HB5304ham002 96TH GENERAL ASSEMBLY

Rep. David R. Leitch

Filed: 3/16/2010

09600HB5304ham002 LRB096 19103 DRJ 39024 a

AMENDMENT TO HOUSE BILL 5304

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

"Section 5. The Department of Human Services Act is amended by adding Section 1-40 as follows:

(20 ILCS 1305/1-40 new)

Sec. 1-40. Alcoholism and Substance Abuse; Mental Health; implementation plan.

(a) In this Section:

"DASA" means the Division of Alcoholism and Substance Abuse within the Department.

"DMH" means the Division of Mental Health within the Department.

(b) The Department shall develop a plan by July 1, 2011, for implementing the following actions. All of the following actions shall be implemented by January 1, 2012:

(1) Adoption by DASA of DMH's practice of licensing an agency for outpatient level I and level II.1 services rather than licensing each service location.

(2) Allowance and promotion by DASA of the ability to provide all outpatient level I and level II.1 clinical services in the least restrictive community setting available rather than at individually licensed facilities.

(3) Use of either American Society of Addiction Medicine (ASAM) Patient Placement Criteria or the Level of Care Utilization System (LOCUS), which is a single level-of-care placement tool for both mental health and substance abuse services and was designed for both substance abuse and mental health services.

(4) Except in the case of Assertive Community Treatment (ACT), elimination of the requirement that all mental health clients be re-registered and that the services they receive be re-authorized every 6 months if they have a diagnosis of serious mental illness.

(5) Posting on a website of a summary of the weekly DMH Collaborative phone calls.

(6) Development by DASA and DMH of uniform staff definitions and credential requirements for the delivery and billing of services.

(7) Elimination of the requirement for client signatures on treatment plans, to be replaced by documentation in the assessments and treatment plans that reflects the client's participation in setting his or her goals.

(8) For authorized Medicaid services to enrolled individuals, DASA and DMH providers shall receive payment for all such authorized services, with payment occurring no later than in the next fiscal year.

(9) Use of post-payment audits only to review whether the services billed were properly documented in the client record, with elimination of the practice of using such audits to review individual records to determine whether all licensing requirements were met for individual clients, in recognition that organizations are already licensed and this process is redundant and extremely time consuming.

(10) Maximization by the Department of "deemed" status for organizations that are accredited by the Joint Commission on Accreditation of Healthcare Organizations or the Commission on Accreditation of Rehabilitation Facilities and elimination of redundant reviews of the standards.

(11) Combination or consolidation of separate administrative licensing functions.

(12) Elimination of the Division of Mental Health regional offices to save significant State administrative costs that shall be used for needed community mental health services.

The plan shall include recommendations for necessary legislative action and changes in rules.

(c) The Department shall file the plan with the Governor and the General Assembly by July 1, 2011.

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