Illinois General Assembly - Full Text of HB5304
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Full Text of HB5304  96th General Assembly


Rep. David R. Leitch

Filed: 3/16/2010





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