Telehealth and telesupervision for ABA in Delaware

No state license was found.

We could not verify this yet - check with the state licensing board.

We could not verify this yet - check with the state licensing board.

We could not verify this yet - check with the state licensing board.

No general behavior-analyst licensure statute identified. Setting-specific requirements include 16 DE Admin. Code 2102 (autism service providers), Medicaid SPA DE-16-010, and 14 DE Admin. Code 1585 under 14 Del. C. 1220(a) (School Behavior Analyst Standard Certificate).

As of October 21, 2026, Florida Tech's professional-licensure disclosure expressly states that Delaware does not require ABA licensure. Delaware is also absent from the BACB licensure table and DPR's profession list. The Medicaid SPA expressly permits BCBAs as unlicensed professionals without supervision by a licensed practitioner. General licensure absence is rated medium because no direct DPR statement confirming that absence was located. Delaware public-school behavior analysts require the separate Department of Education School Behavior Analyst Standard Certificate, subject to the regulation's exception for educators already licensed and certified in other areas. No general BCBA state-license fee or processing timeline was verified.

We could not verify this yet - check with the state Medicaid agency or licensing board.

ABA telehealth is recognized as a delivery modality in Delaware First Health's CP.BH.104 policy, revised February 2026, which directs providers to applicable state allowances and individualized clinical considerations. DMAP's Practitioner Manual, with revisions through October 5, 2026, covers medically necessary underlying State Plan services through telehealth within provider-policy and scope limits, using the same procedure codes and rates as in-person services. It requires appropriate provider enrollment and qualifications; MCO providers follow their MCO's billing procedures. These sources do not establish a current ABA code-by-code authorization for every BCBA/RBT service. Chapter 60's listed licensing boards do not include a behavior-analyst board.

18 Del. C. 3370 and 3571R prohibit excluding appropriately delivered telemedicine solely because it is remote and require reimbursement on the same basis and at least the in-person rate for covered services. Their applicability provisions include policies issued, renewed or otherwise changed from January 1, 2016. These general insurance provisions do not independently resolve BCBA/RBT eligibility or Medicaid ABA billing.

For providers governed by 24 Del. C. Chapter 60, sections 6003-6004 allow a provider-patient relationship to be established remotely when the required standard of care is met; an initial in-person examination is one permitted route, not the sole route. DMAP requires documented telehealth consent and an opportunity to request an in-person assessment. An ABA-specific mandatory in-person schedule was not verified.

The BACB RBT Handbook, updated June 2026, permits required supervision contacts and observations through live videoconferencing instead of physical presence, subject to applicable law. Telephone/email alone do not satisfy those contacts, and passive video monitoring without real-time interaction or feedback may not count. Delaware's Medicaid SPA incorporates BACB supervision requirements for RBTs. This supports certification-compliant remote supervision, but does not establish separate payer reimbursement for supervision or permission for every technician-delivered telehealth treatment code.