Illinois General Assembly - Full Text of HB5156

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Full Text of HB5156 96th General Assembly

Introduced
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HB5156 96TH GENERAL ASSEMBLY

96TH GENERAL ASSEMBLY State of Illinois 2009 and 2010
HB5156

Introduced 1/29/2010, by Rep. Naomi D. Jakobsson

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-27 new

405 ILCS 30/4.8 new

    Amends the Community Services Act and the Medical Assistance Article of the Illinois Public Aid Code. Provides that after the effective date of this amendatory Act, community Medicaid mental health services provided by community-based providers shall no longer be included in contracts with the Department of Human Services; instead, community Medicaid mental health services provided by a community-based provider must be billed directly to the Department of Healthcare and Family Services and must be separate from contracts between the Department of Human Services and community-based providers for all other mental health services. Further provides that rates of reimbursement for community Medicaid mental health services shall be consistent with rates outlined in specified provisions of the Illinois Administrative Code. Effective July 1, 2011.

LRB096 16813 KTG 32120 b

FISCAL NOTE ACT MAY APPLY

A BILL FOR

HB5156 LRB096 16813 KTG 32120 b

1     AN ACT concerning public aid.

2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:

4     Section 5. The Illinois Public Aid Code is amended by
5 adding Section 5-27 as follows:

6     (305 ILCS 5/5-27 new)
7     Sec. 5-27. Payments for community Medicaid mental health
8 services.
9     (a) After the effective date of this amendatory Act of the
10 96th General Assembly, community Medicaid mental health
11 services provided by community-based providers shall no longer
12 be included in contracts with the Department of Human Services.
13 Instead, community Medicaid mental health services provided by
14 a community-based provider must be billed directly to the
15 Department of Healthcare and Family Services and must be
16 separate from contracts between the Department of Human
17 Services and community-based providers for all other mental
18 health services. Rates of reimbursement for community Medicaid
19 mental health services shall be consistent with rates outlined
20 in Section 132 of Title 59 of the Illinois Administrative Code.
21     (b) For purposes of this Section:
22     "Community Medicaid mental health services" means all
23 mental health services outlined in Section 132 of Title 59 of

HB5156 - 2 - LRB096 16813 KTG 32120 b

1 the Illinois Administrative Code that are Medicaid funded and
2 provided by a community-based provider.
3     "Community-based provider" means an entity enrolled as a
4 provider pursuant to Sections 140.11 and 140.12 of Title 89 of
5 the Illinois Administrative Code and certified to provide
6 community Medicaid mental health services in accordance with
7 Section 132 of Title 59 of the Illinois Administrative Code.

8     Section 10. The Community Services Act is amended by adding
9 Section 4.8 as follows:

10     (405 ILCS 30/4.8 new)
11     Sec. 4.8. Payments for community Medicaid mental health
12 services.
13     (a) After the effective date of this amendatory Act of the
14 96th General Assembly, community Medicaid mental health
15 services provided by community-based providers shall no longer
16 be included in contracts with the Department of Human Services.
17 Instead, community Medicaid mental health services provided by
18 a community-based provider must be billed directly to the
19 Department of Healthcare and Family Services and must be
20 separate from contracts between the Department of Human
21 Services and community-based providers for all other mental
22 health services. Rates of reimbursement for community Medicaid
23 mental health services shall be consistent with rates outlined
24 in Section 132 of Title 59 of the Illinois Administrative Code.

HB5156 - 3 - LRB096 16813 KTG 32120 b

1     (b) For purposes of this Section:
2     "Community Medicaid mental health services" means all
3 mental health services outlined in Section 132 of Title 59 of
4 the Illinois Administrative Code that are Medicaid funded and
5 provided by a community-based provider.
6     "Community-based provider" means an entity enrolled as a
7 provider pursuant to Sections 140.11 and 140.12 of Title 89 of
8 the Illinois Administrative Code and certified to provide
9 community Medicaid mental health services in accordance with
10 Section 132 of Title 59 of the Illinois Administrative Code.

11     Section 99. Effective date. This Act takes effect July 1,
12 2011.

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