{"id":449530,"date":"2026-01-14T02:41:02","date_gmt":"2026-01-14T07:41:02","guid":{"rendered":"https:\/\/www.billingparadise.com\/blog\/?p=449530"},"modified":"2026-05-07T03:15:55","modified_gmt":"2026-05-07T08:15:55","slug":"aba-audit-readiness","status":"publish","type":"post","link":"https:\/\/www.billingparadise.com\/blog\/aba-audit-readiness\/","title":{"rendered":"Is Your ABA Practice Audit-Ready? What You Need to Know After the OIG\u2019s $56M Indiana Audit"},"content":{"rendered":"
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<\/a><\/a><\/a><\/a><\/a>Share on your feed<\/a><\/div><\/div>\n<\/div><\/div>

Table of contents<\/b><\/h2>\n<\/div><\/div>

Is Your ABA Practice Audit-Ready? What You Need to Know After the OIG\u2019s $56M Indiana Audit
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What\u2019s Behind Indiana\u2019s ABA Fee-for-Service Payment Scrutiny
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Key Findings from the Audit: Where Things Went Wrong
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How To Prepare Your ABA Practices for 2026 Audit Readiness
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How Can ABA Practices Prepare for Audits in an AI-Driven Compliance Era
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From Alarm to Action: Make 2026 the Year Your ABA Practice Gets Audit-Strong
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In December 2024, HHS OIG released one of the most important ABA Medicaid audit reports to date, revealing $56.5M in improper payments to ABA providers in Indiana.<\/p>\n

This was part of a larger OIG review series focused on improper Medicaid claims for ABA services in both Indiana and Wisconsin. The report followed similar findings in Wisconsin and marks the start of a multi-year federal enforcement cycle that will strengthen through 2026.\u00a0 <\/span><\/p>\n<\/div><\/div>[vc_empty_space]

What\u2019s Behind Indiana\u2019s ABA Fee-for-Service Payment Scrutiny<\/h2>\n

According to the HHS Office of Inspector General audit, Indiana\u2019s fee-for-service Medicaid payments for Applied Behavior Analysis (ABA) increased from about $14.4 million in 2017 to $101.8 million in 2020, making it the second-highest ABA spending state in the nation at that time. This shows rapid program growth with inadequate oversight. <\/span><\/p>\n

Every one of the 100 sampled enrollee-months had at least one improper or potentially improper claim.<\/span><\/p>\n

The OIG\u2019s recommendations included recovering $39.4M immediately and conducting broader reviews. <\/span><\/p>\n

These findings are not isolated. They show the same vulnerabilities we see in ABA organizations nationwide.\u00a0 <\/span><\/p>\n

\"Estimated<\/p>\n<\/div><\/div>

Key Findings from the Audit: Where Things Went Wrong<\/h2>\n

According to the OIG report, here are the most common deficiencies found:<\/p>\n