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.

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Terms Used In Illinois Compiled Statutes 410 ILCS 201/32

  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • State: when applied to different parts of the United States, may be construed to include the District of Columbia and the several territories, and the words "United States" may be construed to include the said district and territories. See Illinois Compiled Statutes 5 ILCS 70/1.14