Behavior Analysis Provider Enrollment FAQs
Frequently Asked Questions
NOTE: This information will be updated with the implementation of the new provider enrollment system, which is scheduled for April 2026. To stay informed about the transition effort, sign up for Florida Medicaid Health Care Alerts.
In an effort to assist providers interested in enrolling as a Florida Medicaid Behavior Analysis (Provider Type 39) provider, the Agency invited PT 39 providers to participate in a series of Enrolling in the Florida Medicaid Behavior Analysis Program: Provider Enrollment Webinar sessions. The following questions were received during these enrollment webinar sessions.
General Questions
Where can the Enrolling in the Florida Medicaid Behavior Analysis Program: Provider Enrollment Webinar presentation be found?
Visit Training Presentations.
How do I log in to the Secure Web Portal?
Visit the Florida Medicaid Secure Web Portal to login.
Where can an updated version of the Behavior Analysis (BA) services coverage policy be found?
Providers can monitor the Agency’s Behavior Analysis Services Information page for updates. To stay up to date on policy changes and proposed rules, providers can sign up for Florida Medicaid Health Care Alerts.
Will the current rates continue to be used?
Current rates may be accessed on the Agency's Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes page at: Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes.
How do I reset my password on the Secure Web Portal?
Check the options available at Help with PINs and Password Resets.
Enrollment Application Questions
If a Registered Behavior Technician (RBT) provider has a company with a Tax ID, will the application need to be submitted with the individual’s Social Security Number?
RBT providers must enroll as a member of a group and enter their Social Security Number.
If I have questions regarding my enrollment application denial or involuntary termination of my provider file, who do I contact?
Termination actions are reviewed on a case-by-case basis. Please contact denialtermination@ahca.myflorida.com for further assistance.
Will RBT providers need any prior experience as previously required for BA providers?
A Behavior Analyst Certification Board (BACB) certification satisfies all requirements with Florida Medicaid.
How long does the credentialing process take?
Applications are processed in the order received.
What is the purpose of the Application Tracking Number?
An application status may be tracked using the supplied Application Tracking Number (ATN), visit Enrollment Status for more information.
Will a new location require a new group number, or can the new location be a part of the existing group?
If there is a new service location and/or a new location where records are kept, refer to New Location Code Wizard QRG.
What can RBT providers do if they passed the board certifications, were active, and then were suspended?
If any RBT providers have not yet had their suspension lifted, they will need to follow up with the contacts provided in the letter advising them of their suspension.
What is the Supervision field?
For more information, refer to the Behavioral Analysis Provider Enrollment Presentation. The Acceptable Documentation for Proof of Certification section of the webinar provides more information.
What If an RBT appears in the BACB website as an RBT, but does not have a Supervisor at the moment, will their application be processed?
The application will be processed; however, the outcome will be an application deficient status, causing the application to be returned to the applicant. To avoid this, ensure to complete the Supervision field upon submission.
What address should be entered in the Service Location section of the provider enrollment application if there is an address where services will be rendered and another for the agency that will be billing?
The provider enrollment application has the Service Location panel and a Pay To location panel options for these addresses to be entered. The service location address should always match the address where services are rendered, regardless of practice type, specialty code, or the billing provider's address.
What address must be entered to satisfy the "address must match the document provided" warning message?
In the Pay To Address panel, the address entered in this panel must match the Tax ID address. If submitting a W-9 or 147c, the Pay To address must match the address on the document provided.
What address should individual providers enter if they are linking to a group provider?
When enrolling as “Sole proprietor enrolling as a member of a group,” providers enter the individual provider's information. Individual providers add the group in the Member of the Following Groups panel.
What steps should a provider take if a Provider ID was assigned but is currently on hold?
The Agency may restrict payments at its discretion. Currently, there is no standard timeframe for resolution.
Is a National Provider Identifier (NPI) number required for the provider enrollment application?
An NPI number and taxonomy must be furnished.
How long does the enrollment process take for individual providers enrolling as a member of a group?
Due to a high volume of providers seeking to enroll in the Behavior Analysis program, the length of time an application pends for the credential verification process is currently at 60 days. For applicants that require an onsite review, a minimum of 60 additional days is added to the processing time.
Are providers required to sign and maintain Group Membership Authorization (GMA) forms?
Providers do not need to fill out the form once their file is active. From the Secure Web Portal landing page, select Providers. Group providers should select Members of My Group. Individual providers should select Group Membership. After making a selection, the group membership details will display.
Can a new company looking to grow as a larger group apply as a group provider, even if there is only one (1) lead analyst on staff and no other staff?
Providers are eligible to enroll as a group provider with one (1) lead analyst.
Can the option "to participate in both the network of a Medicaid health plan, as well as to bill for services and receive payment directly from Medicaid" be selected when choosing a Fully Enrolled option?
Although selecting this option results in a Fully Enrolled enrollment type, PT 39 providers must only select “To bill for services and receive payment directly from Medicaid.”
What licenses are required to be enrolled as a lead analyst?
Refer to the Behavior Analysis webinar on Training Presentations, Florida Medicaid Behavior Analysis Provider: Provider Enrollment Webinar section on the Acceptable Documentation for Proof of Certification.
Additional information can be found on the Behavior Analysis Coverage and Limitations Handbook and on the Agency’s Adopted Rules - Behavior Analysis Services.
Will the system send alerts when an individual provider’s document is expiring to avoid restrictions?
It is the provider’s responsibility to stay abreast of their provider files. Not receiving a notification from Agency does not constitute a waiver on restrictions, however, the Agency tries to alert providers as information lapses.
In what situation will an RBT provider receive letters of payment restriction or termination?
The Agency evaluates restriction and termination actions on a case-by-case basis.
How can providers change their name?
To change a provider’s name, submit a letter of request signed by an authorized signer and proof of name change via the Secure Web Portal, using the File Upload panel. For detailed instructions, refer to the Provider File Maintenance QRG.
What address should be entered in the Service Location field for RBT, BCaBAs, and lead analysts enrolling as sole proprietors as a member of a group?
The service location address must correspond to the address where individual providers render services. Individual providers who provide services in the field should maintain their home address as their service location address. Individual providers add the group in the Member of the following Groups panel.
What does Effective Date mean?
The Effective Date is the date the application is submitted.
How long does the application review process take once everything is verified for the provider enrollment application status to change to “State Review?”
If the application and supporting documents are accurate and complete, and background screening results are on file, the application will move to State Review within about 16 business days. Due to high demand for Florida Medicaid Behavior Analysis provider enrollment, applications typically remain in credential verification for about 60 days. If an onsite review is required, expect an additional minimum of 60 days for processing.
Can enrolled providers submit claims from their own account and change where the payment is sent?
All providers have the ability to change their payment address; however, payments are only rendered to enrolled providers eligible to receive direct payment.
Where can providers go to find out what in their Medicaid file is preventing them from becoming enrolled?
Further explanation on denial reasons can be found in Florida Statute §409.907.
Supporting Documentation Questions
Does the screenshot from the Board Certified Behavior Analyst (BCBA) portal meet the requirements for proof of certification?
Yes, the screenshot from the BCBA portal meets the requirements for proof of certification as long as it contains the following: a color copy, the Status is Active, the expiration date is a future date, and the Supervision field is included.
Will the BACB email confirmation still be accepted along with the BACB screenshot? Are both required?
The email confirmation does not meet the proof of certification requirements. The BACB screenshot must be uploaded and must contain the following: is a color copy, the Status is Active, the expiration date is a future date, and the Supervision field is included.
Is there any other acceptable documentation other than the screenshot from the BCBA website?
No, there is not. The screenshot must be in color, the Status is Active, the expiration date is a future date, and the Supervision field is included.
Are all application supporting documentation required to be color copies? For example: driver’s license, background screening, or BACB certification?
The Behavior Analysis certifications must be color copies.
Will the date the search results were obtained need to be shown on the BACB RBT screenshot that will be submitted to fulfill the documentation requirement?
No, the expiration date needs to be visible to confirm the expiration is a future date.
What is the difference between the BCBA certification and the copy of license or certificate?
Please refer to the Acceptable Documentation for Proof of Certification section of the Enrolling as a Florida Medicaid Behavior Analysis Provider: Provider Enrollment Webinar available on the Training Presentations page.
Are providers required to update their credentialed information accordingly?
Yes, it is the provider’s responsibility to keep their provider files up-to-date.
Where can updated credential documents be submitted?
When credentials are renewed, providers will need to update their Florida Medicaid provider file via their Secure Web Portal account using the File Upload panel. For detailed instructions on how to successfully upload documents via the File Upload panel, refer to the Provider File Maintenance QRG.
Group Provider Questions
How will a group provider receive payment?
If a provider file contains Electronic Funds Transfer (EFT) account information, payment will be made directly to the EFT account. If no EFT account information is available, a paper check will be mailed to the billing provider’s address. EFT information can be viewed under the Demographic Maintenance section of the group’s Secure Web Portal account. For more information, refer to the Electronic Funds Transfer Enrollment Guide.
Can an individual provider be linked as a member of a group?
Yes, an individual provider can be linked as a member of a Behavior Analysis Group. During the initial enrollment process, this may be accomplished by entering the information directly into the Member of the Following Groups panel of the provider enrollment application, or by completing and submitting the GMA form. The GMA form can be found on Enrollment Forms page. Actively enrolled sole proprietors must complete group linkage using the Self-Service feature in their Secure Web Portal account.
When enrolling RBT providers in a group as sole proprietors, what other role is needed aside from financial custodians?
RBTs applying as "Sole Proprietors Enrolling as a Member of a Group" do not require medical and financial custodians.
Do individual providers only have the option to enroll as a member of the group at this time?
All RBT and Assistant Behavior Analyst (ABA) providers must be linked to a group.
Can group providers delink an individual provider from their group?
Yes, for detailed instructions on how to successfully delink from a group, refer to the Group Linking QRG at Quick Reference Guides.
When does group linkage for billing become effective?
The Effective Date for the group being linked cannot be earlier than the application submission date.
Onsite Visit Questions
When should an existing, currently enrolled group expect an onsite visit?
All enrolled providers are subject to onsite visits at the Agency’s discretion.
Are BA providers required to have an onsite visit?
Onsite visits are conducted with all necessary individual providers.
Will an individual provider require an onsite visit?
Please refer to the Acceptable Documentation for Proof of Certification section of the Enrolling as a Florida Medicaid Behavior Analysis Provider: Provider Enrollment Webinar available on the Training Presentations page.
Are onsite visits only required for enrolling providers, or are currently enrolled providers also required to have onsite visits?
Currently enrolled providers are subject to onsite visits at the Agency's discretion. Enrolling providers will receive onsite visits as part of the provider enrollment process.
Are group providers required to make interview arrangements if they are active, but have never had an onsite interview?
The Florida Medicaid Office will make contact to schedule the review or visit. Providers are not required to make the arrangements. Providers are subject to onsite visits at the Agency's discretion.
Are onsite visits required for new service locations that will be added under the same group providers?
Each location must undergo a review and/or visit. The Florida Medicaid Office will make contact to schedule the review or visit.
What content will be covered at the enrollment interview for individual providers?
Details will be discussed with an interviewer once an onsite interview is scheduled.
Are the interviews going to be conducted only in English?
Yes, the interviews are only conducted in English.
Resubmission Questions
Are currently enrolled Florida Medicaid providers required to reapply?
Providers do not need to reapply if they are enrolled and have received their Welcome Letter stating their account is active, along with their account information.
Can providers that were suspended, or terminated from Florida Medicaid reapply?
Yes, all providers are able to reapply.
Can applicants that were denied enrollment in Florida Medicaid reapply?
Yes, all providers are able to reapply.
Additional Resources
AHCA Adopted Rules
Adopted Rules - Florida Medicaid Forms
Adopted Rules - Provider Enrollment Policy
Florida Medicaid Contact Information Sheet
Support
Training
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