# 89 Ill. Adm. Code 140.465: Section 140.465 Adaptive Behavior Support Services

> Illinois · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P140_S140_465

## Section

- **Citation:** 89 Ill. Adm. Code 140.465
- **Heading:** Section 140.465 Adaptive Behavior Support Services
- **Jurisdiction:** Illinois
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Illinois Administrative Code / Title 89 SOCIAL SERVICES / CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES / Part 140 MEDICAL PAYMENT / Section 140.465 Adaptive Behavior Support Services

## Text

Section 140
Section 140.465  Adaptive
Behavior Support Services
a)         Payment
for Adaptive Behavior Support (ABS) Services.
1)         Payment
for ABS services shall be made to providers enrolled in the Illinois Medical
Assistance Program as:
A)        A
Behavioral Health Clinic (BHC), pursuant to Section 140.499; or
B)        An
independently enrolled ABS Clinician, as defined in subsection (b)(1).
2)         Independently
enrolled ABS Clinicians may bill only for services the ABS Clinician personally
provides or that are provided, under the ABS Clinician's supervision, by an ABS
Technician with whom the ABS Clinician has an established employment,
contractual, or similar relationship.
3)         The
services detailed in subsection (c) will be eligible for reimbursement pursuant
to the Department's published fee schedule when the services are:
A)        Recommended
by a licensed physician or a licensed clinical psychologist operating within
their scope of practice;
B)        Provided
to an individual under the age of 21 with a diagnosis of autism spectrum disorder
(ASD), as indicated by a comprehensive diagnostic evaluation, to prevent
disease, disability, and other health conditions or their progression, to
prolong life, and to promote physical and mental health and efficiency in
accordance with 42 CFR 440.130(c);
C)        Delivered
in an office, home, or community setting inclusive of school-based settings.
The Department reserves the right to conduct annual on-site reviews of the
locations in which ABS services are delivered;
D)        Provided
consistent with all requirements of this Section and any service limitations,
utilization controls, and prior authorization requirements (Section 140.40) established
by the Department; and
E)        Provided
for the direct benefit of the individual, which may include collaboration with,
or training of, the primary caregivers of the eligible individual.
b)         ABS
Professional Qualifications
nsistent with all requirements of this Section and any service limitations,
utilization controls, and prior authorization requirements (Section 140.40) established
by the Department; and
E)        Provided
for the direct benefit of the individual, which may include collaboration with,
or training of, the primary caregivers of the eligible individual.
b)         ABS
Professional Qualifications. ABS services may only be delivered by those
qualified professionals defined under this Section and enrolled for participation
in the Illinois Medical Assistance Program.  Qualified professionals may only
provide ABS services within their scope of practice, as defined by federal or
state law, regulation, or policy.
1)         ABS
Clinician.  An ABS Clinician is defined as an individual providing professional
services and enrolled independently or providing services as an employee of a
BHC and who meets any of the following qualifications:
A)        A Licensed Clinical
Psychologist (LCP); or
B)        A
Board Certified Behavior Analyst (BCBA) or Board Certified Behavior Analyst
Doctoral (BCBA-D), certified and in good standing with the Behavior Analyst
Certification Board (BACB); or
C)        A
Board Certified Assistant Behavior Analyst (BCaBA), certified and in good
standing with the BACB, delivering services under the supervision of an LCP, a BCBA,
or a BCBA-D; or
D)        Any of
the following practitioners licensed within the state of practice and who have
advanced training in developmental interventions from a Department-approved
training entity, as detailed in the applicable Department-issued provider
handbook:
i)          A
Licensed Clinical Social Worker (LCSW);
ii)         A
Licensed Clinical Professional Counselor (LCPC);
iii)        A
Licensed Marriage and Family Therapist (LMFT);
iv)        A
licensed Occupational Therapist; or
v)         A
licensed Speech-Language Pathologist.
2)         ABS
Technician
oved
training entity, as detailed in the applicable Department-issued provider
handbook:
i)          A
Licensed Clinical Social Worker (LCSW);
ii)         A
Licensed Clinical Professional Counselor (LCPC);
iii)        A
Licensed Marriage and Family Therapist (LMFT);
iv)        A
licensed Occupational Therapist; or
v)         A
licensed Speech-Language Pathologist.
2)         ABS
Technician.  An ABS Technician is defined as an individual meeting the
following qualifications, delivering services under the supervision of an
independently enrolled ABS Clinician or an ABS Clinician providing services as
an employee of a BHC:
A)        A
Registered Behavior Technician (RBT), certified and in good standing with the
Behavior Analyst Certification Board; or
B)        An
individual who is 18 years of age or older, has a high school diploma or GED,
and has received technical training in developmental interventions from a
Department-approved training entity as detailed in the applicable
Department-issued provider handbook.
3)         ABS
Technicians must receive clinical supervision from an ABS Clinician in an
amount minimally equivalent to 5% of the ABS Technician's time spent delivering
ABS services per month.
A)        Clinical
supervision by the ABS Clinician must include, at a minimum, two face-to-face,
real-time contacts per month.
B)        ABS
Technicians credentialed as an RBT must receive their clinical supervision from
an ABS Clinician credentialed as an LCP, BCBA, a BCBA-D, or a BCaBA.
C)        ABS
Technicians not credentialed as an RBT who meet the qualifications of subsection
r month.
A)        Clinical
supervision by the ABS Clinician must include, at a minimum, two face-to-face,
real-time contacts per month.
B)        ABS
Technicians credentialed as an RBT must receive their clinical supervision from
an ABS Clinician credentialed as an LCP, BCBA, a BCBA-D, or a BCaBA.
C)        ABS
Technicians not credentialed as an RBT who meet the qualifications of subsection
(b)(2)(B) must receive their clinical supervision from an LCP or from an ABS
Clinician credentialed as described in subsection (b)(1)(D).
c)         Covered
ABS Services.  The following services are established as qualified ABS services
when rendered by an ABS Clinician or ABS Technician:
1)         Behavior
Assessment and Treatment Planning (BATP). BATP is the formal process of
assessing an individual's current maladaptive or disruptive behaviors,
functional skills, skill deficits, skill acquisition and maintenance of skills,
and developing or updating individualized treatment goals, objectives and
service recommendations based upon the assessment findings.  Additional BATP
functions include: administering, scoring, and interpreting the assessments;
interviews with the individual's parents or guardians; non-face-to-face
analysis of treatment history; and discussing findings and recommendations with
the individual and their parent or guardian, as appropriate.
A)        The
BATP must:
i)          Be
completed prior to the initiation of Behavior Analysis Intervention (BAI)
services and reviewed and updated, as necessary, once every 180 days thereafter;
ii)         Be
reviewed, approved, and signed by an ABS Clinician; and
iii)        Be
signed by, and a copy provided to, the individual and the individual's parent
or guardian, as appropriate, upon completion or revision.
B)        BATP
services may be subject to prior authorization, pursuant to Section 140.40.
2)         Behavior
Analysis Intervention (BAI)
y, once every 180 days thereafter;
ii)         Be
reviewed, approved, and signed by an ABS Clinician; and
iii)        Be
signed by, and a copy provided to, the individual and the individual's parent
or guardian, as appropriate, upon completion or revision.
B)        BATP
services may be subject to prior authorization, pursuant to Section 140.40.
2)         Behavior
Analysis Intervention (BAI). BAI services consist of evidence-based
interventions identified on the individual's BATP that use behavioral stimuli
and consequences to produce socially significant improvement in behavior.  BAI
services include: direct observation, measurement, and functional analysis of
the relationships between environment and behavior; and, parent/caregiver
coaching and training for the immediate and direct clinical benefit of the
individual.
A)        BAI
services must be delivered consistent with evidence-based practice guidelines
using one of the following HFS-recognized treatment modalities:
i)          Comprehensive
Applied Behavior Analysis (ABA).  Comprehensive ABA addresses developmental
gains in individuals exhibiting adaptive living skill deficits, impairments in
social skill or communication skill acquisition, or severe behaviors (harm to
self, others, or property).  This service is generally targeted towards
individuals aged six years and younger; however, a request for this service
cannot be denied based on this age recommendation alone;
ii)         Focused
ABA. Focused ABA functions as an adjunct service supporting the delivery of a
broad array of therapeutic support services, generally providing targeted
intervention to a limited number of key functional skills or challenging
behaviors; or,
iii)        Developmental
intervention.
B)        BAI
services delivered using the Comprehensive or Focused ABA modality must be
rendered by ABS Clinicians credentialed as an LCP, BCBA, or a BCaBA, or by ABS
Technicians credentialed as an RBT
y of therapeutic support services, generally providing targeted
intervention to a limited number of key functional skills or challenging
behaviors; or,
iii)        Developmental
intervention.
B)        BAI
services delivered using the Comprehensive or Focused ABA modality must be
rendered by ABS Clinicians credentialed as an LCP, BCBA, or a BCaBA, or by ABS
Technicians credentialed as an RBT.
C)        BAI
services may be subject to prior authorization, pursuant to Section 140.40.
3)         The
following functions or activities are not covered services under this Section:
A)        Comprehensive
diagnostic evaluation (CDE) services;
B)        Any
activities that include Restraint or Seclusion as defined in 405 ILCS 5/1-125
and 405 ILCS 5/1-126;
C)        Traditional
psychological, psychiatric, and mental health assessment, such as psychological
testing, personality assessment, intellectual assessment, and
neuropsychological assessment;
D)        Traditional
and atypical clinical interventions for behavioral health needs, such as:
psychotherapy, cognitive therapy, sex therapy, psychoanalysis, hypnotherapy,
family therapy, and counseling;
E)        Activities
that are solely educational in nature or for educational purposes;
F)         Activities
that are solely vocational or recreational in nature; and
G)        Educational
services provided under an individualized family service plan (IFSP) or an
individualized educational program (IEP), as required under the federal
Individuals with Disabilities Education Act (20 U.S.C. 1400 et seq.).

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P140_S140_465. Check the current official text before relying on it. Not legal advice.