NCAAS is concerned with the most recent report from the MA Office of the Inspector General (OIG) that appears to be missing critical information from its analysis of ABA provider Medicaid claims payments. In addition to measuring “adequate ABA” using a quantitative treatment limitation prohibited by federal law, the OIG report ignores the fact that a significant percentage of supervision activities are not billable, so an analysis of paid claims will not yield an accurate picture of supervision hours. Additionally, the report implies that services provided on federal holidays did not occur, wholly disregarding the diverse demographics of its Medicaid population and the fact that autism—like other conditions—does not take a holiday. Read the full letter here.