ABA Medicaid billing software with state rule packs, built-in EVV, eligibility and authorization tracking, ERA auto-posting, and denial routing. Multi-payer, multi-state, on one client record.
Frequently asked questions
What is ABA Medicaid billing software?
ABA Medicaid billing software handles the revenue cycle for ABA claims submitted to Medicaid and Medicaid managed-care organizations: eligibility verification, authorization tracking, claim creation with ABA codes and state-specific modifier rules, claim scrubbing, Electronic Visit Verification where mandated, ERA posting, and denial routing. Wilma encodes Medicaid rules per state so claims ship clean.
Does Wilma include EVV for Medicaid claims?
Yes. Wilma includes Electronic Visit Verification natively, captured on the same schedule and fed directly into billing. Some states mandate EVV for ABA services and some do not; Wilma applies verification where your state requires it, with no separate EVV portal to reconcile.
How does Wilma handle different state Medicaid rules?
Medicaid billing-code, modifier, and EVV requirements vary by state and managed-care organization. Wilma applies the correct state rule pack per claim, so a multi-state organization stays compliant on every claim. Rule packs are maintained as state programs change.
Can Wilma bill Medicaid and commercial payers on the same client?
Yes. Wilma supports multiple payers on a single client record — Medicaid primary with commercial or secondary coverage handled on the same record, with the correct billing identity, codes, and modifiers applied per claim.
What is Medicaid claim scrubbing?
Claim scrubbing checks every claim against payer and state rules before submission. It ships with the AI add-on (+$20/user/month, on Core $30/user/month) and checks modifier sets, authorization unit balance, documentation completeness, and code combinations.
How much does Wilma cost?
Core is $30/user/month and includes scheduling, data collection, the full ABA billing surface, built-in EVV, authorization tracking, ERA posting, and denial workflow. The AI add-on (+$20/user/month) layers pre-submission claim scrubbing. Flat per user, not per client.