School-Choice ESA Funds Emerge as ABA’s Newest Payer
Families in Florida and Arizona already direct nearly $2 billion a year in state scholarship money, with therapy on the approved list. Texas adds $1 billion this fall, and none of it…
Business
Payer audits, hiring economics, billing infrastructure, and the deals reshaping who owns autism services. Coverage of insurer recoupments, value-based contracting, fraud indictments, and operator profiles. For people who run practices, not the people writing checks. Pairs with policy, private equity, careers.
Defiance Launches an Autism ETF of Public Companies
The Autism Impact ETF, ticker ASD, tracks pharma, diagnostics, and online education, not the ABA providers at the center of autism care, because almost all of them are privately held.
Action Behavior Centers Standardizes Design at 400 Clinics
The Charlesbank-backed chain has grown from five Texas clinics to more than 400 nationwide. Its new playbook for how those centers look is the standardization a multisite operator adopts as it scales.
Action Behavior Centers Builds a School-Age ABA Tier
ABC Academy serves children 5 to 12 who are already in school, pushing the center-based model past its early-intervention core and lengthening the years a child, and a payer, stays in ABA.
Inside Bierman’s Research Lab for the Future of ABA
PEBBL is turning everyday therapy sessions into a proving ground for faster progress, stronger curricula, and a more evidence-driven model of autism care
STEPS Behavioral Health Expands In-Home ABA in Colorado
The founder-led Maryland provider is building a caseload in Denver, Aurora, and Boulder before committing to a building of its own, a capital-light way to test a new state. It is doing…
Lovely Day ABA Shutters in Greensboro Citing a Medicaid Dispute
The Triad provider’s founder drained her retirement and savings to keep it open before telling about 100 families and 75 employees that it was closing indefinitely over a six-figure Medicaid prior-authorization dispute.
Mobile Therapy Centers Abruptly Closes Its Illinois ABA Clinics Leaving Families and Employees Stunned
The Libertyville provider told families and staff by email it could no longer sustain ABA services in the state, halting therapy in clinics, schools, and daycares.
Ample Joy ABA Files California WARN Notice For 100 Layoffs
The Corona provider, founded in 2021, with sites in Los Angeles and Palm Springs, has not publicly explained the cuts. The filing lands during a 2026 cluster of California autism-services closures.
Zoe Center for ABA Files Chapter 11 With Liabilities Up to $10 Million
A multi-state ABA provider has filed for bankruptcy protection as the industry contends with rate cuts, audit pressure, and a reimbursement environment that is squeezing independent operators.
Easterseals Port Health Shutters Wilmington ABA Therapy Program Citing BCBA Labor Shortage As Cause
The nonprofit’s March 31 exit gave 15 families 30 days to find new care, and signals how the BCBA workforce crisis is hitting mission-driven providers, not only the PE-backed roll-ups.
Autism Learning Partners Shuts New York Medicaid Panels After Rate Cuts Make ABA Services Unsustainable
One of the largest PE-backed ABA providers in the country closed its New York Medicaid intake on April 17, 2026, citing two 12.5% rate reductions that left the state reimbursing below Texas…
ABA Pivots to Multidisciplinary Care, ACES Goes the Other Way
Cortica, Hopebridge, Westside, and most other major operators are layering speech, OT, and feeding services onto ABA. ACES, backed by General Atlantic, just acquired multispecialty provider Ally Pediatric Therapy in January 2026…
The Learning Tree ABA Launches Major Hunt Valley Center
Founded in 2022, the Maryland-based provider expands its play-based ABA services amid growing competition in Baltimore County.
Franchise Systems Transform ABA Practices Like Dental DSOs
Franchise models empower BCBA owner-operators with corporate support, echoing strategies used by successful dental groups.
Centerstone and Brightli Merge, Transforming Nonprofit Behavioral Health
The merger creates the largest nonprofit provider in the U. S.
BCBS Plans Target ABA Providers with Aggressive Audits
Retroactive audits by Blue Cross Blue Shield threaten the financial stability of ABA practices, with costly recoupment demands stemming from minor documentation errors.
Value-Based Contracting in ABA: Who’s Doing It and What the Early Data Shows
A handful of payers and providers are experimenting with contracts that tie ABA reimbursement to outcomes rather than hours. The industry has talked about value-based care for years. Here’s what’s actually running,…
The ABA Revenue Cycle Management Industry: A $2 Billion Back-Office Business Built on ABA’s Complexity
Applied behavior analysis may be the most billing-intensive specialty in outpatient healthcare. Time-based CPT codes billed in 15-minute increments, heavy prior authorization requirements that vary by payer and state, modifier rules that…
The ABA Billing Fraud Playbook: The 7 Schemes That Keep Appearing in Federal Indictments
Ghost sessions, forged signatures, credential laundering, kickbacks for patient recruitment - the same fraud patterns appear in DOJ charging documents and OIG audit findings from Minnesota to Massachusetts to Connecticut. A forensic…
Colombia, the Philippines, and the Global BCBA: How ABA Companies Are Offshoring Their Back Office
A quiet transformation is underway in the business operations of American ABA therapy companies. Facing a domestic labor market where BCBA positions go unfilled for months, where administrative staff turnover mirrors clinical…
How Christopher Barnett Built the Nation’s Fastest-Growing Autism Care Company
Temple rejected his transfer application. He flew to Philadelphia anyway, walked into the admissions office uninvited, and didn’t leave until they let him in. Twenty years later, he handed the school $55…
Action Behavior Centers Has Hyper-Scaled — And Shows No Signs of Slowing Down
Founded in 2016 by a husband-and-wife team with no previous healthcare business experience, Action Behavior Centers has grown from a single clinic in Austin into a nationwide platform operating in nine states,…
In-House or Out: The ABA Billing Decision That Quietly Makes or Breaks Clinic Cash Flow
In-house billing means control and lower visible costs. Outsourcing means expertise and lower denial rates. The right answer depends on your practice size, payer mix, and growth trajectory — and most ABA…
From Panic Attacks to Power Broker: How Solome Tibebu Built Behavioral Health Tech Into the Field’s Biggest Tent
She spent her Friday nights in high school at Barnes & Noble reading about OCD — then turned two decades of lived experience into the nation’s largest behavioral health technology community, while…
Michele Silcox-Beal Wrote the Book on ABA Revenue Cycle Management
She spent two decades mastering accounting across industries before walking into a behavioral health company and spotting a gap that didn’t yet have a name — then built one of the country’s…
From Seatbelt Handbags to Session Notes: How Nicole Sands Built the ABA Industry’s Go-To Bookkeeper
She spent 13 years scaling a fashion startup, survived SBA loan audits with Moss Adams, and sold her generalist bookkeeping firm to go all-in on ABA—all while running a 22-acre farm animal…
Rose Griffin Bridged ABA’s Deepest Divide
She’s one of fewer than 500 professionals worldwide who hold both SLP and BCBA certifications. She built a 250-episode podcast, a nationally distributed therapy product, a 500-member professional development platform—and a forthcoming…
Leila Farshchian’s Experience in Education and Autism Services Shaped CircaThera
A formative encounter with autism at 15 sparked a 25-year career that would produce one of New Jersey’s top autism programs, a 1,500+ curriculum AI-powered clinical platform built with support from the…
Molly Ola Pinney Took ABA Global
She moved to Ghana at 23, founded a nonprofit that now operates across 20 countries, rang the NASDAQ bell, won Columbia’s Medal for Excellence, built a business coaching practice with her wife—and…