# 1 Tex. Admin. Code § 354.5001: 1 TAC § 354.5001. Purpose and Applicability, DIVISION 1. GENERAL PROVISIONS

> Texas · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C354_S354_5001

## Section

- **Citation:** 1 Tex. Admin. Code § 354.5001
- **Heading:** 1 TAC § 354.5001. Purpose and Applicability, DIVISION 1. GENERAL PROVISIONS
- **Jurisdiction:** Texas
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Texas Administrative Code / Title 1 ADMINISTRATION / Part 15 TEXAS HEALTH AND HUMAN SERVICES COMMISSION / Chapter 354 MEDICAID HEALTH SERVICES / 1 TAC § 354.5001

## Text

(a) Applied behavior analysis (ABA) services for autism
 are covered through the Texas Health Steps-Comprehensive Care Program
 (THSteps-CCP) for Medicaid enrolled children:
(1) who are under 21 years of age;
(2) who have a diagnosis of autism spectrum disorder
 (ASD); and
(3) for whom ABA services are medically necessary and
 clinically appropriate and effective.
(b) Providers of ABA services for autism under this
 subchapter include:
(1) licensed behavior analysts (LBAs);
(2) licensed assistant behavior analysts (LaBAs);
(3) behavior technicians (BTs); and
(4) licensed professionals, other than LBAs, as described
 in the medical policy in the Medicaid Autism Services section (Autism
 Section) in the Children's Services Handbook (Children's Handbook)
 in the Texas Medicaid Provider Procedures Manual (TMPPM), when they
 are eligible to and participate in Medicaid reimbursable ABA service-related
 interdisciplinary team meetings.
(c) This subchapter establishes requirements for providing
 ABA services to treat ASD and applies only to ABA services that are
 Medicaid reimbursable. Medicaid reimbursement of ABA services for
 ASD requires compliance with this subchapter, Medicaid, THSteps, any
 other applicable law or rule, the TMPPM, including the Autism Section,
 and the National Correct Coding Initiative.

## Nearby sections

- [1 Tex. Admin. Code § 354.5001 1 TAC § 354.5001. Purpose and Applicability, DIVISION 1. GENERAL PROVISIONS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C354_S354_5001.md)
- [1 Tex. Admin. Code § 354.5003 1 TAC § 354.5003. Definitions, DIVISION 1. GENERAL PROVISIONS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C354_S354_5003.md)
- [1 Tex. Admin. Code § 354.5011 1 TAC § 354.5011. Providers of Applied Behavior Analysis (ABA) Services, DIVISION 2. SERVICE PROVIDERS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C354_S354_5011.md)
- [1 Tex. Admin. Code § 354.5021 1 TAC § 354.5021. Service Description, Requirements, and Limitations for Providing Applied Behavior Analysis (ABA) Services, DIVISION 3. PARAMETERS FOR SERVICE PROVISION](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C354_S354_5021.md)
- [1 Tex. Admin. Code § 354.5023 1 TAC § 354.5023. Additional Medicaid Reimbursement Limitations and Exclusions Specific to Applied Behavior Analysis (ABA) Services, DIVISION 3. PARAMETERS FOR SERVICE PROVISION](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C354_S354_5023.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C354_S354_5001. Check the current official text before relying on it. Not legal advice.