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MedicaidReimbursementMedium impact

Adaptive Behavior Support (ABS) Service Rate Update Effective January 15, 2022

Illinois Medicaid - HFS·IL · Psychiatry, Pediatrics·Provider Notice
Effective date
Jan 15, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Adaptive Behavior Support (ABS) service reimbursement rates for Registered Behavior Technician (RBT) services increased to $13.00 per ¼ hour unit effective January 15, 2022. This rate increase applies to both Medicaid fee-for-service and HealthChoice Illinois managed care plans.

Action Required

Action needed
Immediately: Billing team must update system to reflect new RBT service rate of $13.00 per ¼ hour unit for all Adaptive Behavior Support services. Verify updated ABS Fee Schedule on Department's Medicaid Reimbursements webpage. Contact billing consultant at 877-782-5565 with questions.