Bill Text: IL HB5156 | 2009-2010 | 96th General Assembly | Introduced

---

Bill Title: 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.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2010-01-29 - Referred to Rules Committee [HB5156 Detail]

Download: Illinois-2009-HB5156-Introduced.html

---

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
AN ACT concerning public aid.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Illinois Public Aid Code is amended by
adding Section 5-27 as follows:
(305 ILCS 5/5-27 new)
Sec. 5-27. Payments for community Medicaid mental health
services.
(a) After the effective date of this amendatory Act of the
96th General Assembly, 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. Rates of reimbursement for community Medicaid
mental health services shall be consistent with rates outlined
in Section 132 of Title 59 of the Illinois Administrative Code.
(b) For purposes of this Section:
"Community Medicaid mental health services" means all
mental health services outlined in Section 132 of Title 59 of

HB5156 - 2 - LRB096 16813 KTG 32120 b
the Illinois Administrative Code that are Medicaid funded and
provided by a community-based provider.
"Community-based provider" means an entity enrolled as a
provider pursuant to Sections 140.11 and 140.12 of Title 89 of
the Illinois Administrative Code and certified to provide
community Medicaid mental health services in accordance with
Section 132 of Title 59 of the Illinois Administrative Code.
Section 10. The Community Services Act is amended by adding
Section 4.8 as follows:
(405 ILCS 30/4.8 new)
Sec. 4.8. Payments for community Medicaid mental health
services.
(a) After the effective date of this amendatory Act of the
96th General Assembly, 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. Rates of reimbursement for community Medicaid
mental health services shall be consistent with rates outlined
in Section 132 of Title 59 of the Illinois Administrative Code.

HB5156 - 3 - LRB096 16813 KTG 32120 b
(b) For purposes of this Section:
"Community Medicaid mental health services" means all
mental health services outlined in Section 132 of Title 59 of
the Illinois Administrative Code that are Medicaid funded and
provided by a community-based provider.
"Community-based provider" means an entity enrolled as a
provider pursuant to Sections 140.11 and 140.12 of Title 89 of
the Illinois Administrative Code and certified to provide
community Medicaid mental health services in accordance with
Section 132 of Title 59 of the Illinois Administrative Code.
Section 99. Effective date. This Act takes effect July 1,
2011.