ABA Medicaid rates in New Hampshire reverse the usual order. New Hampshire Medicaid pays $71.16 an hour for code 97153, one-on-one ABA delivered by a technician, 14th of 42 states and 12.2% above the national median of $63.44. But it pays every analyst code, 97151, 97155 and 97156, at a single rate of $65.72 an hour, which puts the state at or near the bottom of the country for BCBA time.
All rates on this page are compiled from official New Hampshire Medicaid publications, and each one links to the source document it came from. The technician and analyst rates have been in effect since July 1, 2023.
Nationally, an hour of analyst time pays more than an hour of technician time. The medians make the point: $63.44 for 97153 against $101.04 for 97155 and $116.56 for 97151. New Hampshire flattens and inverts that ladder:
| Code | Service | NH per hour | Rank | vs national median |
|---|---|---|---|---|
| 97153 | One-on-one ABA by a technician | $71.16 | 14 of 42 | +12.2% |
| 97155 | Treatment with plan changes by an analyst | $65.72 | 38 of 41 | -35.0% |
| 97151 | Assessment by an analyst | $65.72 | 40 of 41 | -43.6% |
| 97156 | Parent and caregiver training | $65.72 | 41 of 43 | -30.7% |
| 97154 | Group ABA led by a technician | $26.00 | 23 of 37 | -13.2% |
New Hampshire appears on the national lists of lowest-paying states for both the 97151 assessment and 97156 caregiver training. Only Louisiana pays less for 97151, at $30.00, and only Idaho ($47.96, under code T1027) and Louisiana ($21.00) pay less for caregiver training.
This page has no New Hampshire rate for technician assessment support (97152) or analyst-led groups (97158). Agencies that use those services in other states should confirm how New Hampshire expects that work to be billed before building it into a program here.
The technician side is New Hampshire's strength. At $17.79 per 15-minute unit, 97153 pays $71.16 an hour, above the national median and well ahead of the bottom states, New York at $38.52 and Louisiana at $40.00. It remains below the top of the market, where Alaska pays $127.80 and Georgia $123.64.
For an agency, this rate structure rewards technician-delivered hours and penalizes analyst-heavy service models. Supervision is still required clinically, but every hour a BCBA bills in New Hampshire earns less than a technician hour on the same case.
The technician rate is also what makes the state workable. Because most of a child's authorized hours are technician hours, a program with a sound supervision ratio can still produce a reasonable blended margin, provided delivered hours stay close to authorized hours. Cancellations hurt twice here: the lost technician hour is the best-paid hour on the schedule.
A single analyst rate for assessment, treatment direction and caregiver training has two effects that go beyond the ranks.
Assessment carries no premium
In most states, the assessment code pays more than any other analyst service, which helps fund the intensive work of building a treatment plan. In New Hampshire, the assessment pays the same $65.72 as every other analyst hour. Initial assessments and reassessments therefore have to be run efficiently, with clear templates and well-prepared data collection, because the time they take is paid at the lowest analyst rate in most of the country.
Supervision is a cost center
When treatment direction pays less than technician therapy, BCBA supervision does not generate a margin of its own; it is effectively funded from the technician hours it supports. That pushes agencies toward careful caseload design: enough analyst time to meet clinical and authorization requirements, organized so that each analyst hour supports as many technician hours as quality allows.
Wages make the inversion sharper. Federal data for May 2025 puts New Hampshire's median wage for the closest comparable technician occupation at $22.57 an hour, slightly above the national $22.08. The analyst proxy is $26.36 in New Hampshire and $28.53 nationally. Both are proxy occupations, so credentialed BCBAs will typically cost more than these figures.
- 97153 technician hour: the wage is 45.1% of the $71.16 rate, leaving a margin of $39.08 an hour after a loaded wage.
- 97151, 97155 and 97156 analyst hours: the wage is 57.0% of the $65.72 rate, leaving $28.25 an hour.
So the analyst hour carries a smaller margin than the technician hour even before accounting for the fact that BCBA pay generally runs well above the proxy. Agencies operating in New Hampshire tend to use analyst time carefully: enough to meet supervision and treatment-plan requirements, concentrated on the activities that drive outcomes.
Technician-led group ABA (97154) pays $6.50 per 15 minutes, or $26.00 an hour, effective September 1, 2025. That ranks 23rd of 37 states and is 13.2% below the national median of $29.96.
Group rates are paid per child, so the revenue per staff hour depends on how many children attend. For children ready to practice social skills with peers, groups can complement individual therapy, and the absence of a prior-authorization rule on 97154 makes them simpler to add administratively. Financially, though, groups in New Hampshire are a modest line, and they are best justified on clinical grounds rather than as a revenue strategy.
On the fee schedule, 97151, 97153, 97155 and 97156 each carry one prior authorization rule, while technician-led group ABA (97154) carries none. None of the codes has a published unit limit.
That is a light and uniform structure. One authorization workflow can cover every individual ABA service: track each child's authorized units and dates, request renewals well ahead of expiry, and block scheduling of sessions outside an active authorization. Without published unit limits, the authorization itself is the main control on how many hours can be billed. That makes accurate authorization records more important, not less: an agency that delivers hours beyond what was authorized has no daily cap to warn it, only a denial after the fact.
New Hampshire pays Medicaid services through fee-for-service and through New Hampshire Medicaid Care Management (MCM). For ABA, the state's rule is that plans negotiate their own rates, and the published rate applies out of network; behavioral health follows the same rule. An agency in a plan network is paid its contract rate; the published schedule is the benchmark in negotiations and the default when no contract applies. Five plans are on file. See New Hampshire managed care.
Where negotiation matters most
Because the published analyst rate ranks so low, a plan contract is the one place an agency can try to correct it. The strongest case rests on access: plans need enough BCBA capacity to meet their members' authorized hours, and a below-cost analyst rate limits that capacity. Agencies should bring the national ranks to the table and negotiate code by code, with particular attention to 97151 and 97155.
New Hampshire has issued a run of ABA-specific notices:
- ABA Service Codes Update, published June 26, 2025 and effective July 1, 2025.
- ABA Services Provider Notice, 6.27.25 Update, published July 1, 2025 and effective September 1, 2025.
- ABA Services Provider Notice, 8.4.25, published August 5, 2025 and effective September 1, 2025.
- ABA Notice 4.14.26, published April 14, 2026.
The current group ABA rate (97154) of $6.50 per unit dates from September 1, 2025, in line with the September 2025 notices. The analyst and technician rates still carry their July 1, 2023 effective date. Four notices in under a year suggest ABA policy in New Hampshire is still moving, so agencies should read each new notice for changes to codes, billing rules or rates.
On technician pay, New Hampshire is a better-than-median state. On analyst pay it is among the lowest, alongside Louisiana and Washington. Vermont, New Hampshire's neighbor, leads the country on 97155 at $197.40 and ranks second on 97151 at $263.20. For a provider working across the border, the comparison with the Vermont ABA rates is stark.
Elsewhere in New England, New Hampshire's $17.79 technician unit is the highest among its neighbors with a published rate: Massachusetts pays $16.37, Vermont $15.00 and Connecticut $13.46. New Hampshire is the region's best technician market and one of its weakest analyst markets.
Start with the supervision ratio. Because analyst hours pay less than technician hours, the ratio of analyst time to technician time is the single biggest driver of program margin. Model it explicitly for a typical child, alongside group participation and assessment frequency.
Then model delivered hours rather than authorized hours, and price analyst wages at what credentialed BCBAs actually cost, not the proxy. For plan contracts, negotiate from the published schedule with a clear case on analyst rates. The national ABA rates hub compares every state, and the New Hampshire Medicaid rates hub covers all 26,581 current New Hampshire Medicaid rates.
Rates on this page are compiled from official New Hampshire Medicaid publications, including the state's ABA service code updates and provider notices. Each rate in the full dataset links to its source document and effective date. Per-hour figures convert 15-minute unit rates to an hourly equivalent, and ranks compare only states that publish the same service. See our methodology for conversion and ranking rules. New Hampshire history in the full dataset reaches back to 1992.