Telehealth and telesupervision for ABA in North Dakota

Last researched October 21, 2026

Can a BCBA in North Dakota deliver or supervise ABA by video, and what licensure applies? Answers below say exactly how sure we are.

BCBA licensure

Low confidence: not confirmed

State license required for BCBAs: We could not verify this yet - check with North Dakota State Board of Integrative Health Care.
Unconfirmed research note (low confidence, do not rely on it)
Yes.
License title: We could not verify this yet - check with North Dakota State Board of Integrative Health Care.
Unconfirmed research note (low confidence, do not rely on it)
Licensed Behavior Analyst (LBA); Licensed Assistant Behavior Analyst (LABA)
Board: We could not verify this yet - check with North Dakota State Board of Integrative Health Care.
Unconfirmed research note (low confidence, do not rely on it)
North Dakota State Board of Integrative Health Care
Board website: We could not verify this yet - check with North Dakota State Board of Integrative Health Care.
Unconfirmed research note (low confidence, do not rely on it)
https://www.ndbihc.org/
Statute or rule: We could not verify this yet - check with North Dakota State Board of Integrative Health Care.
Unconfirmed research note (low confidence, do not rely on it)
NDCC chapter 43-64 (license required effective Jan 1, 2020); N.D. Admin. Code art. 112-05 / ch. 112-05-01
Fees and timeline: We could not verify this yet - check with North Dakota State Board of Integrative Health Care.
Unconfirmed research note (low confidence, do not rely on it)
NDCC 43-64-02: effective Jan 1, 2020 an individual may not practice ABA without a board license. Admin. Code 112-05-01-02: LBA requires a master's or doctorate from an ABAI-accredited/verified or BACB-approved program, BCBA exam, current BACB certification, and the ND professional responsibility exam once developed; LABA requires a bachelor's degree meeting similar program criteria and the BCaBA exam. Fee rule 112-05-01-13 (history: effective Jan 1, 2021): application $50, initial license $500 (prorated quarterly), temporary license $100, renewal $100, late filing $75, biennial cycle ending Nov 15 of odd years. Exemption 112-05-01-14 covers students/trainees and unlicensed people accumulating supervised experience under the certifying entity's requirements. The rule text may have been amended since; confirm current fees on the board site.

Sources (3)

Telehealth and telesupervision

Medium confidence: reputable secondary source

ABA delivered by telehealth: We could not verify this yet - check with the state Medicaid agency or licensing board.
Detail: As reviewed on 2026-10-21, the ABA policy effective February 2025 refers providers to ND Medicaid's general telehealth policy. That policy, updated October 2025, requires code-level verification through the Procedure Code Look-up Tool; listing behavioral health services does not establish eligibility for individual ABA codes. Eligible servicing and billing NPIs must be enrolled on the service date. Services must be medically necessary, meet in-person standards of care, use a HIPAA-compliant platform, and have required authorization. A patient's home may be the originating site, without a Q3014 facility payment. The distant provider must document both parties' physical locations. The enrollment page states that compliant telehealth furnished to a member physically in ND is not out-of-state care; out-of-state applicants must submit the telehealth attestation. Current telehealth eligibility for 97153, 97155 and 97156 was not independently verified.
Telehealth parity law: NDCC 26.1-36-09.15 requires covered telehealth health services to receive the same coverage as in-person services, while reimbursement amounts may be negotiated. It does not require coverage of medically unnecessary services or services/providers that would not be covered in person. Subsection 5(d) does not require a provider beside the patient unless the distant provider determines that presence is necessary. The provider definition lists chapter 43-32 but does not expressly list chapter 43-64; applicability to an LBA solely licensed under chapter 43-64 remains unverified.
In-person requirements: We could not verify this yet - check with the state Medicaid agency or licensing board.
Supervision by telehealth: For BACB RBT certification maintenance, the RBT Handbook updated June 2026 permits supervision contacts and observation through webcams or videoconferencing, subject to applicable law. It requires supervision for at least 5% of monthly behavior-analytic service hours and at least two real-time, face-to-face contacts per month; at least one contact must be individual and at least one must include observation of service delivery. Telephone or email alone does not qualify, and video monitoring without real-time interaction or feedback may not count. These certification standards do not establish ND Medicaid or commercial reimbursement for remote supervision, or permission for an unregistered BT to practice.

Sources (6)

National baseline: BACB telesupervision

Handbook: in-person on-site observation is preferred, but observation 'may be conducted via web cameras, video-conferencing, or similar means'; internet-based supervision must comply with all applicable laws; video monitoring alone without real-time interaction/feedback may not count. Phone or email contacts do not count as the face-to-face contacts. Payer/state rules can be stricter (CMS toolkit says telehealth should be a limited adjunct and 'generally avoided' for routine technician supervision; that is CMS guidance to states, not a BACB rule).

This is the BACB's certification rule for RBT supervision. State, Medicaid or payer rules can be stricter. High confidence for the BACB text as of 2026-10-21.

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