Developmental Disabilities and Mental Illness Committee

Adopted in House Comm. on Mar 04, 2004

 

 


 

 


 
09300HB5000ham001 LRB093 16715 DRJ 48533 a

1
AMENDMENT TO HOUSE BILL 5000

2     AMENDMENT NO. ______. Amend House Bill 5000 by replacing
3 everything after the enacting clause with the following:
 
4     "Section 5. The Department of Human Services Act is amended
5 by adding Section 1-35 as follows:
 
6     (20 ILCS 1305/1-35 new)
7     Sec. 1-35. Community-based services contracting pilot
8 project.
9     (a) The Department of Human Services may initiate a 2-year
10 pilot project aimed at the improvement of delivery of
11 community-based services by contract, which will increase the
12 number of service contracts open to a competitive selection
13 process, increase the number of programs contracted on a
14 fee-for-service basis to attract federal Medicaid match
15 dollars, and utilize performance-based contracts in the
16 provision of such services. Only contracts for community-based
17 services executed under this project shall be subject to a
18 competitive selection process, a fee-for-services method of
19 payment, and performance measurement. Nothing in this Section
20 prohibits the Department from continuing to issue requests for
21 proposals or entering into fee-for-service contracts that were
22 subject to requests for proposals or a fee-for-services method
23 of payment before January 1, 2004.
24     If implemented, the pilot project authorized by this

 

 

09300HB5000ham001 - 2 - LRB093 16715 DRJ 48533 a

1 Section shall be directed toward community-based services that
2 assist Illinois residents in achieving self-sufficiency,
3 independence and health to the maximum extent possible by
4 providing integrated family-oriented services, promoting
5 prevention, and establishing measurable outcomes in
6 partnership with communities.
7     The 2-year pilot project must be implemented in a manner
8 that ensures the continuation of existing client and provider
9 relationships to the maximum extent possible in cases where
10 there is an ongoing plan of treatment. The pilot project shall
11 ensure that "critical access" providers of services, as defined
12 by rule, continue to provide essential services to the
13 communities serving persons who need such services.
14     (b) For the fiscal year beginning July 1, 2004, the
15 Department shall limit the total amount of the contracts issued
16 under this project or that are subject to fee-for-service
17 requirements to $64,000,000 with respect to no more than the
18 following services:
19         (1) Mental Health: Screening and Support Services.
20         (2) Mental Health: Preadmission Assessment and
21 Screening.
22         (3) Rehabilitation Services: Extended Services
23 Programs.
24         (4) Alcoholism and Substance Abuse: HIV Counseling and
25 Testing.
26         (5) Alcoholism and Substance Abuse: Technical
27 Assistance
28         (6) Developmental Disabilities: Self-Advocacy
29 Training.
30         (7) Developmental Disabilities: Enhanced Respite
31 Services in Underserved Areas.
32         (8) Community Health and Prevention: Abstinence Only
33 Education.
34         (9) Community Health and Prevention: Early

 

 

09300HB5000ham001 - 3 - LRB093 16715 DRJ 48533 a

1 Intervention and Family Connections.
2         (10) Community Health and Prevention: Crossroads
3 Program.
4         (11) Community Health and Prevention: Family Planning.
5         (12) Human Capital Development: Temporary Assistance
6 for Needy Families (TANF) - Work First.
7         (13) Human Capital Development: Temporary Assistance
8 for Needy Families (TANF) - Job Placement with Retention.
9         (14) Human Capital Development: Food Stamp Employment
10 and Training with retention.
11         (15) Human Capital Development: Emergency Food
12 Program.
13         (16) Human Capital Development: Emergency Food and
14 Shelter Program.
15         (17) Human Capital Development: Donated Funds
16 Initiative Employability Development Service (EDS).
17     The amount of the contracts to be issued and the programs
18 affected for the fiscal year beginning July 1, 2005 shall be
19 established by rule, which must be proposed by March 1, 2005.
20     (c) The Department must track real outcomes and
21 achievements that improve the quality of life for people.
22 Prospective bidders must provide affirmative statements in the
23 proposals submitted regarding the services to be provided and
24 the outcomes expected. Performance measurements must be
25 incorporated into the requests-for-proposals. Deliverables
26 must demonstrate performance and actual outcomes achieved.
27 Under the performance-based contracting system, providers must
28 be measured on the indicators set forth in the proposals
29 submitted and the contracts formally executed.
30 Requests-for-proposals shall be evaluated on the basis of a
31 tool to be referenced by the Department as Performance-based
32 Measures (PERMS), a web-based data collection system used by
33 the Department to collect data on service delivery, to assess
34 program progress, and to measure provider performance.

 

 

09300HB5000ham001 - 4 - LRB093 16715 DRJ 48533 a

1 Providers will report the services rendered in real time,
2 online, daily. The system must be designed to support the
3 quality of services, to promote creativity and innovation, and
4 to ensure that resources are directed to areas of critical
5 need. Under this pilot project, the Department shall not re-bid
6 all of the community service contracts under its jurisdiction.
7 The Department may only issue requests-for-proposals where an
8 improved system is expected to result. The Department may
9 execute multi-year agreements, when applicable, with annual
10 renewals. In designing the pilot project and in issuing and
11 evaluating requests-for-proposals, the Department must consult
12 and utilize experts in the field.
13     (d) The Department must consult with stakeholders and
14 consumers in the design, development, and implementation of
15 this pilot project. The Department must conduct regional focus
16 group discussions with stakeholders (including consumers and
17 providers), legislators, foundations, trade associations,
18 consumers, and advocacy groups in the development and
19 evaluation of this system. The Department must implement a
20 system using internet technology under which concerned
21 individuals will be able to submit inquiries and receive
22 responses about the system. The Department must issue quarterly
23 reports and post on its internet website information about this
24 project, information about roundtable discussions with
25 stakeholders, the content and postings regarding the
26 request-for-proposal process, the Department's work with
27 foundations and other experts in grant-making, the evaluation
28 of the request-for-proposal processes, and the Department's
29 work with stakeholders in establishing criteria that will
30 govern the determination of future additional program areas
31 that may be included in the request-for-proposal process.
32     (e) The Department must establish an "ombudsman" system
33 that will enable providers and consumers to resolve problems
34 and disputes.

 

 

09300HB5000ham001 - 5 - LRB093 16715 DRJ 48533 a

1     (f) The pilot project must be evaluated by an independent
2 contractor with expertise in such matters, and a preliminary
3 report on the progress and results of the project must be
4 submitted to the Governor and General Assembly by March 1, 2005
5 and a final report March 1, 2006.
 
6     Section 10. The Community Services Act is amended by adding
7 Section 4.4 as follows:
 
8     (405 ILCS 30/4.4 new)
9     Sec. 4.4. Medicaid recipients; separate billing. The
10 Department of Human Services must bill the Department of Public
11 Aid separately for services provided to recipients of medical
12 assistance under Article V of the Illinois Public Aid Code
13 through the Division of Mental Health and for services provided
14 to such recipients through the Division of Developmental
15 Disabilities.
 
16     Section 99. Effective date. This Act takes effect upon
17 becoming law.".