1. Program Definition and Services
Behavioral Health Services in Illinois encompass mental health and substance use disorder treatments. Services include:
- Crisis stabilization
- Psychiatric evaluations
- Medication management
- Individual and group therapy
- Substance use disorder treatment
- Case management
- Rehabilitation services
2. Regulations
The program is governed by:
- Illinois Administrative Code Title 89, Chapter I, Subchapter d (Medical Payment)
- Illinois Public Aid Code (305 ILCS 5/5 et seq.)
- Community Behavioral Health Center Infrastructure Act (30 ILCS 732)
- Mental Health and Developmental Disabilities Code
3. Licensing or Certification
Providers must be licensed by the Illinois Department of Public Health (IDPH) or the Department of Human Services (IDHS), depending on the specific type of service
4. Responsible State Agency
The Illinois Department of Healthcare and Family Services (HFS) oversees Medicaid-funded behavioral health services, while IDPH and IDHS handle licensing for different facility types
5. Application Process
The application process involves:
- Determining the type of license needed (mental health or substance use disorder services)
- Applying for a Certificate of Need (CON), if required
- Submitting an application to the appropriate state agency (IDPH, IDHS, or HFS)
- Enrolling as a Medicaid provider through the Illinois Medicaid Program Advanced Cloud Technology (IMPACT) system
6. Required Documentation
Providers must submit:
- Completed application forms
- Proof of compliance with state regulations
- Staff qualifications and training records
- Facility policies and procedures
- Proof of liability insurance
- Building and safety inspection reports
7. Timeline for Approval
The exact timeline for approval is not specified in the available results. Providers should contact the relevant state agency for more detailed information on the approval process and expected timeframes.
8. Pre-Application Process
There is no specific pre-application process mentioned. However, potential providers should ensure they meet all eligibility requirements before applying.
9. Pre-Application Training
No specific pre-application training is mentioned. However, providers must ensure that their staff meets the required qualifications and training standards set by state regulations.
10. Additional Notes
- As of March 3, 2025, Illinois is implementing a Certified Community Behavioral Health Clinic (CCBHC) program, with applications anticipated to be released in October 2022
- Providers must comply with specific requirements for different levels of care, such as residential treatment centers, partial hospitalization programs (PHP), and intensive outpatient programs (IOP)
- Behavioral health services for children and youth under the Department's care are assessed through the Child and Adolescent Needs and Strengths (CANS) assessment tool
- Blue Cross Blue Shield of Illinois offers a comprehensive Behavioral Health Program that includes care management, utilization management, and specialty programs for conditions such as eating disorders and autism spectrum disorders
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