Telehealth and telesupervision for ABA in Illinois

Yes.

We could not verify this yet - check with Illinois Department of Financial and Professional Regulation (IDFPR), per BACB.

Illinois Department of Financial and Professional Regulation (IDFPR), per BACB

We could not verify this yet - check with Illinois Department of Financial and Professional Regulation (IDFPR), per BACB.

We could not verify this yet - check with Illinois Department of Financial and Professional Regulation (IDFPR), per BACB.

BACB's U.S. licensure table lists Illinois as having enacted behavior analyst licensure in 2022, regulated by IDFPR. The act citation, license titles, fees, implementation status and any exemptions were not verified from an official IDFPR/ILGA page.

Yes, per the sources below.

As of 2026-10-21, the HFS ABS fee schedule updated 05/14/2026 identifies telehealth modifiers GT or 93 for CPT 97151 (assessment), 97155 (protocol modification), 97156 (family guidance), and 97157 (multiple-family guidance). Its footnote requires the applicable modifier and place of service 02 or 10 on the claim line for allowable remote services. These codes have Level 1 provider rates, including HFS-enrolled BCBAs; they do not have Level 2 technician rates. Technician treatment codes 97153 and 97154 are not marked for telehealth, so this schedule does not establish coverage for remote technician-delivered treatment. Medical necessity and applicable prior authorization remain required; listing a code does not guarantee payment. Separately, 89 Ill. Adm. Code 140.465(c)(2)(B), effective 12/27/2023, requires RBT credentials for technicians delivering comprehensive or focused Medicaid ABA. Commercial ABA telehealth code eligibility and technician credential requirements were not verified plan by plan.

215 ILCS 5/356z.22. IDOI's telehealth FAQ identifies P.A. 102-0104 as effective 07/22/2021 and explains that covered plans must provide telehealth coverage, cannot require prior in-person contact or proof of an access barrier, and cannot impose greater cost sharing than for the same service in person. IDOI states that the mandate applies to fully insured individual and group medical coverage; self-funded private-employer plans and federal governmental plans are exempt. This verifies general coverage and cost-sharing protections, not plan-specific ABA reimbursement rates.

Illinois Medicaid's ABS rule, 89 Ill. Adm. Code 140.465(b)(3), effective 12/27/2023, requires monthly clinical supervision totaling at least 5% of technician service time, including at least two real-time, face-to-face contacts. The adopted rule does not expressly specify whether video satisfies those contacts. Separately, the BACB RBT Handbook updated 06/2026 permits webcam or videoconference supervision instead of physical presence, subject to applicable law. BACB requires at least two real-time, face-to-face contacts monthly, observation of service delivery during at least one meeting, and at least one individual meeting; telephone or email supervision does not qualify. BACB permission does not by itself establish Illinois Medicaid acceptance or reimbursement.

We could not verify this yet - check with the state Medicaid agency or licensing board.