Stream ABA

All-in-one ABA practice management software and EMR built by a BCBA. Scheduling, billing, clinical data collection, and AI documentation in one platform.

[Stream ABA @StreamABA]

Scott Dickson's latest MissionViewpoint piece coins a term every ABA practice owner needs to know: "stranded dependency."

Your platform gets acquired, runs out of runway, or pivots away from your segment, you're stuck. Clinical data locked.

https://t.co/ya1KyPhjZk

[Stream ABA @StreamABA]

Happy #WorldBehaviorAnalysisDay!

Today we celebrate the science that changes lives -- one behavior plan, one breakthrough, one family at a time.

To every BCBA, RBT, and practitioner in the field: the work you do matters more than you know.

[Stream ABA @StreamABA]

States are capping hours. Payers are cutting authorizations.

→ 30+ hours/week: 2x more likely to close cognitive development gaps
→ 30+ hours/week: 3x more likely to achieve everyday functional skills
→ Treatment gains maintained 10 years later

https://t.co/zO98IJUDYP

[Stream ABA @StreamABA]

North Carolina's ABA Medicaid spending: $122M → $639M in four years. 423% increase.

The legislature is now asking: how do you tell good ABA providers from bad ones?

https://t.co/vdkf1Fav3O

[Stream ABA @StreamABA]

The WSJ just put ABA billing in front of every legislator and payer exec in the country.

These aren't clinical failures. They're process failures.

The kind your software should be catching before a claim ever generates.

https://t.co/gFlivBKP4x

[Stream ABA @StreamABA]

HHS OIG just dropped its Colorado ABA audit.

$285.2 million in improper Medicaid payments. More than the first three state audits combined.

100/100 sampled records had problems. Same as Indiana. Same as Wisconsin. Same as Maine.

https://t.co/Qw81yqZd9Z

[Stream ABA @StreamABA]

AI made it cheap to write code. It didn't make it cheap to run it.

ABA practices building custom tech stacks are learning this the hard way:

- HIPAA compliance isn't a checkbox
- Every payer rule change breaks something
- Works at 5 users, breaks at 50

https://t.co/xY8ysjxgsb

[Stream ABA @StreamABA]

529 plans now cover BACB certification expenses. All three levels — RBT, BCaBA, BCBA.

What qualifies:
- Exam fees
- Training courses (including RBT 40-hour)
- Graduate tuition
- CEUs and PDUs
- Study materials

https://t.co/9zYfXZYl4a

[Stream ABA @StreamABA]

The BACB's February 2026 newsletter warned certificants about social media risks.

Personal accounts: NO client content. Ever.

Professional accounts: informed consent + disclaimer.

RBTs: Prohibited from sharing ANY identifying client info.

https://t.co/p6xJID8vwt

[Stream ABA @StreamABA]

Collecting session data is not measuring outcomes.

Session data: "What happened today?"
Outcomes data: "Is this child getting better?"

Payers are building the infrastructure to tie reimbursement to outcomes.

https://t.co/Yiex7SPNmU

[Stream ABA @StreamABA]

Centene's CEO told investors ABA is driving 50% of their excess Medicaid costs.

Three red flags they're looking for:
- 40hrs/week for every patient
- 5-10 year treatment durations
- Inadequate BCBA supervision

https://t.co/H64ZQgzzyD

[Stream ABA @StreamABA]

Idaho eliminated ABA from managed care and forced providers onto HCPCS codes.

Less than 30 days' notice. No crosswalk. No guidance on supervision billing.

Most ABA software broke because it hardcodes CPT 97151-97158.

https://t.co/aay2yHrraw

[Stream ABA @StreamABA]

Massachusetts just made ABA accreditation mandatory for Medicaid providers.

Federal auditors found $56M+ in improper ABA payments across multiple states.

CASP acquired BHCOE. One accreditation body now. One standard.

https://t.co/wIQBv7EGRv

[Stream ABA @StreamABA]

Most ABA practices don't know their real revenue number.

The formula looks simple:
Billable Hours x Rate x Staff Count

But underutilization alone can cost $25K/month.

We broke down the full math + built a free calculator:

https://t.co/xWiX5aU8gV

[Stream ABA @StreamABA]

The biggest ABA billing update in years drops January 1, 2027.

6 new CPT codes. Revisions to 97151-97158. T-codes deleted.

New codes cover care coordination, caregiver training, and tech-assisted assessment -- work you already do but can't bill for.

https://t.co/nPreqCY8dm

[Stream ABA @StreamABA]

ABA practices lose $5K-$10K/month to no-shows.

The fix isn't complicated:
- SMS + email reminders at 48hrs and 2hrs
- One-tap confirm/cancel
- Personalize with child's name and therapist

Your front office shouldn't spend hours/day on confirmation calls.

https://t.co/7jPTRO2k42

[Stream ABA @StreamABA]

We just launched the StreamABA blog.

Product updates. Practice management tips. Clinical insights. Industry news.

Built for the people actually running ABA practices.

https://t.co/Kjgnlobj5i