Human Services Committee
Filed: 2/17/2010
 
 

 




 

 		












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AMENDMENT TO HOUSE BILL 5304




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    AMENDMENT NO. ______. Amend House Bill 5304 by replacing 
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everything after the enacting clause with the following:


 
 
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    "Section 5. The Department of Human Services Act is amended  
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by adding Section 1-40 as follows:
 
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    (20 ILCS 1305/1-40 new)
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    Sec. 1-40. Alcoholism and Substance Abuse; Mental Health; 
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system reform.
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    (a) In this Section:
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    "DASA" means the Division of Alcoholism and Substance Abuse 
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within the Department.
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    "DMH" means the Division of Mental Health within the 
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Department.
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    (b) The Department shall implement the following actions no 
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later than July 1, 2011:
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        (1) Adoption by DASA of DMH's practice of licensing an 
 


 






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    agency rather than licensing each service location.
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        (2) Allowance and promotion by DASA of the ability to 
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    provide all clinical services in

   the least restrictive 
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    community setting available rather than at individually 
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    licensed facilities.
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        (3) Consolidation of the following rules in the 
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    Illinois Administrative Code: (i) Title 77, Chapter X, 
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    Subchapter d, Part 2060 ("Alcoholism and Substance Abuse 
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    Treatment and Intervention Licenses") and (ii) Title 59, 
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    Chapter IV, Part 132 ("Medicaid Community Mental Health 
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    Services Program").
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        (4) Use of a single level-of-care placement tool for 
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    both mental health

    and substance abuse services, such as 
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    the Level of Care Utilization System (LOCUS), which was

    
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    designed for both substance abuse and mental health

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    services.
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        (5) Except in the case of Assertive Community Treatment 
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    (ACT), elimination of the requirement that all mental 
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    health clients be re-registered and that the services

    they 
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    receive be re-authorized every 6 months if they have a 
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    diagnosis of

    serious mental illness.
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        (6) Posting on a website of a summary of the weekly DMH 
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    Collaborative phone calls.
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        (7) Development and utilization by DASA and DMH of 
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    uniform staff definitions and credential

    requirements for 
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    the delivery and billing of services.
 


 






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        (8) Elimination of the requirement for client 
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    signatures on assessment and treatment plans to reflect 
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    that  assessment and treatment plans already include the

    
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    client's participation in setting his or her goals.
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        (9) Implementation of a single billing system for both 
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    DMH and DASA services.
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        (10) Elimination of annual payment caps for Medicaid 
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    services in either DASA or DMH contracts with

    providers, in 
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    recognition that Medicaid under federal laws and rules is 
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    an entitlement and

    cannot be limited.
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        (11) Use of post-payment audits only to review whether 
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    the services billed were

    properly documented in the client 
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    record, with elimination of the practice of using such 
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    audits to review individual

    records to determine whether 
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    all licensing requirements were met for individual

    
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    clients, in recognition that organizations are already 
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    licensed and this process is redundant and

    extremely time 
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    consuming.
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        (12) Maximization by the Department of "deemed" status 
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    for organizations that are accredited by

    the Joint 
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    Commission on Accreditation of Healthcare Organizations or 
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    the Commission on Accreditation of Rehabilitation 
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    Facilities and elimination of redundant reviews of the

    
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    standards.
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        (13) Combination or consolidation of separate 
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    administrative licensing functions.
 


 






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        (14) Evaluation of the staffing levels required for 
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    efficient operation of the Department's regional offices 
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    to maximize the amount of funding that is available to 
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    provide community-based services.
 
 
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    Section 99. Effective date. This Act takes effect upon 
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becoming law.".