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Washington ABA Medicaid rates

Rates verified1 cut/limit

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

Current rates

97153 · Technician direct therapy (RBT)
$12.40 per 15 min · $49.60/hr
Verified: official source
Effective
Jul 1, 2026
Source
WA HCA ABA fee schedule eff. July 1, 2026
Checked
Oct 20, 2026
Note
Includes the 2% cut of Jan 1, 2026.
97155 · Protocol modification (BCBA)
$14.09 per 15 min · $56.36/hr
Verified: official source
Effective
Jul 1, 2026
Source
WA HCA ABA fee schedule eff. July 1, 2026
Checked
Oct 20, 2026
Note
Requires LBAT involvement.

What it means

For clinic owners

A 2% fee-schedule cut to most ABA codes took effect Jan 1, 2026 (a partial rollback of the 2024 increase), and it stays in place unless the legislature acts. HCA chose to cut the FFS schedule so that managed-care contracts tied to it would follow without recontracting.

For BCBAs & RBTs

A small cut, but tied to managed-care pay. Check whether your employer's MCO contracts are pegged to the FFS schedule.

Margin check: 97153

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

Change log

  • Rate cutIn effectJan 1, 2026

    2% cut to ABA fee schedule

    HCA cut FFS rates 2% for 97151, 97153-97157, 0362T, 0373T and H2020, rolling back part of the 2024 increase. Ongoing unless the legislature acts.

    Source: WA HCA: Managed care rate reductions guidance & FAQ · Verified: official source · checked Oct 20, 2026

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Sources