TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER d: MEDICAL PROGRAMS
PART 140 MEDICAL PAYMENT
SECTION 140.455 PAYMENT FOR MENTAL HEALTH SERVICES


 

Section 140.455  Payment for Mental Health Services

 

a)         The amount approved for payment for mental health services described in Section 140.454 shall be based on the type and amount of service required by and actually delivered, and provided consistent with any service limitations, utilization controls, or prior approval processes established or authorized by the Department.

 

b)         The payment amount for a service described in Section 140.454(a) through (d) is determined in accordance with the rate methodologies outlined in the Department's published fee schedule, available at https://www.illinois.gov/ hfs/MedicalProviders/MedicaidReimbursement/Pages/CMHP.aspx.

 

c)         The payment amount for a service described in Section 140.454(e) shall be at the rate of reimbursement paid to a physician for the same service.

 

d)         Payment for services described in Section 140.453(d)(1) and (3) is effective for dates of service on or after August 1, 2018.

 

(Source:  Amended at 43 Ill. Reg. 6736, effective May 28, 2019)