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| Public Act 102-1091 | ||||
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AN ACT concerning health.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Autism Spectrum Disorders Reporting Act is | ||||
amended by adding Sections 32 and 33 as follows: | ||||
(410 ILCS 201/32 new) | ||||
Sec. 32. Reporting; access to applied behavior analysis. | ||||
By no later than December 31 of each year the Department of | ||||
Healthcare and Family Services (HFS) shall submit a report, | ||||
covering the State fiscal year immediately preceding that | ||||
date, to the General Assembly regarding access to applied | ||||
behavior analysis therapy for persons diagnosed with autism | ||||
spectrum disorder. The report shall include, but is not | ||||
limited to, the following information: | ||||
(1) The number of providers enrolled in the Illinois | ||||
Medical Assistance Program certified to provide applied | ||||
behavioral analysis therapy services in the Department of | ||||
Healthcare and Family Services' fee-for-service or managed | ||||
care service delivery system, in accordance with | ||||
administrative rule and Department of Healthcare and | ||||
Family Services policy. | ||||
(2) The number of HFS-enrolled children in Illinois | ||||
with an autism spectrum disorder diagnosis receiving | ||||
applied behavior analysis therapy services pursuant to the | ||
Department of Healthcare and Family Services' | ||
fee-for-service or managed care service delivery system. | ||
(3) Subject to data availability, the number of | ||
HFS-enrolled children with an autism spectrum disorder | ||
diagnosis for whom applied behavioral analysis therapy | ||
services have been recommended or requested, but who are | ||
not receiving applied behavioral analysis therapy | ||
services. | ||
(4) Subject to data availability for HFS-enrolled | ||
children in Illinois with an autism spectrum disorder | ||
diagnosis, the number of prior authorization service | ||
denials for applied behavioral analysis therapy services | ||
and the number of appeals resulting from those denials for | ||
applied behavioral analysis therapy services. | ||
(5) Recommendations on improving applied behavioral | ||
analysis therapy provider network adequacy and enrollee | ||
access. | ||
(410 ILCS 201/33 new) | ||
Sec. 33. Education and outreach materials; autism spectrum | ||
disorder. The Department shall develop and distribute | ||
education and outreach materials, developed to address common | ||
literacy levels, that will inform and educate parents of | ||
children with autism spectrum disorder who are enrolled in | ||
Medicaid and eligible to receive relevant services and explain | ||
how to access those services.
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