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| 1 | AN ACT concerning public aid.
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| 2 | Be it enacted by the People of the State of Illinois,
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| 3 | represented in the General Assembly:
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| 4 | Section 5. The Illinois Public Aid Code is amended by | ||||||
| 5 | changing Section 5-5.25 as follows: | ||||||
| 6 | (305 ILCS 5/5-5.25) | ||||||
| 7 | Sec. 5-5.25. Access to behavioral psychiatric mental | ||||||
| 8 | health and medical services. | ||||||
| 9 | (a) The General Assembly finds that providing access to | ||||||
| 10 | behavioral psychiatric mental health and medical services in a | ||||||
| 11 | timely manner will improve the quality of life for persons | ||||||
| 12 | suffering from mental illness and will contain health care | ||||||
| 13 | costs by avoiding the need for more costly inpatient | ||||||
| 14 | hospitalization. | ||||||
| 15 | (b) The Department of Healthcare and Family Services shall | ||||||
| 16 | reimburse psychiatrists, and federally qualified health | ||||||
| 17 | centers as defined in
Section 1905(l)(2)(B) of the federal | ||||||
| 18 | Social Security Act, clinical psychologists, clinical social | ||||||
| 19 | workers, advanced practice registered nurses certified in | ||||||
| 20 | psychiatric and mental health nursing, and mental health | ||||||
| 21 | professionals and clinicians authorized by Illinois law to | ||||||
| 22 | provide behavioral for mental health services provided by | ||||||
| 23 | psychiatrists, as
authorized by Illinois law, to recipients via | ||||||
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| 1 | telehealth telepsychiatry. The Department, by rule, shall | ||||||
| 2 | establish: (i) criteria for such services to be reimbursed, | ||||||
| 3 | including appropriate facilities and equipment to be used at | ||||||
| 4 | both sites and requirements for a physician or other licensed | ||||||
| 5 | health care professional to be present at the site where the | ||||||
| 6 | patient is located; however, the Department shall not require | ||||||
| 7 | that a physician or other licensed health care professional be | ||||||
| 8 | physically present in the same room as the patient for the | ||||||
| 9 | entire time during which the patient is receiving telehealth | ||||||
| 10 | telepsychiatry services; and (ii) a method to reimburse | ||||||
| 11 | providers for mental health services provided by telehealth | ||||||
| 12 | telepsychiatry.
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| 13 | (c) The Department shall reimburse any Medicaid certified | ||||||
| 14 | eligible facility or provider organization that acts as the | ||||||
| 15 | location of the patient at the time a telehealth service is | ||||||
| 16 | rendered, including substance abuse centers licensed by the | ||||||
| 17 | Department of Human Services' Division of Alcoholism and | ||||||
| 18 | Substance Abuse. | ||||||
| 19 | (d) On and after July 1, 2012, the Department shall reduce | ||||||
| 20 | any rate of reimbursement for services or other payments or | ||||||
| 21 | alter any methodologies authorized by this Code to reduce any | ||||||
| 22 | rate of reimbursement for services or other payments in | ||||||
| 23 | accordance with Section 5-5e. | ||||||
| 24 | (Source: P.A. 100-385, eff. 1-1-18.)
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