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| Public Act 100-1019 | ||||
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AN ACT concerning public aid.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Illinois Public Aid Code is amended by | ||||
changing Section 5-5.25 as follows: | ||||
(305 ILCS 5/5-5.25) | ||||
Sec. 5-5.25. Access to behavioral psychiatric mental | ||||
health and medical services. | ||||
(a) The General Assembly finds that providing access to | ||||
behavioral psychiatric mental health and medical services in a | ||||
timely manner will improve the quality of life for persons | ||||
suffering from mental illness and will contain health care | ||||
costs by avoiding the need for more costly inpatient | ||||
hospitalization. | ||||
(b) The Department of Healthcare and Family Services shall | ||||
reimburse psychiatrists, and federally qualified health | ||||
centers as defined in
Section 1905(l)(2)(B) of the federal | ||||
Social Security Act, clinical psychologists, clinical social | ||||
workers, advanced practice registered nurses certified in | ||||
psychiatric and mental health nursing, and mental health | ||||
professionals and clinicians authorized by Illinois law to | ||||
provide behavioral for mental health services provided by | ||||
psychiatrists, as
authorized by Illinois law, to recipients via | ||||
telehealth telepsychiatry. The Department, by rule, shall | ||
establish: (i) criteria for such services to be reimbursed, | ||
including appropriate facilities and equipment to be used at | ||
both sites and requirements for a physician or other licensed | ||
health care professional to be present at the site where the | ||
patient is located; however, the Department shall not require | ||
that a physician or other licensed health care professional be | ||
physically present in the same room as the patient for the | ||
entire time during which the patient is receiving telehealth | ||
telepsychiatry services; and (ii) a method to reimburse | ||
providers for mental health services provided by telehealth | ||
telepsychiatry.
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(c) The Department shall reimburse any Medicaid certified | ||
eligible facility or provider organization that acts as the | ||
location of the patient at the time a telehealth service is | ||
rendered, including substance abuse centers licensed by the | ||
Department of Human Services' Division of Alcoholism and | ||
Substance Abuse. | ||
(d) On and after July 1, 2012, the Department shall reduce | ||
any rate of reimbursement for services or other payments or | ||
alter any methodologies authorized by this Code to reduce any | ||
rate of reimbursement for services or other payments in | ||
accordance with Section 5-5e. | ||
(Source: P.A. 100-385, eff. 1-1-18.)
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