Home / States / Nebraska

Nebraska ABA Medicaid rates

Rates verified2 cut/limits

Current published Medicaid rates, dated changes, and what they mean. Last checked Oct 20, 2026.

Current rates

97153 · Technician direct therapy (RBT)
$18.70 per 15 min · $74.80/hr
Verified: official source
Effective
Aug 1, 2025
Source
Nebraska Medicaid Provider Bulletin 25-14 (Jul 1, 2025)
Checked
Oct 20, 2026
Note
Set by the Aug 2025 cut.
97155 · Protocol modification (BCBA)
$22.72 per 15 min · $90.88/hr
Verified: official source
Effective
Aug 1, 2025
Source
Nebraska Medicaid Provider Bulletin 25-14 (Jul 1, 2025)
Checked
Oct 20, 2026

What it means

For clinic owners

The Aug 1, 2025 reset put 97153 at $18.70 and 97155 at $22.72, with managed-care rates adjusted to match. Service definitions also set a 30 hr/week, 6 hr/day guideline (more requires medical-necessity review), 2-4 hrs/month of caregiver involvement and 90-day plan reviews.

For BCBAs & RBTs

Higher supervision requirements (10-20% for RBTs) and the hours guideline change how caseloads are staffed; RBTs must hold BACB certification and be enrolled with Nebraska Medicaid.

Margin check: 97153

Plug in your own numbers. These example inputs are placeholders, not survey data.

Change log

  • Rate cutIn effectAug 1, 2025

    ABA rates cut after 'market study'

    Nebraska reset ABA rates (97153 to $18.70, 97155 to $22.72, 97154 to $7.49, 97158 to $12.05). Managed care rates adjusted to match. DHHS cites ABA spending rising from $4.6M (2020) to over $85M (2024).

    Source: Nebraska Medicaid Provider Bulletin 25-14 · Verified: official source · checked Oct 20, 2026
  • Hour capIn effectFeb 7, 2025

    Service definitions: up to 30 hrs/week, 6 hrs/day

    Final ABA service definitions allow up to 30 hours/week and 6 direct hours/day unless more is shown medically necessary; RBT supervision raised to 10-20%; 2-4 hrs/month caregiver involvement; treatment plan review every 90 days.

    Source: Nebraska Medicaid Provider Bulletin 25-02 · Verified: official source · checked Oct 20, 2026

Know a managed-care or commercial rate in Nebraska?

Published Medicaid rates are only part of the picture. Share what a plan actually pays, anonymously.

Report a rate

Sources