Sen. Sara Feigenholtz
Filed: 2/18/2022
 
 

 

 

 
10200SB3438sam001LRB102 22893 KTG 36614 a



1
AMENDMENT TO SENATE BILL 3438 




2    AMENDMENT NO. ______. Amend Senate Bill 3438 by replacing 
3everything after the enacting clause with the following:

 
4    "Section 5. The Illinois Public Aid Code is amended  by 
5adding Section 5-45 as follows:
 
6    (305 ILCS 5/5-45 new)
7    Sec. 5-45. Making the Integrated Assessment and Treatment 
8Plan process a success. To support the intention that the 
9Integrated Assessment and Treatment Plan process, using the 
10Department's standardized assessment and treatment planning 
11tool, is to engage in motivational interviewing and client 
12engagement with an individual to gather the critical, relevant 
13information to develop a comprehensive treatment plan for 
14Medicaid Rehabilitation Option services covered under 89 Ill. 
15Adm. Code 140.435 and 140.TABLE N:
16        (1) Within one month after the effective date of this 
 
 
10200SB3438sam001- 2 -LRB102 22893 KTG 36614 a

1    amendatory Act of the 102nd General Assembly, the 
2    Department shall communicate to community mental health 
3    providers through the appropriate written public 
4    communication that the assessment and treatment planning 
5    tool is intended to support clinical interviewing and 
6    client engagement for gathering information relevant to 
7    establishing clinically appropriate treatment 
8    recommendations for Medicaid Rehabilitation Option 
9    services, rather than being a checklist, and that 
10    information not relevant to the client's treatment plan 
11    does not need to be documented through the assessment and 
12    treatment planning tool.  The Department shall include in 
13    this communication guidance regarding the appropriate 
14    methods to document medical necessity for Medicaid 
15    Rehabilitation Option services included in 89 Ill. Adm. 
16    Code 140.435 and 140.TABLE N.
17        (2) To allow sufficient time to develop a treatment 
18    relationship, and to foster client engagement in the 
19    development of a comprehensive assessment and treatment 
20    plan for Medicaid Rehabilitation Option services, the 
21    Integrated Assessment and Treatment Plan process for such 
22    services shall remain open for 90 days, during which time 
23    individuals shall be eligible to receive Medicaid 
24    Rehabilitation Option services for which medical necessity 
25    is documented and providers shall be reimbursed for such 
26    services.
 
 
10200SB3438sam001- 3 -LRB102 22893 KTG 36614 a

1        (3) If an individual completes or terminates Medicaid 
2    Rehabilitation Option services within 90 days from the 
3    date of the person's first meeting with the provider, no 
4    further assessment or treatment planning documentation 
5    shall be required.
6        (4) The Department shall offer integrated assessment 
7    and treatment plan training on clinical interviewing and 
8    client engagement to ensure that staff understand best 
9    practices for engaging clients in a therapeutic process 
10    and gathering information needed to establish clinically 
11    appropriate treatment recommendations for Medicaid 
12    Rehabilitation Option services.
13    This Section does not apply to services established in 
14accordance with a consent decree for children's behavioral 
15health services covered by the medical assistance program.
16    If any administrative rule change or federal approval is 
17required to implement this Section, the Department shall file 
18any necessary administrative rule change or seek federal 
19approval within one month after the effective date of this 
20amendatory Act of the 102nd General Assembly.
 

21    Section 99. Effective date. This Act takes effect upon 
22becoming law.".