Illinois Autism Insurance Coalition

Resources related to accessing intensive behavioral treatments, such as ABA , for autism, developmental disabilities and mental health disorders for all stakeholders: individuals with ASD/DD/MH and their families, employers, insurance carriers, legislators, providers, government, regulators, advocates and educators.

Navigate Insurance

Understanding the process of using insurance benefits to cover autism treatments

The link below shares the step by step process of navigating through the insurance process including assessment, meeting medical necessity, co-pays and out-of-pocket cost and payment for services.   

Navigating the Insurance Process IL February 2019

An insurance carriers expectation of treatment team structure and supervision

Insurance carriers expect a treatment team structure and supervision of registered behavior technicians to meet the ethical guidelines of providing ABA treatment.

Structure of an ABA Treatment Service Model

February 2019 Update: Clarifications Regarding Applied Behavior Analysis Treatment of Autism Spectrum Disorder: Practice Guidelines for Healthcare Funders and Managers (2nd ed.) 

Applied Behavior Analysis Treatment of Autism Spectrum Disorder: Practice Guidelines for Healthcare Funders and Managers

Glossary of Health Coverage and Medical Terms

Link

New American Medical Association medical billing coding for ABA

Beginning in January 2019, the newly announced AMA CPT codes for Adaptive Behavior Assessment  (applied behavior analysis, ABA) and Treatment Code for insurance reimbursement take effect. Learn More

 

 

 

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