $3.16 | not stated |
| 97157 | Mult fam adapt bhv tx gdn — Assistant Behavior Analyst (HN) · Rate effective 2025-12-18. | $2.52 | not stated |
| 97158 | Grp adapt bhv tx by phy/qhp — Behavior Analyst or Psychologist (HO) · Rate effective 2022-07-01. | $3.16 | not stated |
| 97158 | Grp adapt bhv tx by phy/qhp — Assistant Behavior Analyst (HN) · Rate effective 2022-07-01. | $2.14 | not stated |
| 0362T | Bhv id suprt assmt ea 15 min — Behavior Analyst or Psychologist (HO) · Rate effective 2022-07-01. U8 HO is higher at $27.46. 15-minute unit taken from the printed code description. | $25.26 | 15 min |
| 0373T | Adapt bhv tx ea 15 min — Behavior Analyst or Psychologist (HO) · Rate effective 2022-07-01. U8 HO is higher at $27.46. 15-minute unit taken from the printed code description. | $25.26 | 15 min |
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