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20 Ill. Comp. Stat. § 1305/1-40. Substance Use Disorders; Mental Health; provider payments: Department of Human Services Act – Illinois
Status: Enacted     Year Enacted: 2010
For authorized Medicaid services to enrolled individuals, Division of Substance Use Prevention and Recovery and Division of Mental Health providers shall receive payments for such authorized services, with payment occurring no later than in the …
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20 Ill. Comp. Stat. § 1705/15.3. Quality assurance for community mental health services: Mental Health and Developmental Disabilities Administrative Act – Illinois
Status: Enacted     Year Enacted: 1988
When the Department of Healthcare and Family Services or the Department of Human Services pays the cost, directly or indirectly, in whole or in part, for community mental health services and programs under the Medicaid …
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20 Ill. Comp. Stat. § 1705/54. Establishment of rates for purchase of service: Mental Health and Developmental Disabilities Administrative Act – Illinois
Status: Enacted     Year Enacted: 1983
Statute establishes procedures for the development, calculation, and communication of rates promulgated by the Department for the purchase of services for persons with a developmental disability and persons with mental illness. Statute requires that rates …
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20 Ill. Comp. Stat. § 1705/7. Care and treatment: Mental Health and Developmental Disabilities Administrative Act – Illinois
Status: Enacted     Year Enacted: 1961
The Department is required to adopt a model protocol and forms for recording all patient diagnosis, care and treatment at each State-operated facility for the mentally ill and for persons with developmental disabilities under the …
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20 Ill. Comp. Stat. § 1705/71a. Community Behavioral Health Care: Mental Health and Developmental Disabilities Administrative Act – Illinois
Status: Enacted     Year Enacted: 2011
The Department shall strive to guarantee that persons, including children, suffering from mental illness, substance abuse, and other behavioral disorders have access to locally accessible behavioral health care providers who have the ability to treat …
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20 Ill. Comp. Stat. § 1705/9. Charges for outpatient services: Mental Health and Developmental Disabilities Administrative Act – Illinois
Status: Enacted     Year Enacted: 1961
Only reasonable charges shall be imposed for outpatient services at State facilities. What is reasonable shall be determined by the Department and charges may be waived for persons who are unable to make payment.
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20 Ill. Comp. Stat. § 2215/5-1. Mandatory Utilization Review: Illinois Health Finance Reform Act – Illinois
Status: Enacted     Year Enacted: 1984
Statute grants any third party payor the option to require utilization review for hospital admissions and continued hospital stays.
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20 Ill. Comp. Stat. § 301/55-30. Rate increase: Substance Use Disorder Act – Illinois
Status: Enacted     Year Enacted: 2017
Department shall by rule develop the increased rate methodology and annualize the increased rate beginning with the State fiscal year 2018 to licensed providers of community-based substance use disorder intervention and treatment, based on the …
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20 Ill. Comp. Stat. § 505/5.35. Residential services; rates: Children and Family Services Act – Illinois
Status: Enacted     Year Enacted: 2009
The Department has rate-setting authority to develop a performance-based model for residential services for children under the age of 22.
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20 Ill. Comp. Stat. § 505/5.45. Managed care plan services: Children and Family Services Act – Illinois
Status: Enacted     Year Enacted: 2018
Statute regulates Medicaid managed care organizations and plans that cover children. Statute requires managed care organizations to post certain information on its website, including defined prior authorization requirements. Prior to transitioning a child to managed …
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20 Ill. Comp. Stat. §§ 1340/1 through 1340/25: Regional Integrated Behavioral Health Networks Act – Illinois
Status: Enacted     Year Enacted: 2012
Each Network shall develop a plan for its respective region that addresses the following: inventory of all mental health and substance use disorder services; identification of unmet community needs, identification of opportunities to improve access …
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20 Ill. Comp. Stat. §§ 1705/1 & 1705/2: Mental Health and Developmental Disabilities Administrative Act – Illinois
Status: Enacted     Year Enacted: 1961
Statutes provide purpose and definitions for the Mental Health and Developmental Disabilities Administrative Act.
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20 Ill. Comp. Stat. §§ 1705/4 through 1705/4.4: Mental Health and Developmental Disabilities Administrative Act – Illinois
Status: Enacted     Year Enacted: 1961
Statutes require certain services to be provided in a State-operated facility and require such services to be monitored for quality. Statutes also require regular and ongoing on-site inspections of each facility under its jurisdiction. Statutes …
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20 Ill. Comp. Stat. §§ 2215/4-1 through 2215/4-4: Illinois Health Finance Reform Act – Illinois
Status: Enacted     Year Enacted: 1984
Statutes require hospitals to make information available about the normal charge incurred for any procedure or operation to prospective patients. Statutes require the Department to make available the “Consumer Guide to Health Care” and the …
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20 Ill. Comp. Stat. §§ 2325/1 through 2325/20: Comprehensive Healthcare Workforce Planning Act – Illinois
Status: Enacted     Year Enacted: 2012
Statutes create the State Healthcare Workforce Council to provide an ongoing assessment of the healthcare workforce in Illinois. Every five years the the Department, in cooperation with the council, shall prepare a healthcare workforce plan …
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20 Ill. Comp. Stat. §§ 3860/1 through 3860/10: Illinois Health Information Exchange and Technology Act – Illinois
Status: Enacted     Year Enacted: 2010
The Illinois Health Information Exchange Authority exists to to serve as a State-level electronic medical records exchange providing for the transfer of health information, medical records, and other health data in a secure environment for …
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