How to Start An ABA Practice in Oregon (2026): License, Medicaid Enrollment & Rates

Licensing

Oregon aba provider license

Oregon requires a Licensed Behavior Analyst; Licensed Assistant Behavior Analyst; Registered Behavior Analysis Interventionist from Oregon Behavior Analysis Regulatory Board, within the Oregon Health Authority Health Licensing Office to operate an ABA practice. Fee: $350.

License required: Yes
License: Licensed Behavior Analyst; Licensed Assistant Behavior Analyst; Registered Behavior Analysis Interventionist
Issuing agency: Oregon Behavior Analysis Regulatory Board, within the Oregon Health Authority Health Licensing Office
Fee: $350
Fee details: Application + original license (one year): behavior analyst $150 + $200 = $350; assistant $125 + $175 = $300; interventionist $75 + $100 = $175 (OAR 824-020-0040).
Renewal: Every year · Annual renewal: behavior analyst $200, assistant $175, interventionist $100. Late renewal $50.
Professional license: board: Behavior Analysis Regulatory Board (Health Licensing Office); statute: ORS 676.802–676.830; OAR chapter 824; behavior analyst: Only people licensed under ORS 676.810 or registered under 676.815 may practice ABA and use the protected titles.; assistant behavior analyst: Separate assistant license under ORS 676.810.; technician: Yes. Oregon has a state technician requirement: frontline technicians must register as Behavior Analysis Interventionists under ORS 676.815, with age, education, 40-hour training, fingerprint check, supervision and annual renewal.
Regulation: ORS 676.802–676.830; OAR 824-020-0040 (fees)

How to apply

Steps to get licensed in Oregon

In order, as the licensing agency describes the process.

Apply to the Health Licensing Office for the right credential with the application fee
Behavior analysts and assistants: meet board licensure criteria under ORS 676.810 (BACB-based)
Interventionists: be 18+, have a high school diploma or equivalent, complete at least 40 hours of approved ABA training, pass a fingerprint-based state and national criminal records check, and receive ongoing supervision
Pay the original license or registration fee
Renew every year

Documents

What you need to submit

3 documents listed by the licensing agency.

Document
HLO application
Fingerprint-based criminal records check (interventionists)
Proof of 40-hour ABA training (interventionists)

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Staffing

Staffing and training requirements

Staffing: Registered interventionists need ongoing training and supervision by a licensed behavior analyst, a licensed assistant, or another licensed health care professional

Medicaid

Enrolling as a Oregon Medicaid provider

Program: Oregon Health Plan (OHP), Oregon Health Authority (OHA)
Enrollment portal: Oregon MMIS Provider Portal (or-medicaid.gov)
Application fee: Under the federal rule (42 CFR 455.460), institutional providers pay the CMS application fee when they first enroll, re-enroll or revalidate. The fee is $750 for calendar year 2026. Individual physicians and non-physician practitioners do not pay it. A fee already paid to Medicare or to another state's Medicaid program counts. OHA's enrollment page does not list a separate state fee.
Fingerprinting: Under federal rules (42 CFR 455.434 and 455.450), the state places provider types in 'limited', 'moderate' or 'high' risk levels. High-risk providers, and anyone who owns 5% or more of one, must submit fingerprints for a criminal background check. The OHA enrollment and revalidation pages do not describe a separate state fingerprint process.
Site visit: Under federal rule (42 CFR 455.432), the state must visit moderate- and high-risk providers before and after enrollment. Every enrolled provider must allow unannounced on-site inspections. The OHA enrollment and revalidation pages do not describe a separate state site visit process.
Revalidation: OHA rescreens every actively enrolled provider at least once every 5 years. It mails a notice to the provider's mail-to address. The provider returns the listed forms (for organizations OHA 3972, 3974 and 3975; for payable individuals OHA 3972 and 3975; for other individuals OHP 3113 and OHA 3975) by the due date, ideally online through the MMIS Provider Portal. If the forms are not returned, participation can end under OAR 410-120-1260. A revalidation received within 30 days after inactivation is treated as a revalidation; after that it is treated as a re-enrollment.

Full Oregon Medicaid enrollment guide →

Certificate of need

Does Oregon require a certificate of need?

CON program: Yes
Program: Certificate of Need
Agency: Oregon Health Authority, Public Health Division (Certificate of Need Program)
Services covered: new hospitals
new skilled nursing or intermediate care services or facilities (long-term care), including rebuilds and bed relocations through expedited review

Oregon certificate of need details →

Labor

Oregon wage floor

State minimum wage: $15.55 an hour
Effective: 2026-07-01
Scheduled increases: Adjusted each July 1 by CPI (US DOL); the July 2027 rates were not yet published in the sources reviewed.
Direct-care wage floor: Homecare and personal support workers paid through ODHS earn a base rate set by collective bargaining: $21.25/hour at step 1 for 2026, plus add-ons (CPR/first aid, enhanced and exceptional pay).
HCBS 80/20 rule: Federal baseline: 42 CFR 441.302(k) requires the state to show that each provider spends at least 80% of Medicaid payments for homemaker, home health aide and personal care services under 1915(c) waivers on direct care worker pay and benefits. Compliance starts 2030-07-09 (for managed care, the first rating period starting on or after that date); annual payment-adequacy reporting under 441.311(e) starts 2028-07-09. A state may set a lower share for state-defined small providers and exempt providers facing hardship, each only through a public notice-and-comment process. The eCFR text has not changed since 2024-07-09. No state-published 80/20 implementation step (small-provider criteria, hardship exemption or reporting guidance) was found for this state in the official sources reviewed.

Market

Oregon market size

Counts from federal public files: NPPES (active organization NPIs), CMS Care Compare and CMS Medicaid enrollment.

Applied behavior analysis organizations — active organization NPIs (NPPES): 108 (as of Sep 13, 2026)
Total Medicaid and CHIP enrollment (latest reported month): 1,264,858 (as of Jun 1, 2026)

Rates

What Oregon Medicaid pays

Applied behavior analysis (ABA): published Oregon fee-for-service rates, each linked to its source.

Service	Code	Oregon rate	Per hour	Rank
One-on-one ABA therapy by a technicianBehavior technician	97153	$14.70per 15 min	$58.80	27 of 42
ABA therapy with plan changes by an analystBehavior analyst	97155	$32.07per 15 min	$128.28	12 of 41
ABA assessment by a behavior analystBehavior analyst	97151	$20.85per 15 min	$83.40	35 of 41
ABA assessment support by a technicianBehavior technician	97152	$19.81per 15 min	$79.24	14 of 29
ABA parent and caregiver trainingBehavior analyst	97156	$32.07per 15 min	$128.28	7 of 43

All Oregon ABA Medicaid rates, ranked →

Waivers

Oregon HCBS waivers

Medicaid home and community-based services programs that may pay for this service.

OR Adults' HCBS Waiver (1915(c))
OR Aged and Physically Disabled Waiver (1915(c))
OR Behavioral (ICF/IDD) Model Waiver (1915(c))
OR Children's Extraordinary Needs Waiver (1915(c))
OR Children's HCBS Waiver (1915(c))
OR Medically Fragile (Hospital) Model Waiver (1915(c))
OR Medically Involved Children's Waiver (MICW) (1915(c))
Oregon Project Independence - Medicaid (1115)

Oregon waivers and waiting lists →

FAQ

Frequently asked questions

Do you need a license to start an ABA practice in Oregon?

Oregon requires a Licensed Behavior Analyst; Licensed Assistant Behavior Analyst; Registered Behavior Analysis Interventionist from Oregon Behavior Analysis Regulatory Board, within the Oregon Health Authority Health Licensing Office to operate an ABA practice. Fee: $350.

How much does an ABA practice license cost in Oregon?

$350 Renewal: Every year · Annual renewal: behavior analyst $200, assistant $175, interventionist $100. Late renewal $50..

Does Oregon require a certificate of need for an ABA practice?

Oregon has a certificate of need program covering: new hospitals, new skilled nursing or intermediate care services or facilities (long-term care), including rebuilds and bed relocations through expedited review. Check whether your service is on that list.

How do you become a Medicaid provider in Oregon?

Enroll through Oregon MMIS Provider Portal (or-medicaid.gov) (https://www.or-medicaid.gov/).

What does Oregon Medicaid pay a ABA practice?

Oregon Medicaid pays $14.70 per 15 min for one-on-one aba therapy by a technician, effective Jul 1, 2024, ranking 27 of 42 states.

How to start an ABA practice in Oregon