Picture a neighborhood restaurant where the owner is also the head chef. The food is excellent. The cooler temperature log stopped in March. That is roughly where compliance sits in many small ABA practices. The clinical work may be genuinely good, while the systems that document it have no clear owner. Recent federal Medicaid audits of ABA show why that gap matters. Here is why it forms, why home- and community-based services make it harder, and what right-sized compliance l

The contractor vs. employee question sounds simple — until you're operating in ABA or behavioral health. Once clinical supervision requirements, Medicaid contracts, and state licensing laws enter the picture, generic HR guidance stops being enough. Getting classification wrong in this field doesn't just create a tax headache. It can affect audits, credentialing, licensure, and more. Here's what agencies consistently get wrong — and what actually matters.