Developmental Disabilities and Mental Illness Committee
Adopted in House Comm. on Mar 04, 2004
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1 | AMENDMENT TO HOUSE BILL 5000
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2 | AMENDMENT NO. ______. Amend House Bill 5000 by replacing | ||||||
3 | everything after the enacting clause with the following:
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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 |
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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:
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19 | (1) Mental Health: Screening and Support Services.
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20 | (2) Mental Health: Preadmission Assessment and | ||||||
21 | Screening.
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22 | (3) Rehabilitation Services: Extended Services | ||||||
23 | Programs.
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24 | (4) Alcoholism and Substance Abuse: HIV Counseling and | ||||||
25 | Testing.
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26 | (5) Alcoholism and Substance Abuse: Technical | ||||||
27 | Assistance
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28 | (6) Developmental Disabilities: Self-Advocacy | ||||||
29 | Training.
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30 | (7) Developmental Disabilities: Enhanced Respite | ||||||
31 | Services in Underserved Areas.
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32 | (8) Community Health and Prevention: Abstinence Only | ||||||
33 | Education.
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34 | (9) Community Health and Prevention: Early |
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1 | Intervention and Family Connections.
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2 | (10) Community Health and Prevention: Crossroads | ||||||
3 | Program.
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4 | (11) Community Health and Prevention: Family Planning.
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5 | (12) Human Capital Development: Temporary Assistance | ||||||
6 | for Needy Families (TANF) - Work First.
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7 | (13) Human Capital Development: Temporary Assistance | ||||||
8 | for Needy Families (TANF) - Job Placement with Retention.
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9 | (14) Human Capital Development: Food Stamp Employment | ||||||
10 | and Training with retention.
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11 | (15) Human Capital Development: Emergency Food | ||||||
12 | Program.
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13 | (16) Human Capital Development: Emergency Food and | ||||||
14 | Shelter Program.
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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. |
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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. |
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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.
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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.
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16 | Section 99. Effective date. This Act takes effect upon | ||||||
17 | becoming law.".
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