Autism care provider closes New York Medicaid panels after rate cuts

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Monrovia, Calif.-based Autism Learning Partners has closed its New York Medicaid panels for new Medicaid and Child Health Plus patients, effective April 17. 

The move follows two reimbursement cuts for applied behavior analysis services: a 12.5% reduction that took effect Oct. 1, 2025, and another 12.5% decrease effective April 1, 2026, according to an April 17 news release from the provider. The organization said the changes made continued Medicaid participation financially unsustainable and noted it exited the Texas market earlier this year “due to rates that were too low to sustain operations.”

The provider currently serves 523 children in New York, including 480 Medicaid and CHP members, and has 118 children waiting for care. The shift removes capacity to treat approximately 425 additional children in 2026 who would have accessed care through planned wait-list reductions, the release said. 

Autism Learning Partners operates six locations across the state and provides services in regions including Buffalo, Albany, Rochester, Westchester County and the Bronx. The largest population served includes approximately 230 clients in the Buffalo/Erie/Niagara region and about 140 in the Capital region.

The organization said reduced access to early intervention may increase downstream costs, including special education placements costing $100,000 to $150,000 annually and residential placements costing between $250,000 and $400,000 or more per year, with lifetime care estimates reaching $3.5 million per individual without “appropriate intervention.”

At the Becker's Fall Behavioral Health Summit, taking place November 4–5 in Chicago, behavioral health leaders and executives will explore strategies for expanding access to care, integrating services, addressing workforce challenges and leveraging innovation to improve outcomes across the behavioral health continuum. Apply for complimentary registration now.

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