As you may know, MassHealth recently issued a transmittal letter highlighting revisions to Subchapter 6 of their Early Intervention Program Manual, which are in effect as of Nov. 28, 2025. 

In support of the revisions and in alignment with this effective date, Point32Health will cover early intervention services when provided at an applied behavioral analysis (ABA) center for Tufts Health Together, when clinical justification is appropriately documented for why the services need to be provided there rather than at a community site.

Early intervention services delivered at an ABA center must be billed using T1015-TL, and providers should note that the description of this code has been updated to specify “per 15 minutes”: clinic visit/encounter, all-inclusive (per 15 minutes). 

In addition, telephonic service codes 98966, 98967, and 98968 — which were added during the since-expired COVID-19 Public Health Emergency — are no longer considered covered early intervention services. 

We’re currently updating our systems to be consistent with this MassHealth guidance, and have revised the coding information in our Early Intervention Payment Policy. If you received a denial for early intervention services delivered at an ABA center on or after Nov. 28, you may resubmit your claim to be reconsidered for appropriate reimbursement.