Section 132.165  Case Management Services

a)         Mental health case management services include assessment, planning, coordination and advocacy services for clients who need multiple services and require assistance in gaining access to and in using mental health, social, vocational, educational, housing, public income entitlements and other community services to assist the client in the community.  Case management activities may also include identifying and investigating available resources, explaining options to the client and linking them with necessary resources.

1)         Mental health case management services shall be provided following a mental health assessment and be authorized consistent with the client's ITP, with the following exceptions:

A)        Case management provided during the 30 days immediately preceding completion of the assessment.

B)        The client has refused all other appropriate services under this Part.

2)         Mental health case management services shall be provided by at least an RSA.

b)         Client-centered consultation services are individual client-focused professional communications among provider staff, or staff of other agencies, or with others, including family members, who are involved with providing services to a client.

1)         Services may consist of:

A)        A meeting or conference for professional communication among provider staff, staff of other agencies, and child care systems, including school personnel or other professionals involved in the treatment process.

B)        A meeting or conference for professional communication between provider staff and family members involved in the treatment process.

2)         Services must be provided in conjunction with one or more mental health services identified in this Section and in accordance with the ITP.

3)         Client-centered consultation does not include advice given in the course of clinical staff supervisory activities, in-service training, treatment planning or utilization review and may not be billed as part of the assessment process.

4)         Client-centered consultation services shall be provided by at least an RSA.

c)         Transition linkage and aftercare services shall be provided to assist in an effective transition in living arrangements consistent with the client's welfare and development.  This includes discharge from inpatient psychiatric care (in Institutions for Mental Diseases (IMD), general hospitals and nursing facilities), transition to adult services, and assisting the client or the client's family or caretaker with the transition.

1)         Transition linkage and aftercare services may consist of:

A)        Planning with staff of a client's current or receiving living arrangements (including foster or legal parents as necessary);

B)        Locating placement resources;

C)        Arranging/conducting pre- or post-placement visits;

D)        Developing an aftercare services plan; or

E)         Planning a client's discharge and linkage from an inpatient psychiatric facility, including an IMD or nursing facility, for continuing mental health services and community/family support.

2)         Transition linkage and aftercare services shall be provided by at least an MHP.

(Source:  Amended at 31 Ill. Reg. 15805, effective November 8, 2007)