The playbook

ABA Agency Guides

The operational rules of building and running an ABA agency — starting up, documentation, authorizations, audits, supervision, EVV — written plainly and checked against primary sources. No fluff, no gate, no email wall.

How to Start an ABA Agency: A Step-by-Step Guide for BCBAs and Clinician-Entrepreneurs

To start an ABA agency you need a BCBA, state licensure where required, an LLC and EIN, Type 1 and Type 2 NPIs, payer credentialing, and HIPAA-ready operations.

Reviewed 2026-07-10

ABA Session Note Requirements by CPT Code: The Complete 97151-97158 Guide

ABA session note requirements for CPT 97151-97158: universal elements, per-code specifics, audit red flags, unit rules, and concurrent billing limits.

Reviewed 2026-07-10

ABA Authorization Tracking: Units, Burn Rate, and How to Never Deliver Past the Cap

How ABA prior authorizations work: 15-minute unit math, burn-rate tracking, reauthorization lead times, and how to never deliver past the cap.

Reviewed 2026-07-10

How to Survive an ABA Payer Audit: Clawbacks, Cloned Notes, and Pre-Billing Review

What triggers ABA payer audits, how extrapolation turns small samples into big clawbacks, the federal 60-day rule, and prevention that actually works.

Reviewed 2026-07-10

RBT Supervision Requirements in 2026: The 5% Rule, Calculation, and Documentation

BACB RBT supervision requirements in 2026: the 5% monthly rule, face-to-face contacts, documentation, 7-year retention, and the cost of falling short.

Reviewed 2026-07-10

EVV for ABA Therapy: State-by-State Requirements in 2026

EVV isn't federally required for ABA, but states can extend it. The six Cures Act data points, which states apply EVV to ABA as of mid-2026, and how to comply.

Reviewed 2026-07-10

State Medicaid ABA Policy Changes, 2025-2026: What Changed and What You Now Have to Track

Twelve states rewrote their Medicaid ABA rules since 2025 — Indiana, North Carolina, New York, Colorado, Virginia, Nebraska, Florida, Texas, California, South Carolina, Georgia, Illinois — each cited to its own bulletin.

Reviewed 2026-08-09

The CMS ABA Toolkit, Read as a Provider: What States Were Just Handed, and What They Will Ask You For

CMS published a 173-page state ABA toolkit on August 4, 2026. It sets no new federal rules, but its state checklists preview what Medicaid agencies will ask providers to prove.

Reviewed 2026-08-09

Trying ABA Software Before You Buy: What Each Platform Actually Requires

How you get into each ABA practice-management platform — open demo, free trial, or sales call — checked vendor by vendor on August 10, 2026, with what to test once you are inside.

Reviewed 2026-08-10

The Coralia MCP Connector: Connecting ChatGPT or Claude to Coralia

Coralia MCP v2 defines seventeen governed tools through two consent families. Its PHI-capable rollout remains closed until the exact private workspace and full data path are approved.

Reviewed 2026-08-31

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From the reef

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It's quiet down here — Sentinel is upstairs, reading tonight's notes.It's quiet down here — Sentinel already read last night's notes.

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