California

California uses a Qualified Autism Service Provider (QASP) framework. BCBAs are recognized QASPs under DHCS. Medi-Cal ABA services are delivered through Medi-Cal managed care plans (Kaiser, L.A. Care, Molina, Health Net, Anthem Blue Cross).

Snapshot

• Payment Model: Managed Care (Medi-Cal MCP)
• Typical Reimbursement: $25–$55 per 15-minute unit
• Licensure Timeline: 16–22 weeks (longer in LA/Bay Area due to MCP backlogs)
• Licensing Authority: No separate state license beyond BACB BCBA certification
• Medicaid Authority: California Department of Health Care Services (DHCS)

Launch Steps

1. File California Articles of Organization ($70) with Secretary of State
2. Pay $800 annual California Franchise Tax to FTB
3. File Statement of Information ($20)
4. Obtain EIN from IRS
5. Apply for NPI — Type 1 and Type 2
6. Register for Employer Tax ID with EDD
7. Secure professional liability and commercial general liability insurance
8. Obtain workers' compensation insurance (required in CA)
9. Complete PAVE (Provider Application and Validation for Enrollment) at DHCS
10. Enroll as Medi-Cal QASP provider
11. Credential with Medi-Cal managed care plans in your region
12. Credential with commercial payers (Blue Shield of CA, Anthem, Kaiser Permanente, HealthNet)
13. Adopt HIPAA-compliant EHR
14. Hire and credential RBTs
15. Establish BACB-compliant supervision
16. Set up CPT billing workflow

Key Contacts

• California Secretary of State (bizfile Online)
• CA Franchise Tax Board: annual franchise tax
• California EDD: employer registration
• DHCS PAVE Portal: Medi-Cal enrollment
• Regional Medi-Cal managed care plans

Notes

Preview content. Full California package includes PAVE walkthrough screenshots, MCP contact directory by county, and compliance checklist for Title 22 requirements.