Industry News

Industry News from ABA Weekly.

A Federal Warrant Names the Out-of-Network Strategy Itself as the Alleged Fraud

An unsealed HHS-OIG affidavit alleges ABA Centers of America billed for medically unnecessary services and required its therapists to stay non-credentialed to capture out-of-network rates. No charges have been filed.

Your Blues Plan Says the Prior-Auth Phone Call Is Optional. Ask For Fax.

Health Care Service Corp. routed ABA prior authorizations through scheduled phone calls across five states, and providers report multi-day waits and 48-hour ultimatums. HCSC says on the record that fax remains available.

One State's Autism Benefit Went From $600,000 to $400 Million. Then the Indictments.

Two defendants were charged in a $46.6 million scheme against Minnesota's EIDBI program. Claims under that benefit rose from over $600,000 in 2018 to over $400 million by 2025, according to the Justice Department.

Four States Audited, Four More Under Way

Colorado, Maine, Wisconsin, and Indiana are complete, with four more running to fiscal 2027. Each published report names the specific documentation failures that produced its findings.

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