Based on the Arkansas Medicaid RA (Remittance Advice) announcement effective July 1, 2025, procedure code 96112 with modifier U6 was added to the Medicaid fee schedule for Comprehensive Autism Evaluations in the EIDT setting.

Regarding speech therapists specifically:
– SLPs are among the qualified professionals who may administer components of a Comprehensive Autism Evaluation (such as the CARS, ADOS, or similar tools within their scope of practice).
– The RA announcement specifies which provider types are eligible to bill 96112 U6 — providers should review the full RA language for the exact list of covered practitioner types.
– A physician’s order/prescription is required, and prior authorization from the client’s PASSE is likely required before performing the evaluation.

Providers with additional questions about this code were encouraged to contact their PASSE and the DHS Provider Assistance Center for clarification on documentation and billing requirements.