96TH GENERAL ASSEMBLY
State of Illinois
2009 and 2010
HB5156


 
Introduced 1/29/2010, by Rep. Naomi D. Jakobsson
 
SYNOPSIS AS INTRODUCED:
 		





 







305 ILCS 5/5-27 new






405 ILCS 30/4.8 new











     Amends the Community Services Act and the Medical Assistance Article of the Illinois Public Aid Code. Provides that after the effective date of this amendatory Act, community Medicaid mental health services provided by community-based providers shall no longer be included in contracts with the Department of Human Services;  instead, community Medicaid mental health services provided by a community-based provider must be billed directly to the Department of Healthcare and Family Services and must be separate from contracts between the Department of Human Services and community-based providers for all other mental health services.  Further provides that rates of reimbursement for community Medicaid mental health services shall be consistent with rates outlined  in specified provisions of the Illinois Administrative Code. Effective July 1, 2011.
  















LRB096 16813 KTG 32120 b

















FISCAL NOTE ACT MAY APPLY
















 


 


A BILL FOR









 




  






HB5156

LRB096 16813 KTG 32120 b





  
1
    AN ACT concerning public aid.
  
 
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    Be it enacted by the People of the State of Illinois,
 
3
represented in the General Assembly:
  
 
 
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    Section 5. The Illinois Public Aid Code is amended  by 
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adding Section 5-27 as follows:
 
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    (305 ILCS 5/5-27 new)
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    Sec. 5-27. Payments for community Medicaid mental health 
8
services.
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    (a) After the effective date of this amendatory Act of the 
10
96th General Assembly, community Medicaid mental health 
11
services provided by community-based providers shall no longer 
12
be included in contracts with the Department of Human Services.  
13
Instead, community Medicaid mental health services provided by 
14
a community-based provider must be billed directly to the 
15
Department of Healthcare and Family Services and must be 
16
separate from contracts between the Department of Human 
17
Services and community-based providers for all other mental 
18
health services.  Rates of reimbursement for community Medicaid 
19
mental health services shall be consistent with rates outlined 
20
in Section 132 of Title 59 of the Illinois Administrative Code.
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    (b) For purposes of this Section:
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    "Community Medicaid mental health services" means all 
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mental health services outlined in Section 132 of Title 59 of 
 


 






HB5156
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1
the Illinois Administrative Code that are Medicaid funded and 
2
provided by a community-based provider.
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    "Community-based provider" means an entity enrolled as a 
4
provider pursuant to Sections 140.11 and 140.12 of Title 89 of 
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the Illinois Administrative Code and certified to provide 
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community Medicaid mental health services in accordance with 
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Section 132 of Title 59 of the Illinois Administrative Code.
 
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    Section 10. The Community Services Act is amended by adding 
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Section 4.8 as follows:
 
10
    (405 ILCS 30/4.8 new)
11
    Sec. 4.8. Payments for community Medicaid mental health 
12
services.
13
    (a) After the effective date of this amendatory Act of the 
14
96th General Assembly, community Medicaid mental health 
15
services provided by community-based providers shall no longer 
16
be included in contracts with the Department of Human Services.  
17
Instead, community Medicaid mental health services provided by 
18
a community-based provider must be billed directly to the 
19
Department of Healthcare and Family Services and must be 
20
separate from contracts between the Department of Human 
21
Services and community-based providers for all other mental 
22
health services.  Rates of reimbursement for community Medicaid 
23
mental health services shall be consistent with rates outlined 
24
in Section 132 of Title 59 of the Illinois Administrative Code.
 


 






HB5156
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LRB096 16813 KTG 32120 b




1
    (b) For purposes of this Section:
2
    "Community Medicaid mental health services" means all 
3
mental health services outlined in Section 132 of Title 59 of 
4
the Illinois Administrative Code that are Medicaid funded and 
5
provided by a community-based provider.
6
    "Community-based provider" means an entity enrolled as a 
7
provider pursuant to Sections 140.11 and 140.12 of Title 89 of 
8
the Illinois Administrative Code and certified to provide 
9
community Medicaid mental health services in accordance with 
10
Section 132 of Title 59 of the Illinois Administrative Code.
 
 
11
    Section 99. Effective date. This Act takes effect July 1, 
12
2011.