§ NY

New York

New York

New York requires a Licensed Behavior Analyst (LBA) credential through the NY State Education Department, Office of the Professions. Medicaid ABA services are delivered through Medicaid Managed Care (Mainstream Medicaid Managed Care) and Medicaid Managed Long Term Care where applicable.

Snapshot

  • Payment Model: Managed Care (MMC)
  • Typical Reimbursement: $25–$55 per 15-minute unit
  • Licensure Timeline: 18–24 weeks (longest in the country for most applicants)
  • Licensing Authority: NYSED Office of the Professions
  • Medicaid Authority: NY State Department of Health

Launch Steps

  1. File NY Articles of Organization with Department of State
  2. Complete LLC publication requirement (6 weeks, two newspapers)
  3. Obtain EIN from IRS
  4. Apply for NPI — Type 1 and Type 2
  5. Apply for NYS LBA license through NYSED Office of the Professions
  6. Register LLC with NYSED as behavior analyst practice
  7. Secure $1.5M CSL professional liability insurance
  8. Obtain workers' compensation, disability, and Paid Family Leave coverage
  9. Register with NY Department of Taxation & Finance
  10. Enroll as NY Medicaid provider through eMedNY portal
  11. Credential with Mainstream Managed Care plans
  12. Credential with commercial payers (Empire BCBS, United, Aetna, Cigna)
  13. Adopt HIPAA-compliant EHR
  14. Hire and credential RBTs
  15. Establish BACB-compliant supervision

Key Contacts

  • NY Department of State: business filings
  • NYSED Office of the Professions: LBA licensure
  • eMedNY: Medicaid provider enrollment
  • NY State DOH: managed care policy

Notes

Preview content. The LLC publication requirement alone adds 6+ weeks and $1,000+ in newspaper fees for NY County. The full New York package covers county-by-county publication cost comparison, eMedNY walkthrough, and MMC plan credentialing directory.