The Trump administration wants state Medicaid programs to implement guardrails for autism therapy providers amid concerns about skyrocketing costs and questionable practices in the field. Advertisement - Continue Reading BelowCMS issued the toolkit in response to soaring Medicaid and Children’s Health Insurance Program spending on ABA services. Meanwhile, a series of government audits found nearly $200 million in improper Medicaid payments for ABA services across four states — Indiana, Colorado, Wisconsin and Maine. “This toolkit gives states practical tools that may be used to identify bad actors, protect families and hold providers accountable.” Likewise, Lori Unumb, CEO of the Council of Autism Service Providers, said that treatment decisions should be made between parents and providers.