How is ABA authorized in Texas?

Through the Comprehensive Care Program (CCP). Requests go to TMHP on the CCP Prior Authorization Request Form, which carries separate request types for ABA evaluation, ABA re-evaluation and ABA treatment. Prior authorization is a condition for reimbursement and explicitly not a guarantee of payment — the claim still has to stand on its own.

Who has to sign the treatment plan?

This changed for dates of service on or after 1 April 2025. The initial treatment plan must be signed and dated by a prescribing provider for the full 180 days, but the prescribing provider signature is no longer required on the form when requesting the 90-day treatment extension. Practices still routing every extension for signature are doing work Texas stopped asking for.

Can someone sign on the physician’s behalf?

Yes. Certified Nurse Midwives, Clinical Nurse Specialists, Nurse Practitioners and Physician Assistants may sign on behalf of the physician for ABA services — which in practice is the difference between an authorization going out this week and waiting on one signature.

What enrolment do I need?

Texas enrols Licensed Behavior Analysts (LBAs) as Medicaid providers, and the rendering provider on the claim has to match who actually delivered the service. Mismatches between the credential on the claim and the credential on file are among the most common preventable denials in any state, and Texas is no exception.

Does EVV apply to ABA in Texas?

Texas runs one of the most developed EVV programmes in the country, but its scope is service-based. EVV has been required for personal care services since 1 January 2021, and for home health care services — plus occupational therapy, physical therapy and nursing delivered in the home — since 1 January 2024. ABA under CCP is not in those categories. Confirm against the state’s "Programs and Services Required to Use EVV" list rather than assuming either way, because that list is what claims are matched against.

Built by operators who ran ABA practices.

All-in-one ABA software for Texas practices.

Q: Does Wilma support Texas Medicaid billing?

Yes. Wilma bills the ABA-specific CPT® and HCPCS codes Texas plans use, applies Texas’s payer modifier rules per claim, tracks authorization units, and submits through a built-in EDI clearinghouse with ERA posting. Insurance is captured at intake and kept on the client record. Wilma applies Texas’s billing rules; it does not run payer eligibility checks.

Q: How much does ABA software cost in Texas?

Wilma is a flat $30/user/month for the full platform — the same published price everywhere, with no per-client fees and no Texas-specific surcharge. Core has a 10-licence minimum, so accounts start at $300/month. Optional add-ons: AI (+$20/user/month) for note drafting and claim scrubbing, and Phone (+$10/user/month) for a shared practice line. Annual prepay saves about 17%.

Q: Is Wilma a fit for a solo BCBA in Texas?

No. Wilma has a 10-licence minimum, so Core starts at $300/month — it is built for a practice running a team, not for a single practitioner. In ABA your RBTs are users too, so a real agency is usually 1 BCBA + 4-8 RBTs + a biller and passes 10 people quickly; if you are there or close, Wilma fits and you will not replatform as you grow. If you are genuinely a one-person practice today, a lighter tool will serve you better until you start hiring. Small practices in Texas typically go live in under a week, with migration included.

Q: Does Wilma work for multi-site Texas practices?

Yes. Multi-entity billing with NPI, tax ID, and billing address per location, plus SSO and role-based access at scale — all on one data model. You can run several Texas locations without replatforming as you grow.

Texas Medicaid billing, native EVV, real-time data collection, and session notes — every workflow on one record. From $300/month — $30/user/month, 10-licence minimum. Live in 1–2 weeks.

built for Texas practices
EVV + Medicaid rule packs: Native
per user / month, flat: $30
weeks to go live: 1–2

The short answer

How do you bill Texas Medicaid for ABA in Texas?

Texas covers ABA under Texas Medicaid, with claims and prior authorization administered by the Texas Medicaid & Healthcare Partnership (TMHP), governed by the Texas Medicaid Provider Procedures Manual, Children’s Services. Services are directed by a licensed Behavior Analyst, prior authorization is required with benefit-year limits, and where the service falls under Electronic Visit Verification the visit data must reach the state aggregator before the claim will pay.

Verified against Texas Medicaid, with claims and prior authorization administered by the Texas Medicaid & Healthcare Partnership (TMHP) primary sources on 2026-09-08. State rules change — check the sources below before relying on any of it for a claim.

ABA Medicaid billing in Texas: the rules that actually bite

The CPT codes are national. Everything wrapped around them — who may deliver the service, what has to be authorised first, and whether the visit needs verifying electronically — is set by Texas Medicaid. This is what Texas requires.

How is ABA authorized in Texas?: Through the Comprehensive Care Program (CCP). Requests go to TMHP on the CCP Prior Authorization Request Form, which carries separate request types for ABA evaluation, ABA re-evaluation and ABA treatment. Prior authorization is a condition for reimbursement and explicitly not a guarantee of payment — the claim still has to stand on its own.
Who has to sign the treatment plan?: This changed for dates of service on or after 1 April 2025. The initial treatment plan must be signed and dated by a prescribing provider for the full 180 days, but the prescribing provider signature is no longer required on the form when requesting the 90-day treatment extension. Practices still routing every extension for signature are doing work Texas stopped asking for.
Can someone sign on the physician’s behalf?: Yes. Certified Nurse Midwives, Clinical Nurse Specialists, Nurse Practitioners and Physician Assistants may sign on behalf of the physician for ABA services — which in practice is the difference between an authorization going out this week and waiting on one signature.
What enrolment do I need?: Texas enrols Licensed Behavior Analysts (LBAs) as Medicaid providers, and the rendering provider on the claim has to match who actually delivered the service. Mismatches between the credential on the claim and the credential on file are among the most common preventable denials in any state, and Texas is no exception.
Does EVV apply to ABA in Texas?: Texas runs one of the most developed EVV programmes in the country, but its scope is service-based. EVV has been required for personal care services since 1 January 2021, and for home health care services — plus occupational therapy, physical therapy and nursing delivered in the home — since 1 January 2024. ABA under CCP is not in those categories. Confirm against the state’s "Programs and Services Required to Use EVV" list rather than assuming either way, because that list is what claims are matched against.

Sources — checked 2026-09-08

TMHP — Texas Medicaid Provider Procedures Manual, Children’s Services
TMHP — Update to a Prior Authorization Requirement for Autism Services, effective 1 April 2025
TMHP — Medicaid Autism Services Licensed Behavior Analyst (LBA) enrolment
Texas HHS — Electronic Visit Verification

Published as a starting point, not as billing advice. Texas Medicaid policy is revised regularly and plan-level rules vary — confirm against the current source before you bill.

ABA software in Texas

Made for how Texas practices bill and deliver ABA.

Running an ABA practice in Texas means billing Texas Medicaid and commercial payers under their specific code and modifier rules, and — where your services fall under it — meeting Texas's Electronic Visit Verification requirements. Wilma® is all-in-one ABA software that handles both natively: state payer rule packs and native EVV on the same record as your data collection, session notes, scheduling, and parent portal — so a booked session becomes a verified visit and a clean claim without re-keying or a separate portal.

Bill Texas Medicaid without the busywork.

Wilma bills ABA-specific CPT® and HCPCS codes with the payer-specific modifier rules Texas plans require, tracks authorization units live, and scrubs claims before they ship — so Texas Medicaid and commercial claims go out clean the first time.

Payer rule packs

Texas modifier and code rules applied per claim.

Auth tracking

Units decrement per session; renewals surface early.

EDI + ERA

Clearinghouse built in; ERAs auto-post to claims.

Intake capture

Insurance captured at intake, on the record.

EVV compliance, where Texas requires it.

Where your Texas Medicaid services fall under Electronic Visit Verification, Wilma captures the visit natively — time- and location-stamped, geofenced where required, and aligned to your state's EVV program — so verified visits feed billing with nothing to reconcile in a separate portal.

Native EVV

Captured on the schedule, not a bolt-on app.

Aggregator-ready

Built to align with Texas's EVV program.

Geofenced

Clock-in/out verification where required.

Verified → billed

A verified visit is a billable visit.

Every workflow your Texas practice runs, on one record.

Data collection, scheduling, session notes, billing, EVV, a parent portal, supervision, and compliance on one database — so Texas clinicians capture data once and it flows into the note and the claim without re-keying.

Data → notes

AI drafts the note; the BCBA reviews and signs.

One login

No pile of disconnected tools to reconcile.

Parent portal

Branded, on the same record as care.

Supervision

BACB ratios and credential expirations tracked.

Priced flat — from a single clinic to a multi-site Texas group.

Wilma is $30/user/month with a 10-licence minimum, so a Texas practice starts at $300/month for the full platform — no per-client fees, so your cost doesn't balloon as your caseload grows. Multi-site groups get multi-entity billing with NPI per location and SSO on the same data model.

Flat pricing

Published $30/user/month, 10-licence minimum. No per-client fees.

Multi-entity

NPI, tax ID, and billing per location.

Live in 1–2 weeks

Migration included in onboarding.

No replatforming

Same platform as you grow in-state.

Buyer's Checklist

Evaluating ABA software in Texas? Demand every line.

Go deeper on the pieces that matter in Texas:

FAQ

ABA software in Texas — questions, answered.

Does Wilma support Texas Medicaid billing?

Is Wilma Texas EVV compliant?

How much does ABA software cost in Texas?

Is Wilma a fit for a solo BCBA in Texas?

Does Wilma work for multi-site Texas practices?

How long does it take to switch in Texas?

Is Wilma HIPAA compliant?

See Wilma® run a Texas practice, end to end.

Thirty minutes. Bring your Texas payer mix and EVV requirements — we'll show a booked session become a verified visit and a clean claim on one record.

Keep reading

Related guides on running an ABA practice — the same operation, from a different angle.