Practice requirements for ABA providers in Delaware
Last researched October 21, 2026
The internal processes a practice in Delaware has to run before and after a technician starts. A practice, not MeetAllo, remains responsible for compliance.
Requirements for practices
- Facility or agency license
We could not verify this yet - check with the state health or licensing department.
- Background checks
For technicians under 2102 section 3.3.2: proof of passing federal/state criminal background checks and child/adult abuse registry checks. The provision does not specify a fingerprinting method.
- Staff training
Under 2102 section 3.3.2: high-school diploma/GED; annual CPR certification; annual child-abuse-reporting acknowledgment; HIPAA acknowledgment; ASD and ABA courses meeting specified provider criteria; supervisor-verified competency training; then at least 10 hours of observed competency training/direct service before one-on-one service. BCaBA certification satisfies section 3.3.2.7's competency-training requirement.
- Other requirements
The 2102 publication history cites 16 DE Reg. 1170 (May 1, 2013). Separately, the Division of Revenue requires a business license when conducting business in Delaware; additional local and activity-specific requirements may apply. A general business license does not establish that an ABA facility has all required approvals. This record provides general information, not legal advice.
Medicaid supervision and enrollment
- Provider enrollment
- https://medicaid.dhss.delaware.gov/provider
- Supervision requirements
The SPA requires BCaBAs to work under a BCBA and RBTs under a BCBA or BCaBA, following BACB supervision requirements. The BACB RBT Handbook, updated June 2026, requires supervision for at least 5% of monthly behavior-analytic service hours, at least two real-time face-to-face contacts monthly, observation of service delivery during at least one contact, and at least one individual supervision session.
Sources (5)
- CMS: Delaware SPA DE-16-010, approved January 12, 2017; effective October 1, 2016
- DMMA final order: Behavioral Interventions to Treat Autism Spectrum Disorder, October 2016
- DHSS: Diamond State Health Plan and contracted MCOs
- Delaware First Health: 21st Century Cures Act Reminders, October 21, 2024
- BACB RBT Handbook, updated June 2026
National baseline for onboarding a technician
Items below are supported by BACB or regulator sources. Your state may add more.
- Verify RBT status on the BACB Certificant Registry (status, expiration, listed supervisor; red text means may not practice) or via portal verification report / $25 written verification.
- Ensure a qualified BCBA/BCaBA supervisor (with completed supervisor training 2.0) or RBT Requirements Coordinator lists the RBT as supervisee in their BACB portal before the RBT provides services as an RBT.
- Assign a supervisor/Coordinator for every client the RBT serves; no relation, employer-superior or multiple relationship with the RBT.
- Plan supervision: 5% of monthly service hours, at least two real-time contacts per month, one individual, one observation of services; document dates, durations, format, observations; retain 7 years.
- Criminal background check and abuse registry check comparable to those for home health aides/child care/teachers, within 180 days before the application is paid; fingerprinting may be required by state or organization.
- For applicants: have a BCBA/BCaBA Responsible Assessor (with 8-hour supervision training, same organization as applicant and clients, not related/subordinate/employed by the applicant at the time of assessment) complete the ICA after the 40-hour training; keep assessment records 7 years.
- Attesting Certificant for the application attestation must not be related to, subordinate to, or employed by the applicant.
- Correct worker classification (employee vs contractor) for RBTs; BACB may ask for a tax professional's written opinion in an ethics matter.
- For TRICARE ACD enrollment: RBT/ABAT/BCAT or state certification, current BLS/CPR, authorized ABA supervisor named, 10-year federal/state/county criminal and sex-offender history check.
- For Medicaid/commercial payers: confirm state Medicaid or payer definition of technician qualifications, enrollment and credentialing before billing (state-specific).
Verify any certified technician on the BACB certificant registry.
Related guides for Delaware
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