Telehealth and telesupervision for ABA in Missouri

It depends.

Licensed Behavior Analyst / Licensed Assistant Behavior Analyst

Missouri Behavior Analyst Advisory Board (Division of Professional Registration, State Committee of Psychologists)

RSMo 337.300-337.340 (active sections; 337.345 is repealed); 20 CSR 2063-1.005 to 6.005

As of 2026-10-21, Missouri restricts the practice of applied behavior analysis to licensed individuals, subject to statutory exceptions (RSMo 337.315). Other licensed professionals may practice components of ABA within their authorized scope, and IDEA/504 services and specified supervised educational services are exempt. Licensure requires BCBA (analyst) or BCaBA (assistant) certification and a fingerprint-based criminal history check; assistants must be directly supervised by a licensed behavior analyst. Per the checker, section 337.315 requires two-hour suicide assessment training for initial analyst applications, and section 337.320 requires it for renewal of both license types; it should not be read as an identical initial-application requirement for assistants. The current licensure rule adds an analyst jurisprudence examination with a 70% passing threshold, reportedly effective August 30, 2026. A provisional behavior analyst license exists under the statute. Fee amounts were verified by the checker, but the specific figures are not included here; processing time is not verified. MOPRO online application availability could not be confirmed.

Sometimes. See the detail below.

As of 2026-10-21, ABA delivered via telemedicine appears to be covered conditionally under MO HealthNet. Telemedicine remains limited to services within the provider's scope of practice and must meet the same standard of care as in-person services (13 CSR 70-3.330). The manual's telemedicine passage says a health entity may reimburse nonclinical staff for services otherwise allowed by law, including ABA by a 'behavior technician or RBT' under a licensed behavior analyst or psychologist. Textual discrepancy: the manual wording includes behavior technicians generally, but 13 CSR 70-3.330(2)(A) expressly names a 'registered behavior technician'. The regulation should not be read as express authorization for unregistered behavior technicians. Telemedicine providers must be enrolled as MO HealthNet providers and Missouri-licensed, except that psychologists may be authorized through the Psychology Interjurisdictional Compact (PSYPACT). A technician's rendering status is distinct from enrolled-provider status. Per the 2025 manual, use POS 02/10 for telemedicine. GT modifier with the actual POS applies to prior-authorized fee-for-service residential/inpatient services at POS 14, 21, 33, 51, 55, 56 or 61. School services use POS 03 plus GT.

RSMo 376.1900 (applicable health plans). Confirm applicability to the specific plan type.

Under 13 CSR 70-3.330, an initial telemedicine encounter is permitted when the standard of care does not require an in-person encounter. Whether ABA services meet that condition is a clinical and plan-specific determination.

Unverified. Permission to deliver treatment remotely does not establish permission for every remote-supervision arrangement. Confirm remote-supervision requirements with MO HealthNet and the applicable licensing boards.