New Hampshire Medicaid fee-for-service — 2026 NH Fee Schedule, Covered Procedures Report (NH MMIS report ADH-REF-101), Department of Health and Human Services
| Code | Service | Rate | Unit |
|---|---|---|---|
| 97151 | Behavior identification assessment by physician or other qualified health professional · Service authorization required. Max Unit Amt 32. Pricing begin date 07/01/2023. | $16.43 | not stated |
| 97151 TM | Behavior identification assessment — Medicaid to Schools row · No service authorization required. Max Unit Amt 8. Same dollar figure as the general row. | $16.43 | 15 min per the Medicaid to Schools code table |
| 97153 | Adaptive behavior treatment by protocol, administered by technician · Service authorization required. Max Unit Amt 32. Pricing begin date 07/01/2023. | $17.79 | not stated |
| 97153 TM | Adaptive behavior treatment by technician — Medicaid to Schools row · No service authorization required. Max Unit Amt 8 units per day. Same dollar figure as the general row. | $17.79 | 15 min per the Medicaid to Schools code table |
| 97154 | Group adaptive behavior treatment by protocol, administered by technician · No service authorization required. Max Unit Amt 18. Pricing begin date 09/01/2025 — the most recent ABA pricing action on the schedule. | $6.50 | not stated |
| 97155 | Adaptive behavior treatment with protocol modification by physician or other qualified health professional · Service authorization required. Max Unit Amt 24. Pricing begin date 07/01/2023. | $16.43 | not stated |
| 97156 | Family adaptive behavior treatment guidance by physician or other qualified health professional · Service authorization required. Max Unit Amt 32. Pricing begin date 07/01/2023. | $16.43 | not stated |
| 0373T | Adaptive behavior treatment with protocol modification, high intensity · No service authorization required. Max Unit Amt 32. Pricing begin date 07/01/2023. The printed short description reads 'Adapt bhv tx ea 15 min' — the only row on the report whose own description states a time unit. | $35.58 | 15 min |
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