ABA Therapy Agency Credentialed With Florida Medicaid and 4 Commercial Payers

The challenge

A newly-formed ABA agency had clinical staff hired and an office ready but couldn't bill a single session — no Medicaid enrollment, no CAQH profiles, no payer contracts.

Our approach

• Built complete CAQH ProView profiles for the BCBA, three RBTs, and the agency group NPI.
• Filed Florida Medicaid enrollment with the AHCA provider master file.
• Submitted credentialing applications to Aetna, Cigna, UHC, and Florida Blue.
• Set up HIPAA-compliant policies, BAAs, and an annual workforce training calendar.

The outcome

Florida Medicaid approved in 71 days. All four commercial payers approved within 110 days. Agency began billing in month four and reached 80% scheduled-capacity by month six.