Rep. David R. Leitch
Filed: 3/16/2010
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1 | AMENDMENT TO HOUSE BILL 5304
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2 | AMENDMENT NO. ______. Amend House Bill 5304, AS AMENDED, by | ||||||
3 | replacing everything after the enacting clause with the | ||||||
4 | following:
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5 | "Section 5. The Department of Human Services Act is amended | ||||||
6 | by adding Section 1-40 as follows: | ||||||
7 | (20 ILCS 1305/1-40 new) | ||||||
8 | Sec. 1-40. Alcoholism and Substance Abuse; Mental Health; | ||||||
9 | implementation plan. | ||||||
10 | (a) In this Section: | ||||||
11 | "DASA" means the Division of Alcoholism and Substance Abuse | ||||||
12 | within the Department. | ||||||
13 | "DMH" means the Division of Mental Health within the | ||||||
14 | Department. | ||||||
15 | (b) The Department shall develop a plan by July 1, 2011, | ||||||
16 | for implementing the following actions. All of the following |
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1 | actions shall be implemented by January 1, 2012: | ||||||
2 | (1) Adoption by DASA of DMH's practice of licensing an | ||||||
3 | agency for outpatient level I and level II.1 services | ||||||
4 | rather than licensing each service location. | ||||||
5 | (2) Allowance and promotion by DASA of the ability to | ||||||
6 | provide all outpatient level I and level II.1 clinical | ||||||
7 | services in
the least restrictive community setting | ||||||
8 | available rather than at individually licensed facilities. | ||||||
9 | (3) Use of either American Society of Addiction | ||||||
10 | Medicine (ASAM) Patient Placement Criteria or the Level of | ||||||
11 | Care Utilization System (LOCUS), which is a single | ||||||
12 | level-of-care placement tool for both mental health
and | ||||||
13 | substance abuse services and was
designed for both | ||||||
14 | substance abuse and mental health
services. | ||||||
15 | (4) Except in the case of Assertive Community Treatment | ||||||
16 | (ACT), elimination of the requirement that all mental | ||||||
17 | health clients be re-registered and that the services
they | ||||||
18 | receive be re-authorized every 6 months if they have a | ||||||
19 | diagnosis of
serious mental illness. | ||||||
20 | (5) Posting on a website of a summary of the weekly DMH | ||||||
21 | Collaborative phone calls. | ||||||
22 | (6) Development by DASA and DMH of uniform staff | ||||||
23 | definitions and credential
requirements for the delivery | ||||||
24 | and billing of services. | ||||||
25 | (7) Elimination of the requirement for client | ||||||
26 | signatures on treatment plans, to be replaced by |
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1 | documentation in the assessments and treatment plans that | ||||||
2 | reflects the
client's participation in setting his or her | ||||||
3 | goals. | ||||||
4 | (8) For authorized Medicaid services to enrolled | ||||||
5 | individuals, DASA and DMH providers shall receive payment | ||||||
6 | for all such authorized services, with payment occurring no | ||||||
7 | later than in the next fiscal year. | ||||||
8 | (9) Use of post-payment audits only to review whether | ||||||
9 | the services billed were
properly documented in the client | ||||||
10 | record, with elimination of the practice of using such | ||||||
11 | audits to review individual
records to determine whether | ||||||
12 | all licensing requirements were met for individual
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13 | clients, in recognition that organizations are already | ||||||
14 | licensed and this process is redundant and
extremely time | ||||||
15 | consuming. | ||||||
16 | (10) Maximization by the Department of "deemed" status | ||||||
17 | for organizations that are accredited by
the Joint | ||||||
18 | Commission on Accreditation of Healthcare Organizations or | ||||||
19 | the Commission on Accreditation of Rehabilitation | ||||||
20 | Facilities and elimination of redundant reviews of the
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21 | standards. | ||||||
22 | (11) Combination or consolidation of separate | ||||||
23 | administrative licensing functions. | ||||||
24 | (12) Elimination of the Division of Mental Health | ||||||
25 | regional offices to save significant State administrative
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26 | costs that shall be used for needed community mental health |
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1 | services. | ||||||
2 | The plan shall include recommendations for necessary | ||||||
3 | legislative action and changes in rules. | ||||||
4 | (c) The Department shall file the plan with the Governor | ||||||
5 | and the General Assembly by July 1, 2011.
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6 | Section 99. Effective date. This Act takes effect upon | ||||||
7 | becoming law.".
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