reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 130 - RECOVERY AND MENTAL HEALTH TAX CREDIT › Section 130.80 - Determination of Credit Amount

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 Department shall determine the amount of credit awarded under the
			 Act.
b)
If Department
			 criteria
within this Part
and all other requirements
under the Act
are met, a qualified employer shall be entitled to a tax
			 credit equal to the product of $1 and the number of hours worked by each
			 eligible individual during the eligible individual's period of employment with
			 the qualified employer.
[35 ILCS
			 50/3-15(d) ]
c)
The tax credit awarded under this
			 Act may not exceed $2,000 per eligible individual employed by the qualified
			 employer in this State.
[35 ILCS
			 50/3-15(d) ]
d)
The aggregate amount of all
			 credits the Department may award under this Act in any calendar year may not
			 exceed $2,000,000.
[35 ILCS
			 50/3-15(e) ]
e)
In determining the amount of tax
			 credit that any qualified employer may claim, the Department shall review all
			 claims submitted for credit by all employers and, to the extent that the total
			 amount claimed by employers exceeds the amount allocated for this program in
			 that calendar year, shall issue tax credits on a pro rata basis corresponding
			 to each qualified employer's share of the total amount claimed.
[35 ILCS
			 50/3-15(d) ]
f)
A taxpayer who is a qualified
			 employer who has received a certificate of tax credit from the Department shall
			 be allowed a credit against the tax imposed equal to the amount shown on such
			 certificate of tax credit.
[35 ILCS
			 50/3-15(f) ]
g)
The credit must be claimed in the
			 taxable year in which the tax credit certificate is issued. The credit cannot
			 reduce a taxpayer's liability to less than zero. If the amount of the credit
			 exceeds the tax liability for the year, the credit may not be carried
			 forward.
[35 ILCS
			 50/3-15(g) ]
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 130 - RECOVERY AND MENTAL HEALTH TAX CREDIT › Section 130.90 - Tax Credit Certificate

Current through Register Vol. 48, No. 28, July 12, 2024
a)
The Department shall award the tax credit by issuance of a certificate
			 of tax credit to the qualified employer.
[35 ILCS
			 50/3-15(a) ]
b) The certificate will include the
			 following:
1) The name, taxpayer
			 identification number, and address of the qualified employer;
2) The date on which the certificate is
			 issued;
3) The number of eligible
			 individuals employed and the total number of hours worked by eligible
			 individuals;
4) The credit amount;
			 and
5) Any other information the
			 Department determines to be appropriate.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 131 - CHILDREN'S MENTAL HEALTH SCREENING, ASSESSMENT AND SUPPORT SERVICES PROGRAM › Section 131.10 - Purpose

Current through Register Vol. 48, No. 28, July 12, 2024
This Part establishes criteria for payment of certain mental
				health and related services that are provided to children enrolled in the
				Screening, Assessment and Support Services (SASS) Program.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 131 - CHILDREN'S MENTAL HEALTH SCREENING, ASSESSMENT AND SUPPORT SERVICES PROGRAM › Section 131.20 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
For the purposes of this Part, the following terms are
				defined:
"CARES" - Crisis and referral entry services. The agent under
				contract with HFS, DCFS, or DHS to perform certain administrative functions on
				the State agency's behalf.
"CMHS" - Community mental health services.
"DCFS" - The Illinois Department of Children and Family
				Services.
"DHS" - The Illinois Department of Human Services.
"DHS-DMH" - The Illinois Department of Human Services/Division
				of Mental Health.
"HFS" - The Illinois Department of Healthcare and Family
				Services.
"SASS" - Screening, assessment and support services.
"SASS agent" - A provider of CMHS, under contract with HFS,
				DCFS or DHS to screen children in psychiatric crisis who are believed to be in
				need of admission to an inpatient facility.
"SASS period" - A 90-day period beginning with the date that
				the SASS agent begins initial screening of a child in psychiatric crisis. The
				period may be extended beyond 90 days if it has been determined to be
				clinically necessary to do so by DCFS (for children for whom DCFS is legally
				responsible) or DHS (for any other child).
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 131 - CHILDREN'S MENTAL HEALTH SCREENING, ASSESSMENT AND SUPPORT SERVICES PROGRAM › Section 131.30 - Eligibility

Current through Register Vol. 48, No. 28, July 12, 2024
A child eligible for services provided under this Part
				is:
a) An individual for whom DCFS is
			 legally responsible;
b) An
			 individual under 21 years of age who is enrolled, pursuant to 89 Ill. Adm. Code
			 118, 120, 123 or 125, in one of the medical programs administered by HFS,
			 except that any child who is enrolled in a managed care organization is not
			 eligible; or
c) Subject to funding
			 that is appropriated and available to DHS-DMH for the SASS program, an
			 individual who is under 18 years of age and who meets one of the following
			 criteria:
1) An individual who, following
			 submission of a completed application, does not qualify under subsection
			 (b);
2) An individual who meets
			 criteria for the DHS-DMH target population (see Appendix A) and requires
			 intensive community-based services in the SASS program, has no other means of
			 payment as determined by DHS-DMH, and is seeking public payment for services
			 covered under this Part; or
3) An
			 individual whose family is unable, unwilling, or refuses to apply for medical
			 assistance (e.g., the family may not be able to comply with the requirement to
			 gather the necessary information required to file an application for Medicaid
			 or All Kids due to medical reasons, such as impending surgery or long term
			 medical illness, or the family refuses to comply because family members are
			 undocumented), or if the SASS agent, hospital or community mental health
			 provider finds it impossible to assist the family in applying, may be permitted
			 an exception to this requirement only in these instances. A request for an
			 exception may be made by contacting DHS-DMH. A hospital or community mental
			 health provider may report that it finds it impossible to assist the family in
			 applying only if the family refuses to apply due to incapacitating medical or
			 psychiatric illness reasons, or because family members are
			 undocumented.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 131 - CHILDREN'S MENTAL HEALTH SCREENING, ASSESSMENT AND SUPPORT SERVICES PROGRAM › Section 131.40 - Screening Requirement

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 Children in psychiatric crisis who are believed to be in need of admission to
			 an inpatient psychiatric facility and for whom public payment for the admission
			 may be sought must be referred to CARES.
b) If determined to be appropriate, CARES
			 shall refer the child to a SASS agent.
c) The SASS agent shall screen and assess the
			 mental health needs of the child.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 131 - CHILDREN'S MENTAL HEALTH SCREENING, ASSESSMENT AND SUPPORT SERVICES PROGRAM › Section 131.50 - Program Services

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 Community Mental Health Services
1) Children,
			 as a result of the mental health screening required under Section
			 131.40, for
			 whom it has been determined by a SASS agent that appropriate alternative
			 resources are available in the community shall be referred to those services by
			 the SASS agent. Community mental health services (CMHS) shall be reimbursed by
			 HFS, DCFS or DHS only under the following conditions:
A) The CMHS provider is enrolled with the HFS
			 to participate in the Illinois medical assistance program and meets the
			 requirements for certification and payment under 59 Ill. Adm. Code
			 132.
B) The CMHS provider is one of
			 the following:
i) The SASS agent to which
			 responsibility for managing the child's care was assigned by CARES.
ii) Another CMHS provider that, through
			 CARES, is authorized to provide CMHS to children.
C) The service is provided in accordance with
			 the plan of care developed by the SASS agent.
D) The service is provided during the SASS
			 period.
E) The patient was a child
			 at the time of screening and met eligibility requirements specified in Section
			 131.30(c).
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 131 - CHILDREN'S MENTAL HEALTH SCREENING, ASSESSMENT AND SUPPORT SERVICES PROGRAM › Section 131.60 - Billing for Services

Current through Register Vol. 48, No. 28, July 12, 2024
All program services described in this Part are provided and
				billed to HFS in accordance with that agency's policies as found in the HFS
				Handbook for Providers of Medical Services (found at
www.hfs.illinois.gov/handbooks/
),
				including any necessary prior authorization for the service.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 131 - CHILDREN'S MENTAL HEALTH SCREENING, ASSESSMENT AND SUPPORT SERVICES PROGRAM › Section 131.70 - Accountability

Current through Register Vol. 48, No. 28, July 12, 2024
a) All payments
			 made under this Part are subject to post-payment review and audit pursuant to
			 the applicable rules under which the rates of reimbursement were established
			 (see 89 Ill. Adm. Code
			 140.30,
			 140.410 through
			 140.414,
			 140.444,
			 140.455,
			 140.492,
			 140.493;
			 89 Ill. Adm. Code
			 148.270;
			 and 89 Ill. Adm. Code
			 152.200
			 ).
b) HFS, DHS and DCFS shall
			 implement a systematic process to assess the accessibility, effectiveness, and
			 quality of services provided under this Part.
c) Hospitals and CMHS providers providing
			 services under this Part will be required to participate and cooperate fully in
			 any monitoring and quality improvement efforts undertaken by HFS, DCFS and/or
			 DHS.
d) DHS, DCFS and HFS reserve
			 the right to ensure that appropriate standards of treatment and service
			 delivery are maintained for any individual child or for the system, including
			 on-site inspection and individual consultation.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart A - GENERAL PROVISIONS › Section 132.10 - Purpose

Current through Register Vol. 48, No. 28, July 12, 2024
a) To facilitate
				the establishment of a comprehensive and coordinated continuum of
				community-based programs, sensitive to the needs of local communities, for
				persons with or at risk for a diagnosis of mental illness.
b) To effectuate the Division of Mental
				Health's role as the federally-recognized State Mental Health Authority with
				statutory mandates to plan, fund and monitor community-based mental health
				programs.
c) To promote the
				availability of culturally relevant, evidence-based, developmentally
				appropriate, trauma-informed mental health programs across the
				lifespan.
d) To maximize the
				effectiveness and quality of programs to ensure cost efficiency and best
				possible outcomes in natural settings that reduce the use of institutional
				care.
e) To establish criteria for
				certification and recertification of Comprehensive Community Mental Health
				Centers (CMHC) and other entities seeking to offer programs directly funded by
				DHS-DMH and DCFS.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart A - GENERAL PROVISIONS › Section 132.15 - Incorporation by Reference

Current through Register Vol. 48, No. 28, July 12, 2024
Any rules or standards of an agency of the United States or
				  of a nationally-recognized organization or association that are incorporated by
				  reference in this Part are incorporated as of the date specified and do not
				  include any later amendments or editions.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart A - GENERAL PROVISIONS › Section 132.30 - Client Rights

Current through Register Vol. 48, No. 28, July 12, 2024
To assure that a client's rights are protected and that all
				  services provided to clients comply with the law, all providers under this Part
				  shall ensure that:
a) A client's
				rights shall be protected in accordance with Chapter 2 of the Mental Health and
				Developmental Disabilities Code [ 405 ILCS 5 ].
b) The right of a client to confidentiality
				shall be governed by the Mental Health and Developmental Disabilities
				Confidentiality Act and the federal Health Insurance Portability and
				Accountability Act of 1996.
c)
				Staff shall inform the client upon intake and annually of the following:
1) The rights in accordance with subsections
				(a) and (b);
2) The right to
				contact the Illinois Guardianship and Advocacy Commission and Equip for
				Equality, Inc. The provider shall offer assistance to a client in contacting
				these groups, giving each client the address and telephone number of the
				Guardianship and Advocacy Commission and Equip for Equality, Inc.;
3) The right to be free from abuse, neglect
				and exploitation;
4) The right to
				be provided mental health services in the least restrictive setting;
5) The client's right or the guardian's right
				to present grievances up to and including the provider's Executive Director or
				comparable position. The client or guardian will be informed of how his or her
				grievances will be handled at the provider level. A record of, and the response
				to, those grievances shall be maintained by the provider. The Executive
				Director's decision on the grievance shall constitute a final administrative
				decision (except when the decisions are reviewable by the provider's governing
				board, in which case the governing board's decision is the final authority at
				the provider level);
6) The right
				not to have services reduced, denied, suspended or terminated for exercising
				any rights;
7) The right to contact
				the public payer or its designee and to be informed of the public payer's
				process for reviewing grievances;
8) The right to have disabilities
				accommodated as required by the Americans With Disabilities Act, section 504 of
				the Rehabilitation Act and the Human Rights Act [ 775 ILCS 5 ]; and
9) The right to contact HFS or its designee
				and to be informed by HFS or its designee of the client's healthcare benefit
				and the process for reviewing grievances.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart A - GENERAL PROVISIONS › Section 132.35 - Inter-Departmental Administration and Coordination of Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) DHS-DMH and DCFS, pursuant to an executed
				interagency agreement with the Department, shall ensure the administration and
				coordination of mental health services.
b) Specific service details of Medicaid
				Rehabilitation Option (MRO) qualified mental health services pursuant to
				section 1905(a)(13)(C) of the Social Security Act are found in 89 Ill. Adm.
				Code
				140.453(e) and
				(f).
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart B - CERTIFIED SPECIALTY PROVIDER (CSP) › Section 132.40 - Definition and Characteristics

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				Department shall make CSP certification available on a voluntary basis to
				entities seeking CSP designation. CSP certification may be required for receipt
				of DHS-DMH and DCFS funding.
b) A
				CSP is an entity providing community-based mental health services under the
				direction of an LPHA in a specific geographic area or to a specialized
				population. At a minimum, a CSP:
1) Provides
				services necessary to prevent unnecessary institutionalization.
2) Collaborates with other entities
				supporting the needs of individuals, including, but not limited to, primary
				care providers, coordination entities and/or managed care entities.
3) Meets all of the requirements outlined in
				Subpart D, as demonstrated by having been issued a certificate by a CSA in
				accordance with the requirements set forth in this Part.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart B - CERTIFIED SPECIALTY PROVIDER (CSP) › Section 132.45 - General Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) The CSP
				shall operate in a manner compliant with all applicable State and federal laws,
				regulations, and adopted policies and procedures.
b) The CSP shall establish and maintain
				policies and procedures to be used by all CSP staff in the administration of
				programs and the delivery of services from any CSP site or location.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart B - CERTIFIED SPECIALTY PROVIDER (CSP) › Section 132.50 - Quality Systems Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) The CSP
				shall establish and maintain continuous quality improvement systems to ensure
				quality of care provided in the least restrictive setting supporting the
				ongoing purchase of services.
b)
				The CSP shall establish and maintain a Utilization Review Plan for the ongoing
				review and assessment of delivered services and client outcomes to ensure
				services are cost effective and result in the expected outcomes.
c) The CSP shall establish and maintain a
				system for obtaining feedback from individuals served and community
				stakeholders.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart B - CERTIFIED SPECIALTY PROVIDER (CSP) › Section 132.55 - Personnel and Staffing Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
The CSP shall:
a)
				Establish and maintain a comprehensive set of personnel policies and
				procedures, minimally addressing hiring, training, evaluation, disciplining,
				termination, and other personnel matters related to staffing. Establish and
				maintain job descriptions detailing the duties and qualifications for all
				positions, including volunteers, interns and unpaid personnel. Establish and
				maintain individual personnel records for all personnel, paid and unpaid,
				minimally including the following components:
1) Documentation of current education,
				experience, licensure and certification;
2) Employment status of the individual (e.g.,
				hire date, employee/contractor, termination date, etc.);
3) Review of individual employee's
				performance within the last 12 months; and
4) Documentation of training and continuing
				education units, as applicable.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart B - CERTIFIED SPECIALTY PROVIDER (CSP) › Section 132.60 - Recordkeeping Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) The CSP
				shall maintain records, including but not limited to the following:
1) Clinical records;
2) Service billing files;
3) Organizational records, including policies
				and procedures;
4) Personnel
				records; and
5) All other documents
				required in this Part.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart B - CERTIFIED SPECIALTY PROVIDER (CSP) › Section 132.65 - Physical Plant Location Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) At a minimum, a CSP shall have a single
				discrete physical location, owned, leased or controlled by the entity seeking
				certification.
b) All additional
				locations where treatment services occur, if owned, leased or controlled by the
				CSP, must be certified. Locations meeting the definition of natural settings do
				not need to be certified.
c) All
				locations must meet the following physical plant requirements for
				certification:
1) Provide a safe, functional,
				sanitary and comfortable environment for clients and staff that is conducive to
				the provision of behavioral health services.
A) A safe, functional and sanitary
				environment includes the establishment and maintenance of policies and
				procedures specific to the operation of each specific physical plant, including
				an emergency disaster plan, fire evacuation plan, and procedures for managing
				the basic mechanics of the site.
B)
				A comfortable environment shall be reflective of trauma informed care, ensuring
				that the interventions being provided and the populations being served have
				access to an environment that ensures the physical, psychological and emotional
				safety of both employees and populations being served;
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart C - CERTIFIED COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER (CMHC) › Section 132.70 - Definition, Characteristics and Incentives

Current through Register Vol. 48, No. 28, July 12, 2024
a) Certified Comprehensive Community Mental
				Health Centers are a specialty service provider type embedded in the community
				with knowledge and expertise in providing services to adults with or at risk of
				serious mental illnesses (SMI) and/or children and youth with or at risk of
				serious emotional disturbances (SED. CMHCs respond to the unique mental health
				needs of the community with a continuum of services ranging from
				prevention/promotion through treatment and recovery. CMHCs collaborate with
				other social service and health care providers to deliver integrated care to
				individuals in the identified geographic service area. CMHCs must be nonprofit
				or local government entities.
b)
				CMHCs shall:
1) Comply with all requirements
				of a CSP as articulated in Subpart B, in addition to the requirements set forth
				in this Subpart C.
2) Operate
				within a system of care that provides treatment, habilitation and support
				services.
3) Provide a
				comprehensive strengths-based array of mental health services within an
				identified geographic service area.
4) Provide care to individuals with or at
				risk for SMI/SED by using a person-centered approach to care performed by an
				interdisciplinary team.
5) Serve
				individuals who have complex needs as a result of child welfare, justice or
				multisystem involvement, medical co-morbidity, homelessness, dual disorders,
				etc.
6) Ensure the connectability
				of services in the service area for individuals across the life span.
7) Provide services in the client's natural
				settings.
8) Provide a safety net
				for individuals with SMI/SED who are indigent.
9) Provide outreach and engagement to
				individuals in need of mental health services.
10) Provide evidence-based and
				evidence-informed developmentally appropriate practices in a proficient
				manner.
11) Provide for a screening
				prior to a referral to a more intensive level of care.
12) Provide education and resources to the
				public on mental health issues, including suicide prevention and
				wellness.
13) Prioritize principles
				of recovery, system of care, trauma informed care, and culturally relevant
				practices.
14) Provide access or
				linkage to psychiatric services and other health and social services.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart C - CERTIFIED COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER (CMHC) › Section 132.75 - General Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Establish and maintain policies and procedures to be used by all CMHC staff in
				the administration of CMHC programs and the delivery of services from any CMHC
				site or location.
1) Policies detailing the
				organization's clear commitment to person-centered recovery and resilience
				principles and the empowerment of families and individuals served. Programs and
				services should promote personal choice, self-help measures, the strengthening
				of natural supports, the use of education and interventions in natural
				settings, and the reduction of the utilization of institutional levels of
				care.
2) Policies detailing how
				clients will actively participate in the development, planning and oversight of
				programs and services.
3) Policies
				and procedures to ensure co-morbid physical healthcare needs are addressed for
				clients as needed. A CMHC that is not licensed to provide Level 1 and Level 2
				Substance Use services and enrolled to participate in the Illinois Medical
				Assistance Program shall develop policies and procedures to ensure clients
				receive referrals for services as needed.
4) Policies and procedures to ensure SAMHSA's
				principles of trauma informed approaches are embedded into the organizational
				structure and clinical practices of the CMHC.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart C - CERTIFIED COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER (CMHC) › Section 132.80 - Personnel and Staffing Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
Establish and maintain an organizational structure that
				  includes a staffing structure and management system consistent with the
				  following:
a) Employ a full-time LPHA
				to oversee and direct the clinical functions of the CMHC;
b) Maintain staff with training and
				credentialing to provide interdisciplinary person-centered care, evidence
				based/informed practices, developmentally appropriate trauma informed care, and
				culturally and linguistically responsive services.
c) When good cause is established by the
				organization, an exception to the full-time status of the LPHA may be granted
				by the Department in accordance with the process and criteria outlined in this
				subsection (c).
1) The organization shall
				submit a request for consideration of waiver to the Department detailing the
				reasons for the request.
2) The
				organization shall provide a detailed staffing plan that includes the number
				and credential levels of all staff providing direct services that include a
				calculation of the hours of clinical supervision necessary to meet the
				requirements of Section
				132.55(g)(4).
3) The organization shall provide a projected
				number of individuals to be served on annual basis and calculation of the hours
				required for provision of clinical oversight and direction of all clinical
				functions related to those services. This calculation shall be based on a needs
				assessment of the service area completed by the organization.
4) The organization shall propose a staffing
				equivalency for clinical oversight and direction by the LPHA that is sufficient
				to meet the needs identified in Section 132.80(c)(2) and (3).
5) The organization shall describe a plan to
				ensure access to clinical direction and oversight of an LPHA by
				less-credentialed staff in the event of emergent situations.
6) Request for an exception must be submitted
				to the Department for consideration at least 30 calendar days prior to the
				anticipated need for the exception.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart C - CERTIFIED COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER (CMHC) › Section 132.80 - Personnel and Staffing Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
Establish and maintain an organizational structure that
				  includes a staffing structure and management system consistent with the
				  following:
a) Employ a full-time LPHA
				to oversee and direct the clinical functions of the CMHC;
b) Maintain staff with training and
				credentialing to provide interdisciplinary person-centered care, evidence
				based/informed practices, developmentally appropriate trauma informed care, and
				culturally and linguistically responsive services.
c) When good cause is established by the
				organization, an exception to the full-time status of the LPHA may be granted
				by the Department in accordance with the process and criteria outlined in this
				subsection (c).
1) The organization shall
				submit a request for consideration of waiver to the Department detailing the
				reasons for the request.
2) The
				organization shall provide a detailed staffing plan that includes the number
				and credential levels of all staff providing direct services that include a
				calculation of the hours of clinical supervision necessary to meet the
				requirements of Section
				132.55(e)(4).
3) The organization shall provide a projected
				number of individuals to be served on annual basis and calculation of the hours
				required for provision of clinical oversight and direction of all clinical
				functions related to those services. This calculation shall be based on a needs
				assessment of the service area completed by the organization.
4) The organization shall propose a staffing
				equivalency for clinical oversight and direction by the LPHA that is sufficient
				to meet the needs identified in Section 132.80(c)(2) and (3).
5) The organization shall describe a plan to
				ensure access to clinical direction and oversight of an LPHA by
				less-credentialed staff in the event of emergent situations.
6) Request for an exception must be submitted
				to the Department for consideration at least 30 calendar days prior to the
				anticipated need for the exception.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart C - CERTIFIED COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER (CMHC) › Section 132.85 - Addition and Removal of Physical Plant Locations

Current through Register Vol. 48, No. 28, July 12, 2024
a) Upon enrollment and establishment of the
				CMHC, the entity may seek to add additional physical plant locations to operate
				as part of the CMHC, pursuant to Section
				132.65.
				All CMHC requirement documentation and plans must be updated to reflect the
				addition of the physical plant location and must meet standards established in
				Subparts B and C.
b) The CMHC must
				notify the CSA and HFS of a change in status if any physical plant location is
				removed from the CMHC or becomes inactive. Furthermore, such a change must note
				if the removal or inactive status impacts the CMHC's ability to meet the
				standards detailed in Subparts B and C.
c) The addition, removal or other potential
				changes in status reported by the CMHC to the CSA and HFS may result in a
				review of documents and plans consistent with Subparts B, C and D, resulting in
				certification, compliance review, or failure of the CMHC to retain status as a
				CMHC.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart D - ENROLLMENT AND CERTIFICATION REQUIREMENTS OF CERTIFIED COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTERS AND CERTIFIED SPECIALTY PROGRAMS › Section 132.95 - Certified Specialty Providers (CSP) and Certified Comprehensive Community Mental Health Center (CMHC) Certification Process

Current through Register Vol. 48, No. 28, July 12, 2024
a) The IMPACT portal is the enrollment site
				for the HFS Provider Participation Unit. Entities seeking certification as a
				CMHC shall request enrollment through the IMPACT portal. Any entity enrolled
				through the IMPACT portal may request certification from a CSA as a CSP or
				CMHC.
b) During the IMPACT
				application process, entities shall determine what population they will be
				serving and will be directed to the appropriate CSA to complete the
				certification process.
1) If an entity intends
				to contract for services with more than one CSA, it shall submit its
				certification application to the State agency that provides the most funding
				for community mental health services.
2) If the funding from both CSAs is equal,
				the provider shall submit the application to DHS.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart D - ENROLLMENT AND CERTIFICATION REQUIREMENTS OF CERTIFIED COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTERS AND CERTIFIED SPECIALTY PROGRAMS › Section 132.100 - Initial On-site Certification

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				CSA shall be granted access to all physical plant locations.
b) The CSA shall be granted access to all
				records, upon request, during any certification or other compliance review
				activities.
c) On-site
				Certification
1) The CSA shall perform an
				on-site review within the provisional certification period outlined in Section
				132.95(f)
				to confirm the findings of the provisional certification determination. If the
				CSA determines the CSP or CMHC to be:
A) In
				compliance, the CSA shall notify the CSP or CMHC. For providers enrolled in the
				IMPACT system, the CSA shall notify HFS of the change in certification status
				from provisional to full certification.
B) Not in compliance, the CSA shall issue the
				CSP or CMHC a Notice of Violation within 15 days after the on-site review. The
				entity shall respond to the NOV by the due date indicated on the NOV, which
				shall be approximately 30 days after the date of the NOV.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart D - ENROLLMENT AND CERTIFICATION REQUIREMENTS OF CERTIFIED COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTERS AND CERTIFIED SPECIALTY PROGRAMS › Section 132.105 - Certification Review Cycle

Current through Register Vol. 48, No. 28, July 12, 2024
a) The CSA
				may perform a review for compliance with the standards of this Part at any CSP
				or CMHC, at will, regardless of deemed status and without prior notice to the
				entity.
b) The CSAs shall, at a
				minimum, review one-third of all CSPs and CMHCs on an annual basis, ensuring
				that all CSPs and CMHCs are reviewed within a three year period. If the CSA
				determines the entity to be:
1) In compliance
				with Subparts B, C and D, the CSA shall notify the entity of retention of
				certification. For entities enrolled in the IMPACT system, the CSA shall notify
				HFS of retention of certification.
2) Not in compliance, the CSA shall issue the
				entity a Notice of Violation within 15 days after the on-site review. The
				entity shall respond to the NOV by the due date indicated on the NOV, which
				shall be approximately 30 days after the date of the NOV.
A) The entity shall submit a Plan of
				Correction to the CSA to address all identified violations by the due date
				indicated on the NOV.
B) If the
				Plan of Correction is found to address all of the identified violations
				included in the NOV, the CSA shall assure implementation of the Plan of
				Correction, which will determine the certification status. The program
				certification status must be in "good standing" with the CSA. The CSA shall
				notify the entity of retention of certification. For an entity enrolled in
				IMPACT, the CSA shall also notify HFS of the entity's retention of
				certification.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart D - ENROLLMENT AND CERTIFICATION REQUIREMENTS OF CERTIFIED COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTERS AND CERTIFIED SPECIALTY PROGRAMS › Section 132.110 - Appeal of Certification Determination

Current through Register Vol. 48, No. 28, July 12, 2024
a) An entity may appeal the following actions
				detailed in this Part:
1) Refusal to issue a
				provisional certification;
2)
				Refusal to issue full certification;
3) Refusal to retain certification;
				or
4) Revocation of
				certification.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart D - ENROLLMENT AND CERTIFICATION REQUIREMENTS OF CERTIFIED COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTERS AND CERTIFIED SPECIALTY PROGRAMS › Section 132.115 - Nontransferability

Current through Register Vol. 48, No. 28, July 12, 2024
a) CMHC
				certification is assignable or transferable consistent with the policies and
				procedures established by the HFS Provider Participation Unit related to the
				assignment and transferability of an entity's enrollment status with
				HFS.
b) CMHC certification is not
				assignable or transferable between or among entity-owned or leased physical
				plant locations without an on-site review of the location to ensure compliance
				with this Part.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart D - ENROLLMENT AND CERTIFICATION REQUIREMENTS OF CERTIFIED COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTERS AND CERTIFIED SPECIALTY PROGRAMS › Section 132.120 - Deemed Status

Current through Register Vol. 48, No. 28, July 12, 2024
a) The CSA, in
				qualifying an entity as a CMHC for participation and enrollment in the Illinois
				Medical Assistance Program as governed by the Social Security Act and all
				applicable federal regulations, shall grant deemed status to accredited CMHCs,
				pursuant to Section 3 of the Community Services Act [ 405 ILCS 30 ] and this
				Section.
1) "Deemed status" means that, if an
				entity is actively accredited by an Acknowledged Accrediting Organization (AAO)
				or Standard identified in subsection (a)(2), the CSA shall deem the entity to
				meet all qualifying requirements of this Part covered by the AAO, as determined
				by DHS in collaboration with the AAOs, consistent with subsection
				(b).
2) Acknowledged Accrediting
				Organizations and Standards
A) The Joint
				Commission, One Renaissance Boulevard, Oakbrook Terrace IL 60181; Standards for
				Behavioral Health Care Accreditation; Standards for Hospital
				Accreditation
B) Council on
				Accreditation (COA), 45 Broadway, 29th Floor, New
				York NY 10006; Standards for Private Organization/Behavioral Health Services
				Accreditation; Standards for Public Agency/Behavioral Health Services
				Accreditation
C) The Council on
				Quality and Leadership, 100 West Road, Suite 300, Towson MD 21204; Standards
				for Quality Assurances Accreditation; Standards for Person-Centered Excellence
				Accreditation; Standards for Person-Centered Excellence Accreditation with
				Distinction
D) Commission on
				Accreditation of Rehabilitation Facilities (CARF), 6951 East Southpoint Road,
				Tucson AZ 85756-9407; Standards for Behavioral Health Accreditation
E) Healthcare Facilities Accreditation
				Program (HFAP), 142 E. Ontario Street, Chicago IL 60611; Standards for
				Behavioral Health Accreditation
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart E - SPECIALTY PROGRAM CERTIFICATION AND COMPETENCY › Section 132.125 - Capacity and Organizational Readiness

Current through Register Vol. 48, No. 28, July 12, 2024
Entities requesting certification shall demonstrate
				  sufficient capacity and organizational readiness to deliver specialty programs
				  safely, effectively, and in a manner consistent with evidence-based and
				  developmentally appropriate practices.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart E - SPECIALTY PROGRAM CERTIFICATION AND COMPETENCY › Section 132.130 - Interdisciplinary Care

Current through Register Vol. 48, No. 28, July 12, 2024
Organizations certified as competent in interdisciplinary
				  care have access to the range of professionals and paraprofessionals necessary
				  to meet the variety of mental health needs of individuals in their community.
				  Components of this certification include:
a) Demonstration of collaboration across
				disciplines, as described in the organization's policy and practices;
b) Demonstration of clinical leadership by an
				LPHA;
c) Demonstration of team
				development as informed by the clinical needs of the client;
d) Demonstration of training in
				evidence-based/evidence-informed practices,
e) Demonstration of the infrastructure
				necessary to support cross-training and shared learning;
f) Demonstration of the ability to
				appropriately share client information across multiple providers to support
				ongoing collaboration, treatment planning, and after care; and
g) Demonstration of a staff-to-client ratio
				sufficient to meet the needs of individual clients.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart E - SPECIALTY PROGRAM CERTIFICATION AND COMPETENCY › Section 132.135 - Assertive Community Treatment Program

Current through Register Vol. 48, No. 28, July 12, 2024
Components of this certification include:
a) Demonstration of ability to conduct
				thorough assessments of individuals with dual diagnoses of mental illness and
				substance use disorder;
b)
				Demonstration of ability to provide the evidence-based treatment model for
				Assertive Community Treatment;
c)
				Demonstration of ability to meet the six-member-team-based requirements of ACT,
				including but not limited to:
1) Supervision
				by a licensed clinician, as defined in Section
				132.25, who is the
				team leader;
2) A full time
				RN;
3) Program support provided by
				a psychiatrist and a program administrative assistant;
4) An individual certified in substance abuse
				treatment;
5) An individual who can
				provide rehabilitative counseling; and
6) A Certified Recovery Support
				Specialist;
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart E - SPECIALTY PROGRAM CERTIFICATION AND COMPETENCY › Section 132.140 - Psychosocial Rehabilitation Program

Current through Register Vol. 48, No. 28, July 12, 2024
Components of this certification include:
a) Demonstration of a QMHP providing on-site
				supervision 50% of the program time;
b) Demonstration that, at minimum, an RSA
				provides the PSR services;
c)
				Demonstration of ability to maintain a maximum client-to-staff ratio of 15 to
				one;
d) Demonstration that, at
				minimum, one staff member has documented experience and training to provide
				services and interventions to individuals with co-occurring psychiatric and
				substance use disorders;
e)
				Demonstration of ability to provide PSR services on site;
f) Demonstration of coordination of access to
				the mental health services identified in the individual treatment plan;
				and
g) Demonstration that training
				and documentation requirements included in the provider manual are
				met.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart E - SPECIALTY PROGRAM CERTIFICATION AND COMPETENCY › Section 132.145 - Community Support Team Program

Current through Register Vol. 48, No. 28, July 12, 2024
Components of this certification include:
a) Demonstration of ability to meet staffing
				requirement that each team includes a minimum of three and a maximum of six
				full-time equivalent employees, consisting of no more than eight different
				staff members.
b) Demonstration of
				ability to meet the requirement to staff the program with a QMHP who is the
				full-time team leader and functions as a practitioner on the team.
c) Demonstration of ability to maintain a
				maximum client-to-staff ratio of 18 to one.
d) Demonstration that the team includes at
				least one Certified Recovery Support Specialist (CRSS) or Certified Family
				Partnership Professional (CFPP) as a team member.
e) Demonstration of ability to provide 60% of
				CST services in a natural setting.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart E - SPECIALTY PROGRAM CERTIFICATION AND COMPETENCY › Section 132.150 - Intensive Outpatient Program

Current through Register Vol. 48, No. 28, July 12, 2024
Components of this certification include:
a) Demonstration of QMHP providing program
				supervision and oversight.
b)
				Demonstration of ability to maintain a maximum client-to-staff ratio of four to
				one for children and adolescents and eight to one for adults.
c) Demonstration that services are available
				a minimum of four hours per day, five days per week.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 132 - MEDICAID COMMUNITY MENTAL HEALTH SERVICES PROGRAM › Subpart E - SPECIALTY PROGRAM CERTIFICATION AND COMPETENCY › Section 132.155 - Specialty Certification Process

Current through Register Vol. 48, No. 28, July 12, 2024
a) The provider shall submit to
				DHS.DMH.SPC@illinois.gov information that demonstrates compliance with the
				components listed in this Subpart E for each specialty program in which it is
				seeking certification.
b) CMHCs
				shall be awarded deemed status, pursuant to Section
				132.120,
				for components that are covered by accreditation or certification.
c) DMH will review all submitted materials to
				determine eligibility for special program certification within 90 days after
				receipt.
1) If the provider is eligible for
				special program certification, DHS-DMH will issue a certificate to the provider
				and inform HFS of the certification status.
A) Special program certification will be
				effective on date of issue.
B)
				Recertification of a specialty program shall occur annually.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 145 - PERMANENT SUPPORTIVE HOUSING AND BRIDGE SUBSIDY MODEL FOR PERSONS WITH MENTAL ILLNESSES › Subpart A - GENERAL PROVISIONS › Section 145.10 - Purpose

Current through Register Vol. 48, No. 28, July 12, 2024
The goal of the Department of Human Services-Division of
				  Mental Health (DHS-DMH) Permanent Supportive Housing (PSH) and Bridge Subsidy
				  model is to provide persons who have serious mental illnesses access to housing
				  that is safe, decent and affordable and within the resources that the tenant
				  has available and that the living environments meet standards of safety. The
				  purpose of this Part is to:
a) Assure
				that PSH that is paid for by DHS-DMH programs meet all applicable standards for
				environmental safety and management of the property;
b) Detail the processes and conditions under
				which DHS-DMH will provide funding for PSH and transitional assistance into
				that housing;
c) Assure that access
				to a PSH unit is not contingent on the tenant receiving any specific services
				or support;
d) Assure that PSH
				permits the tenant to receive appropriate available services or supports
				requested in a flexible manner;
e)
				Assure that monthly case management wellness visits (in-home, at alternative
				locations, or virtual) to tenants occur by a designated DHS-DMH or State
				Service Provider; and
f) Define the
				roles and responsibilities of the DHS-DMH contracted Subsidy Administrators
				(SA) for the Bridge Subsidy model.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 145 - PERMANENT SUPPORTIVE HOUSING AND BRIDGE SUBSIDY MODEL FOR PERSONS WITH MENTAL ILLNESSES › Subpart A - GENERAL PROVISIONS › Section 145.30 - Compliance with Federal and State Laws

Current through Register Vol. 48, No. 28, July 12, 2024
Notwithstanding anything to the contrary, this Part shall be
				  construed in conformity and compliance with applicable federal and State
				  law.