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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
(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
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(410 ILCS 201/33 new)
Education and outreach materials; autism spectrum
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.