Rates dataset / Missouri

ABA Medicaid Rates: Missouri

MO HealthNet Division — Applied Behavioral Analysis fee schedule (publication date 07/28/2026), from the MHD F

Effective per-code dates, latest 2025-12-18 LAST CHECKED 2026-08
CodeServiceRateUnit
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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