Telehealth and telesupervision for ABA in Indiana

Yes.

Licensed Behavior Analyst (LBA) / Licensed Assistant Behavior Analyst (LABA)

Indiana Behavior Analyst Committee, Indiana Professional Licensing Agency (IPLA)

IC 25-8.5; 844 IAC 21

IPLA page: LBA requires BCBA in good standing, criminal background check; LBA application $100 ($75 reciprocity), renewal $100; LABA requires BCaBA in good standing and a signed supervision contract with an LBA, application $75 ($50 reciprocity), renewal $75. Licenses expire Dec 31 of odd years (two-year term); each cycle requires 1 CE unit trauma-informed care and 1 unit abuse/neglect or mandatory reporting. IPLA announced May 13, 2025 that LBA/LABA applications are live. RBTs are certified by the BACB, not IPLA.

Yes, per the sources below.

As of 2026-10-21, IHCP permits limited ABA telehealth: CPT 97155 and 97156, with prior authorization and synchronous audio-video interaction; audio-only ABA is not reimbursable. The Behavioral Health Services module expressly prohibits RBTs and BCaBAs from delivering ABA via telehealth and permits HSPPs, BCBAs and BCBA-Ds to supervise remotely under the conditions below. Claims require modifiers U3 and 95. These rules do not authorize unregistered BTs to provide billable telehealth ABA. The module was published September 29, 2026, labels its underlying policies as of August 1, 2023, and must be read with subsequent bulletins. Its general scope is fee-for-service; managed-care authorization and billing procedures require consultation with the member's MCE. IPLA identifies behavior analysts licensed under IC 25-8.5 as telehealth practitioners under IC 25-1-9.5 and describes requirements for an unlimited Indiana license and equivalent standards of practice. Medicaid findings have high-confidence official support; the section's overall medium confidence reflects reliance on Justia's 2025 statutory compilation for commercial insurance parity. Commercial ABA telehealth policies were not individually verified.

Coverage parity is provided by IC 27-8-34-6 and IC 27-13-7-22, as reproduced in Justia's 2025 Indiana Code: covered telehealth services must use the same clinical coverage criteria as corresponding in-person services, with no less favorable specified cost-sharing or dollar limits. IC 27-8-34-7 and IC 27-13-7-22 preserve utilization review and do not require coverage of otherwise excluded services or clinically inappropriate telehealth. These provisions do not expressly require equal provider payment rates. Medium confidence for this statutory summary: the official legislature viewer returned only a JavaScript shell, so the current official 2026 text was not verified. These general provisions do not establish that every commercial ABA code or technician service is payable remotely.

IHCP Bulletin BT202627, issued February 26, 2026, prohibits telehealth billing with modifier 95 for CPT 97151, 97152, 97153, 97154 and 0373T effective April 1, 2026, stating that these services require direct in-person interaction. For reimbursable remote supervision under 97155, the RBT must provide 97153 treatment in person with the member. Bulletin BT202662 states that telehealth supervision should supplement the majority of in-person services and that supervision arrangements should include clinically appropriate in-person oversight; it does not specify a numerical remote-supervision percentage.

Allowed with conditions. The IHCP module permits 97155 by an HSPP, BCBA or BCBA-D supervising an RBT remotely while the RBT treats the member in person. BT202627 establishes at least one hour of supervision per eight hours of technician-delivered ABA effective April 1, 2026. BT202662, issued April 28, 2026, clarifies that the 1:8 requirement applies to each member's 97153/97154 services during each calendar month, proportionally even below eight treatment hours. Synchronous audio-video supervision is permitted, with modifier 95 for billable telehealth services. Documented, clinically relevant member-specific supervision can count whether billable or nonbillable; general employee management does not count. To count billed 97155 as technician supervision, the clinician must actively direct the technician in implementing a modified treatment protocol. Routine supervision is not automatically separately reimbursable.