HB5304ham001 96TH GENERAL ASSEMBLY

Human Services Committee

Filed: 2/17/2010

09600HB5304ham001 LRB096 19103 DRJ 36859 a

AMENDMENT TO HOUSE BILL 5304

AMENDMENT NO. ______. Amend House Bill 5304 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; system reform.

(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 implement the following actions no later than July 1, 2011:

(1) Adoption by DASA of DMH's practice of licensing an agency rather than licensing each service location.

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

(3) Consolidation of the following rules in the Illinois Administrative Code: (i) Title 77, Chapter X, Subchapter d, Part 2060 ("Alcoholism and Substance Abuse Treatment and Intervention Licenses") and (ii) Title 59, Chapter IV, Part 132 ("Medicaid Community Mental Health Services Program").

(4) Use of a single level-of-care placement tool for both mental health and substance abuse services, such as the Level of Care Utilization System (LOCUS), which was designed for both substance abuse and mental health services.

(5) 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.

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

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

(8) Elimination of the requirement for client signatures on assessment and treatment plans to reflect that assessment and treatment plans already include the client's participation in setting his or her goals.

(9) Implementation of a single billing system for both DMH and DASA services.

(10) Elimination of annual payment caps for Medicaid services in either DASA or DMH contracts with providers, in recognition that Medicaid under federal laws and rules is an entitlement and cannot be limited.

(11) 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.

(12) 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.

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

(14) Evaluation of the staffing levels required for efficient operation of the Department's regional offices to maximize the amount of funding that is available to provide community-based services.

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