As we’ve noted previously, Point32Health is implementing a new requirement that all contracted applied behavioral analysis (ABA) providers must obtain accreditation from a nationally recognized accrediting body specializing in ABA. While the requirement supports a MassHealth initiative aimed at strengthening program integrity and improving access to services, Point32Health expanded the scope to include all Harvard Pilgrim and Tufts Health Plan products across every state in our service area. 

Accrediting bodies accepted by Point32Health include: 

  • Autism commission on Quality 
  • Jade Health (formerly BHCOE)
  • Global Autism Project Accreditation

The accreditation requirements and deadlines are as follows:

  • Center-based ABA providers in Massachusetts and Rhode Island must be accredited by Jan. 1, 2027.
  • All other providers, including center-based ABA providers in New Hampshire, Maine, and Vermont, must be accredited by Jan. 1, 2028.
  • After Jan. 1, 2028, all ABA providers (including new providers) must be accredited.

As a reminder, these accreditation requirements do not impact the way in which providers are expected to bill or request authorization for ABA therapy services.