HB5304 Engrossed LRB096 19103 DRJ 34494 b

1     AN ACT concerning State government.
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
4     Section 5. The Department of Human Services Act is amended
5 by adding Section 1-40 as follows:
6     (20 ILCS 1305/1-40 new)
7     Sec. 1-40. Alcoholism and Substance Abuse; Mental Health;
8 implementation plan.
9     (a) In this Section:
10     "DASA" means the Division of Alcoholism and Substance Abuse
11 within the Department.
12     "DMH" means the Division of Mental Health within the
13 Department.
14     (b) The Department shall develop a plan by July 1, 2011,
15 for implementing the following actions. All of the following
16 actions shall be implemented by January 1, 2012:
17         (1) Adoption by DASA of DMH's practice of licensing an
18     agency for outpatient level I and level II.1 services
19     rather than licensing each service location.
20         (2) Allowance and promotion by DASA of the ability to
21     provide all outpatient level I and level II.1 clinical
22     services in the least restrictive community setting
23     available rather than at individually licensed facilities.



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1         (3) Use of either American Society of Addiction
2     Medicine (ASAM) Patient Placement Criteria or the Level of
3     Care Utilization System (LOCUS), which is a single
4     level-of-care placement tool for both mental health and
5     substance abuse services and was designed for both
6     substance abuse and mental health services.
7         (4) Except in the case of Assertive Community Treatment
8     (ACT), elimination of the requirement that all mental
9     health clients be re-registered and that the services they
10     receive be re-authorized every 6 months if they have a
11     diagnosis of serious mental illness.
12         (5) Posting on a website of a summary of the weekly DMH
13     Collaborative phone calls.
14         (6) Development by DASA and DMH of uniform staff
15     definitions and credential requirements for the delivery
16     and billing of services.
17         (7) Elimination of the requirement for client
18     signatures on treatment plans, to be replaced by
19     documentation in the assessments and treatment plans that
20     reflects the client's participation in setting his or her
21     goals.
22         (8) For authorized Medicaid services to enrolled
23     individuals, DASA and DMH providers shall receive payment
24     for all such authorized services, with payment occurring no
25     later than in the next fiscal year.
26         (9) Use of post-payment audits only to review whether



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1     the services billed were properly documented in the client
2     record, with elimination of the practice of using such
3     audits to review individual records to determine whether
4     all licensing requirements were met for individual
5     clients, in recognition that organizations are already
6     licensed and this process is redundant and extremely time
7     consuming.
8         (10) Maximization by the Department of "deemed" status
9     for organizations that are accredited by the Joint
10     Commission on Accreditation of Healthcare Organizations or
11     the Commission on Accreditation of Rehabilitation
12     Facilities and elimination of redundant reviews of the
13     standards.
14         (11) Combination or consolidation of separate
15     administrative licensing functions.
16         (12) Elimination of the Division of Mental Health
17     regional offices to save significant State administrative
18     costs that shall be used for needed community mental health
19     services.
20     The plan shall include recommendations for necessary
21 legislative action and changes in rules.
22     (c) The Department shall file the plan with the Governor
23 and the General Assembly by July 1, 2011.
24     Section 99. Effective date. This Act takes effect upon
25 becoming law.