From: Danielle L. Kirby, Director
Division of Substance Use Prevention and Recovery

LICENSURE, COMPLIANCE & MONITORING UPDATES

In order to help support and enhance quality services, the Illinois Department of Human Services, Division of Substance Use Prevention and Recovery (IDHS/SUPR) has updated several administrative and regulatory guidelines and has increased opportunities for training and technical assistance. Outlined below is a summary of recent changes.

  • Licensure/Certification Interview: Prior to a IDHS/SUPR license or Medicaid certification approval, the applicant organization must successfully complete an interview with IDHS/SUPR to determine readiness to meet administrative and regulatory guidelines that govern Substance Use Disorder (SUD) treatment and intervention services in the State of Illinois. These interviews give the applicant the opportunity to discuss and review planned services and receive any needed technical assistance.
  • New Provider Site Visit: Within the first six months of licensure, all new providers will receive an on-site technical assistance (TA) visit. The goal of TA is for IDHS/SUPR to review and ensure that SUD treatment related policies, procedures and clinical documents meet the intent of the IDHS/SUPR requirements. Prior to the TA visit, each provider will receive the monitoring tools, including work sheets related to Administrative Rule Part 2060 and a list of the documents that must be available for review during the visit. IDHS/SUPR's compliance monitors are prepared to assist providers with answering questions and developing processes to help implement the intent of regulations.
  • Medicaid Certification/Enrollment/Recertification: A blanket exception has been granted to Administrative Rule 2090.30(b)(2), which mandated a two-year period of SUD service provision prior to application for Medicaid certification. This restriction will be removed from the administrative rule in 2019. Providers may apply for Medicaid certification at any time.
  • Monthly Technical Assistance (MTA) meeting: In order to help improve the quality of services and ensure consistent interpretation of administrative rules and policy, IDHS/SUPR now hosts a monthly live technical assistance meeting (MTA) via conference call. During this call, IDHS/SUPR staff provide answers to previously submitted questions. Those answers are subsequently posted to the FAQ section of the SUPR website. Please find additional information at http://www.dhs.state.il.us/page.aspx?item=110700.
  • IDHS/SUPR Licensing, Compliance and Monitoring Unit: We are excited to announce that we continue to receive many applications for licenses and/or Medicaid certifications on a weekly basis. Unfortunately, as our provider numbers increase, the IDHS/SUPR staff has decreased due to staff resignations and retirements and it may take some time to fill those vacancies. In the interim, we have a slight backlog of applications, exception requests, etc., and request your patience over the next few months. At present, if you are applying for a new license, renewing your license or submitting a request, it may take two or three weeks for response. If there is need for an urgent response, please submit your request/question to: DoIT.SUPRHelp@Illinois.gov.
  • ASAM Training: In 2018, IDHS/SUPR, in cooperation with the Substance Abuse and Mental Health Services Administration (SAMHSA), offered free training on the ASAM criteria for treatment of addictive, substance-related and co-occurring conditions. A total of five trainings were held statewide and were attended by over 300 people representing 200 organizations. Additionally, one ASAM training session for future trainers was held in August. To continue with our commitment to ensure that ASAM training is available to enhance the skill level of our existing workforce, we are scheduling additional ASAM training for early in 2019. Once finalized, we will send notification of dates and locations via Smart Alert.
  • Physician Extenders: Effective October 1, 2017, through exception request to Director Danielle Kirby, SUPR now allows the use of physician extenders to conduct physicals, review medical screenings, confirm initial diagnosis, treatment plan and placements and continuing stay reviews. Physician extenders must still work under the supervision of the organization's Medical Director. Additional information concerning this change and the exception process is contained in a Smart Alert which can be accessed at http://www.dhs.state.il.us/page.aspx?item=97923.