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| Public Act 102-0207 | ||||
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AN ACT concerning public aid.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Illinois Public Aid Code is amended by | ||||
changing Section 5-5.25 as follows: | ||||
(305 ILCS 5/5-5.25) | ||||
Sec. 5-5.25. Access to behavioral health, and medical, and | ||||
epilepsy treatment services. | ||||
(a) The General Assembly finds that providing access to | ||||
behavioral health, and medical, and epilepsy treatment | ||||
services in a timely manner will improve the quality of life | ||||
for persons suffering from illness and will contain health | ||||
care costs by avoiding the need for more costly inpatient | ||||
hospitalization. | ||||
(b) The Department of Healthcare and Family Services shall | ||||
reimburse psychiatrists, federally qualified health centers as | ||||
defined in
Section 1905(l)(2)(B) of the federal Social | ||||
Security Act, clinical psychologists, clinical social workers, | ||||
advanced practice registered nurses certified in psychiatric | ||||
and mental health nursing, and mental health professionals and | ||||
clinicians authorized by Illinois law to provide behavioral | ||||
health services to recipients via telehealth. The Department | ||||
shall reimburse epilepsy specialists, as defined by the | ||||
Department by rule, who are authorized by Illinois law to | ||
provide epilepsy treatment services to persons with epilepsy | ||
or related disorders via telehealth. The Department, by rule, | ||
shall establish: (i) criteria for such services to be | ||
reimbursed, including appropriate facilities and equipment to | ||
be used at both sites and requirements for a physician or other | ||
licensed health care professional to be present at the site | ||
where the patient is located; however, the Department shall | ||
not require that a physician or other licensed health care | ||
professional be physically present in the same room as the | ||
patient for the entire time during which the patient is | ||
receiving telehealth services; and (ii) a method to reimburse | ||
providers for mental health services provided by telehealth; | ||
and (iii) a method to reimburse providers for epilepsy | ||
treatment services provided by telehealth.
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(c) The Department shall reimburse any Medicaid certified | ||
eligible facility or provider organization that acts as the | ||
location of the patient at the time a telehealth service is | ||
rendered, including substance abuse centers licensed by the | ||
Department of Human Services' Division of Alcoholism and | ||
Substance Abuse. | ||
(d) On and after July 1, 2012, the Department shall reduce | ||
any rate of reimbursement for services or other payments or | ||
alter any methodologies authorized by this Code to reduce any | ||
rate of reimbursement for services or other payments in | ||
accordance with Section 5-5e. | ||
(Source: P.A. 100-385, eff. 1-1-18; 100-790, eff. 8-10-18; | ||
100-1019, eff. 1-1-19; 101-81, eff. 7-12-19.) | ||
Section 99. Effective date. This Act takes effect upon | ||
becoming law.
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