Kentucky Medicaid ABA through your managed care plan
Kentucky Medicaid pays for applied behavior analysis under 907 KAR 15:010, and every service must be medically necessary and written into a plan of care. Licensed behavior analysts, licensed assistant behavior analysts and trained behavioral health practitioners deliver it, and a registered behavior technician can provide support services under supervision. On DMS's August 2025 chart, all five plans require prior authorization for ABA.
- Aetna Better Health, Humana Healthy Horizons, Passport by Molina, UnitedHealthcare Community Plan and WellCare operate in every county.
- Passport by Molina requires prior authorization after 12 hours per calendar year, except for the evaluation codes 97151 and 97152.
- Not every provider accepts every plan, so confirm the clinic is in your child's plan network before intake.