Human Services Committee

Filed: 2/17/2010





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2     AMENDMENT NO. ______. Amend House Bill 5304 by replacing
3 everything after the enacting clause with the following:
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 system reform.
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 implement the following actions no
15 later than July 1, 2011:
16         (1) Adoption by DASA of DMH's practice of licensing an



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1     agency rather than licensing each service location.
2         (2) Allowance and promotion by DASA of the ability to
3     provide all clinical services in the least restrictive
4     community setting available rather than at individually
5     licensed facilities.
6         (3) Consolidation of the following rules in the
7     Illinois Administrative Code: (i) Title 77, Chapter X,
8     Subchapter d, Part 2060 ("Alcoholism and Substance Abuse
9     Treatment and Intervention Licenses") and (ii) Title 59,
10     Chapter IV, Part 132 ("Medicaid Community Mental Health
11     Services Program").
12         (4) Use of a single level-of-care placement tool for
13     both mental health and substance abuse services, such as
14     the Level of Care Utilization System (LOCUS), which was
15     designed for both substance abuse and mental health
16     services.
17         (5) Except in the case of Assertive Community Treatment
18     (ACT), elimination of the requirement that all mental
19     health clients be re-registered and that the services they
20     receive be re-authorized every 6 months if they have a
21     diagnosis of serious mental illness.
22         (6) Posting on a website of a summary of the weekly DMH
23     Collaborative phone calls.
24         (7) Development and utilization by DASA and DMH of
25     uniform staff definitions and credential requirements for
26     the delivery and billing of services.



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1         (8) Elimination of the requirement for client
2     signatures on assessment and treatment plans to reflect
3     that assessment and treatment plans already include the
4     client's participation in setting his or her goals.
5         (9) Implementation of a single billing system for both
6     DMH and DASA services.
7         (10) Elimination of annual payment caps for Medicaid
8     services in either DASA or DMH contracts with providers, in
9     recognition that Medicaid under federal laws and rules is
10     an entitlement and cannot be limited.
11         (11) Use of post-payment audits only to review whether
12     the services billed were properly documented in the client
13     record, with elimination of the practice of using such
14     audits to review individual records to determine whether
15     all licensing requirements were met for individual
16     clients, in recognition that organizations are already
17     licensed and this process is redundant and extremely time
18     consuming.
19         (12) Maximization by the Department of "deemed" status
20     for organizations that are accredited by the Joint
21     Commission on Accreditation of Healthcare Organizations or
22     the Commission on Accreditation of Rehabilitation
23     Facilities and elimination of redundant reviews of the
24     standards.
25         (13) Combination or consolidation of separate
26     administrative licensing functions.



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