(a) For the purpose of understanding behavioral health services cost structures and their impact on the Illinois Medical Assistance Program, the Department shall engage stakeholders to develop a plan for the regular collection of cost reporting for all entity-based providers of behavioral health services reimbursed under the Rehabilitation or Prevention authorities of the Illinois Medicaid State Plan. Data shall be used to inform on the effectiveness and efficiency of Illinois Medicaid rates. The plan at minimum should consider the following:
         (1) alignment with certified community behavioral
    
health clinic requirements, standards, policies, and procedures;
        (2) inclusion of prospective costs to measure what is
    
needed to increase services and capacity;
        (3) consideration of differences in collection and
    
policies based on the size of providers;
        (4) consideration of additional administrative time
    
and costs;
        (5) goals, purposes, and usage of data collected from
    
cost reports;
        (6) inclusion of qualitative data in addition to
    
quantitative data;
        (7) technical assistance for providers for completing
    
cost reports including initial training by the Department for providers; and
        (8) an implementation timeline that allows an initial
    
grace period for providers to adjust internal procedures and data collection.
    Details from collected cost reports shall be made publicly available on the Department’s website and costs shall be used to ensure the effectiveness and efficiency of Illinois Medicaid rates.
lawyer at desk

Ask an insurance law question, get an answer ASAP!
Click here to chat with a lawyer about your rights.

Terms Used In Illinois Compiled Statutes 305 ILCS 66/20-22

  • State: when applied to different parts of the United States, may be construed to include the District of Columbia and the several territories, and the words "United States" may be construed to include the said district and territories. See Illinois Compiled Statutes 5 ILCS 70/1.14

     (b) The Department and stakeholders shall develop a plan by April 1, 2024. The Department shall engage stakeholders on implementation of the plan.
  Previous section
Next section  
 305 ILCS 66 Contents