Service Rates Increase for ABA Services

Update #: OPSSRIABA090124
Effective Date: September 1, 2024
Applicable Plan(s): Medicaid
Applicable Policy: N/A
Business Owner: Network Management, Contracting

Effective September 1, 2024, Sentara Health Plans will increase commercial rates for ABA services to align with DMAS. Our contracting processes were modified to automatically apply rate changes as they are released.

The impacted ABA service codes are listed below. Please use the correct modifiers (if applicable) to ensure appropriate reimbursement. Failure to do so will result in claims being denied and/or underpaid.

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Service Rates Increase for ABA Services