Florida Medicaid’s recent changes have created a crisis for ABA providers across the state. Clinics are reporting months of unpaid claims, repeated denials, and obstacles to getting reimbursed for services already delivered. For many practices, the money owed is piling up to the point that it threatens their ability to keep the doors open. Families are left with fewer options, and providers are trying to balance a commitment to clients with the fact that a business can’t run without payment.
This isn’t a small issue. It’s not just a few clinics. Providers all over Florida are saying the same thing:...
Check Out Our Other Articles
ABA News Roundup: Medicaid Payments in Florida, Ownership Rules in Illinois & New York, and New Billing Support
Illinois Joins New York in Requiring Licensed Professionals to Own ABA Practices
Building Resilient ABA Businesses (Part 2): Finances, Burnout, and Lessons Learned
What ABA Providers Can Learn from Medicaid Cuts and HIPAA Settlements - Join us Live at 8:00 AM
HIPAA Lessons for ABA Providers: What We Can Learn from the Deer Oaks Settlement
North Carolina Medicaid Cuts: Why ABA Providers Must Act Now
Building Resilient ABA Businesses
Cutting Through Prior Authorization Red Tape: How SILNA Helps ABA Businesses Thrive
Join Us Live: Safeguards in ABA & California AB 951
Safeguards in ABA: Why In-Home Protections Cannot Be Overlooked
California Ends Mandatory Autism Re-Diagnosis for ABA Therapy Coverage: What AB 951 Means for Families and Providers
Building ABA Teams That Thrive (Part 2): Managing ABA Business Caseloads
Partners, Profits & Peace of Mind: Why Financial Clarity Matters More Than Ever for ABA Providers
Summer’s Not Over—But We’re BACK! (Join Us Live on Facebook Monday, August 4th at 8 AM Eastern)
Colorado RBT Requirements: What ABA Providers Are Actually Saying
Nebraska Medicaid Rate Cuts: What ABA Providers and Families Need to Know
Building ABA Teams That Thrive: Structure, Support & Culture!
Would You Rather: Real ABA Leaders Tackle the Tough Choices
New Tax Law, New Opportunities: What the OBBBA Means for ABA Providers
Prior Authorization Reform Highlights a System in Crisis—Silna Has the Solution for ABA Providers
AI Meets ABA: The Future of Behaviour Analysis with Adam Ventura
Finding Your Why: The Heart of ABA Business Ownership
Looking after your RBTs, Part 2: Knowing Your Worth
Silna: The Physician’s Perspective of Prior Authorizations
This Week in ABA News - Why Ethics Matter: ABA Insurance Mandates, Broken Trust, and the Real Work Ahead
When Trust Is Broken: What Every ABA Provider Must Learn from Recent Abuse Allegations
The Real Story on ABA Insurance Mandates: When Low Rates Undercut the Promise
This Week in ABA News: Prior Authorizations Under Fire and a Wake-Up Call from Kansas Schools
When Schools Ban ABA Therapists: Lessons From Kansas, and a Wake-Up Call for ABA Providers
RFK Jr., Dr. Oz, and the End of Prior Authorizations? What ABA Owners Need to Know
Real Talk for RBTs: Advocacy, Burnout & Building a Better Workplace
The Ethical CFO: Why Financial Leadership Is Every ABA Owner’s Responsibility (Even If You’re Small)
Play Is Productive: The Hidden Power of Play in ABA Business Ownership
This Week in ABA: Policy Shifts, Data Science, and Cybersecurity— Join us LIVE at 8 AM Eastern today!
Ransomware in ABA: What It Looks Like, How to Prevent It, and Smarter Email Security
Florida’s Sweeping Autism Law: What it Means for Families, ABA Providers, and the Future of Autism Services
The Autism Data Science Initiative: Why It Matters for ABA Providers and the Future of Autism Care
ABA Weekly: Lifelines, Benchmarks & Compliance—Join us Live at 8 AM Eastern
HIPAA in 2025: Why Every ABA Company Needs to Rethink Compliance—Now
The Real Benchmark: What HealthBench, AI, and ABA’s Future Mean for Kids
When Systems Fail Families, ABA Can Still Be a Lifeline
How to Improve ABA Supervision with Allyson Wharam of ‘ABA in the Field’
ABA Business Weekly: HIPAA, M&A, and Turning the Tide in Special Ed - Live at 8AM Eastern today!
HIPAA Breaches Aren’t Just a “Big Company” Problem: What ABA Businesses Need to Learn from the WellNow Settlement
Turning the Tide: How ABA Leaders Can Rebuild Trust in Special Education
Navigating the 2025 ABA M&A Surge: What Ethical Practice Owners Need to Know
Ego Driven Hiring: A Wake-Up Call for ABA Business Owners
Waiving Co-Pays and the Power of Partnership - Live New Today at 8 AM Eastern
NASQN & 3 Pie Squared Partner to Empower Ethical ABA Practice Growth
When Discounts Cross the Line: What ABA Practice Owners Need to Know About Waiving Deductibles
Clarity, Capacity, and Efficiency with Silna
Chaos, Contracts & Chatbots: What’s Really Steering ABA? - Live news today - 8 AM Eastern in Facebook
The Contract Temptation: Why Classifying BCBAs as 1099s May Be a Risk for ABA Companies
When Systems Fail Quietly: Optum, Medicare Fraud, and the ABA Fallout We Can’t Ignore
Whose Hand Is on the Wheel? What a Reddit AI Experiment Means for the Future of Clinical Judgment in ABA
Finding Joy in the Journey
Two Truths and a Wake-Up Call: Medicaid Cuts, Treatment Intensity, and the Future of ABA - Live discussion today at 8 AM Eastern
The Real Impact of Medicaid Cuts on ABA Therapy: What Providers and Families Need to Know
Quality Is a Choice: What Treatment Intensity Says About Who We Are in ABA
3 Things We Thought Would Be Easier!
Celebrating Mothers (and Everyone Else Who Deserves a Break): 50% Off the ABA Business Leaders Platform This Weekend Only!
Experts, X-Rays, and Indiana Drama: Live discussion today at 9:00 AM Eastern
Who Gets to Speak in ABA—and What Does That Say About Us?
Indiana Is Back in the News: What ABA Providers Need to Know About the State’s Latest Push for Cost Controls
How Applied Behavior Analysis Can Improve Healthcare Systems
Dealing with workplace drama!
🧩 Trends, Truths & Turning Points: What’s Shaping Autism and Behavioral Health in 2025
Arkansas Mom Releases Powerful Children’s Book on Autism and Mealtime Struggles
“What are we really doing here?”: The Push to Standardize Quality in Autism Therapy
Behavioral Health Deal Volume Up 53% in Early 2025: What This Means for ABA Practices
The Growing Gap in Autism and IDD Care: Why the Industry Must Scale Ethically and Strategically
Should a BCBA Always Own the Clinic? Maybe Not.
Staff, Tariffs, and RFK Jr.: What ABA Companies Need to Know Right Now - Live today at 8 AM Eastern!
ABA Staff Turnover Is Still Out of Control — Here’s What the Data Says
How the New Tariffs Could Impact ABA Businesses (And What You Can Do About It)
RFK Jr.’s Autism Registry Proposal: Understanding the Implications for ABA Companies
How Margin Keepers Can Help You Master Payroll & Financial Planning
Quality over Quantity- Is more supervision always better?
Denials, Audits & Billing Headaches: ABA News Roundup – April 14, 2025
Nebraska Issues New ABA Medicaid Service Definitions Amid Federal Audit Scrutiny
Concerns Grow Over Insurance Misuse of Medically Unlikely Edits (MUEs) in ABA Therapy Denials
Federal Audit Finds $56 Million in Improper Medicaid Payments for ABA Therapy in Indiana
UnitedHealthcare’s Strategy to Limit ABA Therapy Raises Alarm in the Autism Community
It’s Time to Get Real: ABA Business Owner Burnout
From Policy Shifts to Legal Hits: ABA News Roundup – April 7, 2025 - Live event today at 11AM Eastern!
Texas Recognizes QABA® for Behavior Analyst Licensure
Maryland Clinic Settles HIPAA Violations After Ransomware Attack
New York’s Proposed Medicaid Cuts Raise Concerns for Autism Services
Massachusetts Expands ABA Therapy Coverage to Children with Down Syndrome
Indiana’s Updated Medicaid Policy for ABA Therapy: What You Need to Know
Expanding to a Clinic? Do this first!
From Big Deals to Big Trouble: ABA Business News - March 31, 2025
The truth behind the client and staff cancellations
Top ABA Headlines
Local Owner Highlight- When to scale your ABA Business
Understanding the journey- Improving caregiver relationships with Melanie Thurston
How Effective Bookkeeping Ensures Payroll Stability and Helps You Retain ABA Staff
The Importance of Bookkeeping Services for ABA Business Owners
Mastering Marketing – Local Outreach Done Right
How to Scale Your ABA Business
You Just Closed Your ABA Company... Now What?
Building the Future of Small ABA Businesses – Join Us in This Mission
Red Flags in ABA Service Providers
Coaching Session- Discussing Onboarding with a New Owner
Would You Rather: Hiring in ABA
Grow your own BCBAs vs. hiring- What you need to know
Aligning Leadership with Values: Behavioral Intelligence in ABA with Dr. Paul Gavoni
ABA Accreditation: Compliance or Commitment to Quality?
AI meets clinical decision making- Using AI to improve patient outcomes- with Amanda Ralston
Comprehensive Updates to ABA Practice Handbooks: Enhanced Policies, Compliance, and ACQ Standards Integration
Leadership in ABA: Building Values, Managing Relationships, and Driving Progress with Martin Myers
Leadership, transparency, and collaboration in ABA organizations, with Jennifer Heidt
Building Better Care; Public Policy and Staff Empowerment
Free RBT Training for Your ABA Team This Holiday Season!
Innovating ABA Practice with AI Solutions
How can we help? Using ACT with Meg Solomon.
Building Resilience in ABA Practices: Lessons in Staffing, Billing, and Growth
Flash Sale: 6 Months Free Access to Our ABA Business Leaders Training Platform for 25 Companies!
I Hate My Job: Exploring Real Solutions
I Hate My Job: Reaction to Posts
I Hate My Job: Real Stories of Ethical Dilemmas in ABA
Introducing the New ABA Business Leaders Training Platform
I Hate My Job: Voicing the Frustrations of ABA Professionals
Introducing Our New Self-Paced Courses: Revenue Cycle Management & Effective Hiring with Indeed
CPABA Conference: A Path Forward for the Field - Get a 10% Discount!
Empower & Thrive: Registration Extended Until October 7 - 50% off!
Exciting New Coaching Opportunity for 3 Pie Squared ABA Business Leaders!
Free Download! Discover Essential Tax Compliance Tips with MarginKeepers
Why Stephen is Excited About the CPABA Conference 2024 - Discount just for you! -
3 Pie Squared Partners with Happy Medium RBT to Offer a Revolutionary 40-Hour RBT Training
Maximizing Recruitment with Indeed: How to Find the Right Candidates Without Breaking the Bank
Empathetic Leadership in ABA: Supporting Our Techs
Five Weeks of Wisdom: Bite-Sized Insights from 3 Pie Squared
Introducing the ABA Business Leaders Training Platform
Free Download! Boost Your Established ABA Practice with MarginKeepers' Essential Accounting Tips
Inside the World of ABA Audits and Legal Guidance with Kim Mack Rosenberg, Esq.
Ethical Practices for ABA Testimonials and Reviews with Dr. Jon Bailey
Navigating Growth and Challenges in ABA Business with Alecia Barrett
For a limited time, buy any of our handbooks and get our Business Leaders Membership for 75% off!
Collaboration in ABA: Strengthening Connections Among ABA Business Owners
"I Hate My Job" Series Kickoff: Discussing Burnout and Unethical Practices in the ABA Field
Top Five Essentials for Your Company Policies
Discount Ends Tomorrow – Last Chance to Get 20% Off Our Comprehensive ABA Billing Training Series!
Mastering Digital Marketing for ABA Practices with Reece from Reputation Elevation
Navigating ABA Business Growth: Consultation with Alecia Barrett
Unlock Your Billing Potential: Our New ABA Billing Course and Free ABA Billing Tips!
Navigating Company Policies: A Blueprint for ABA Practices
Free Chart of Accounts: Optimize Your Bookkeeping with MarginKeepers
Safeguarding Integrity: Proactive Strategies to Mitigate Billing Fraud in ABA Therapy
Steering Clear of Fraud: Mastering Insurance Billing in ABA Practice
From Overwhelm to Strategy: The Journey of an ABA Business Leader
Beyond the Startup: Common Mistakes by Seasoned ABA Business Owners
Essential Elements of an Employee Handbook for ABA Practices
Don’t Do That!: Avoiding Common Missteps in Your ABA Practice
Pre-Hire Power: The Critical Importance of an Employee Handbook for ABA Practices
Integrating Art into ABA Therapy: A Conversation with Natasha Bouchillon
Why a Client Handbook is Crucial Before Starting ABA Services
🥧 Grab a Slice of Success: Pi Day Flash Sale! 🎉
Why Should I Get a Client Handbook Before I Start Seeing Clients?
Financial Insights for ABA Practices: Free Chart of Accounts from MarginKeepers!
Navigating Authentic Copywriting in ABA Services: Insights and Innovations
Big Changes to the Podcast!
Get Free Expert Consulting for Your ABA Business on Our Podcast – Apply Now!
Navigating the Credentialing Conundrum: Insights from ABA Leaders
Navigating ADA Compliance: Essential Insights for ABA Business Owners
Nurturing Success: The Interplay Between Company and Team Dynamics
🌟 Dive Into the World of Sleep with Dr. Emily Ice: A Podcast Episode Not to Miss 🌜
A little late but our update is here!
Maximizing Your ABA Practice’s Potential: The Power of Bookkeeping with MarginKeepers
33% Off ABA Business Leaders for the Next 25 People!
Client Hours Discussion with April, Mallory Stinger, and Jennifer Helton
Improving Quality Through Accreditation: A Discussion with Erick Dubuque, Director of ACQ
Optimize Your ABA Practice with the Case Load Utilization Tool - 50% until Friday!
Black Friday Special - Rate Negotiations 2.0 - Elevating Your Practice with Provider Rate Resources
Navigating Medical Necessity with Dan and Mike from ABA on Tap
Upcoming Podcast with Erick Dubuque, Director of ACQ & Exciting News on How We Can Help Companies Navigate This New Standard! 🌟🎙️
Partnering with MarginKeepers, Co.: A Game Changer for Your ABA Practice
Celebrate Canadian Thanksgiving with a Bang: 50% Off ABA Business Leaders Membership and Earn 33.5 CEUs!
Empowering Change: Insights from New BCBA Business Owners
Founding a Nonprofit Practice with Susan Habchy
ABA Business Amazon List
De-Stress & Avoid ABA Burnout with a Relaxing Post-Work Routine
Three Common Struggles of a New ABA Practice
Benefits of Outsourcing with 3 Pie Squared
Why 3 Pie Squared
The Essential List for a Successful Business
2019 Satisfaction Survey results
The Cost of RBT Turnover
What You Need to Know About HIPAA
Podcast with Dr. Becca Tagg
Run Your Therapy Business Like a Well-Oiled Machine!
How to Grow Your Practice
they aren’t being paid, they can’t get into networks, and single case agreements are being blocked. The result is fewer services for families and greater instability for the entire ABA field.
Payment Delays and Denials
The most immediate problem is payment delays. Claims that should be processed in a few weeks are sitting for months. Even clean claims that meet all requirements are being denied without clear reasons. Practices are owed thousands, and the backlog grows every day.
For ABA businesses, this has real consequences. Payroll becomes difficult. Rent and utilities don’t stop just because Medicaid payments do. Staff worry about job security when leadership can’t guarantee income. The longer payments are held up, the closer many practices get to shutting down programs or stopping Medicaid intake altogether.
Some clinics are surviving only because owners are covering payroll out of pocket or drawing on personal savings. That is not a sustainable solution. When providers spend more time worrying about whether payments will come through than improving services, quality of care suffers.
Blocked Networks and Single Case Agreements
The problem isn’t just unpaid claims. Many providers can’t even get into Medicaid networks in the first place. The credentialing process drags on for months, leaving providers in limbo and families without access to therapy. Clinics that are ready and willing to serve are sitting idle because approval never arrives.
Single case agreements, which have traditionally allowed families to access a provider outside the network, are also becoming harder to secure. Providers report these agreements are denied more often or tied up in endless back-and-forth. That means even when families want to work with a provider and a provider is ready to serve, the system blocks the arrangement.
This creates a bottleneck where families can’t get therapy, providers can’t offer it, and nobody wins. It’s not about a lack of qualified providers—it’s about barriers that stop them from being able to do the work.
The Impact on Families and Providers
For families, the effects are immediate. ABA is not optional—it’s a lifeline. It’s often the only evidence-based treatment that helps children build the skills they need for school, home, and community life. When therapy is interrupted, children lose progress. Skills that took months or years to develop can fade quickly. Parents are left to fill the gap, which means missed work, financial strain, and more pressure on siblings. Schools and communities feel the strain when children don’t get the services that support their growth.
For providers, the situation forces impossible choices. Do you keep seeing Medicaid clients and risk sinking the business because payments aren’t coming? Or do you stop taking Medicaid altogether, knowing families will lose access to therapy? Neither choice feels right, but this is the reality many ABA businesses in Florida are facing today.
The ethics and the finances are tied together. Providers want to do what’s best for families, but a practice that can’t survive financially won’t be able to serve anyone. Sustainability isn’t just about running a business well—it’s about making sure families continue to have access to care for years to come.
Preparing for What’s Next
Florida may be the epicenter right now, but this is part of a larger trend. Medicaid programs across the country are under pressure to cut costs. Rates are being lowered in many states, hours are being capped, and administrative barriers are increasing.
Providers can’t afford to sit back and hope things get better. The lesson from Florida is clear: ABA businesses must adapt if they want to survive. Diversify payers so Medicaid isn’t the only revenue source. Tighten billing systems so every claim is clean and timely. Build a financial cushion, even a small one, to cover payroll when reimbursements are delayed. Simplify operations so errors and inefficiencies don’t make a bad situation worse. And keep advocating—policymakers need to understand what these changes mean for real families and staff.
Cutting Costs and Getting Paid
One of the clearest steps providers can take is to cut costs without cutting quality. Billing is a major area where many practices lose money. Errors on claims, delays in submissions, or weak follow-up on denials all create unnecessary strain.
That’s why 3 Pie Squared offers billing services at just 2.99%. The goal is simple: lower the cost of billing for ABA providers and make sure claims are submitted cleanly and followed up quickly so practices get paid. When Medicaid and other payers create barriers, the last thing a provider should worry about is whether internal billing adds to the problem.
With Medicaid lowering rates in many states, every dollar counts. Smarter billing protects practices from avoidable losses and gives them the breathing room needed to keep serving families. Learn more at https://3piesquared.com/billing-intake.
Florida’s Medicaid crisis shows how fragile the system can be when payments are delayed, networks are closed off, and single case agreements are denied. Families lose access, children lose progress, and providers are left in survival mode. This is not sustainable, but it doesn’t have to be the end of the story. Providers who adapt—by diversifying income, tightening systems, and cutting costs—will be the ones who keep serving families despite the challenges. Medicaid is lowering rates in many states. Payments will continue to be slow. The time to prepare is now. ABA businesses need to make sure one thing is always true: when services are delivered, providers get paid.
