FY18 DHS/DMH Community Mental Health Provider Manual

Helping Families. Supporting Communities. Empowering Individuals.

FY18 Provider Manual

Table of Contents

I. INTRODUCTION

  1. Mission/Vision Statement
  2. Philosophy of Recovery
  3. Illinois Mental Health Collaborative: Consumer and Family Handbook 
  4. Provider Manual-Definitions (pdf)
  5. Illinois Mental Health Collaborative for Access and Choice 

II. PROVIDER ELIGIBILITY

  1. DMH Community Services Contract-Attachment B
  2. Application, Certification and Enrollment with HFS (Medicaid)
    1. Becoming a Medicaid Certified Community Mental Health Provider
    2. HFS IMPACT Home
    3. HFS Medical Provider Handbook - Chapter CMH-100
    4. Chapter CMH-200 Children's Mental Health (SASS) (pdf) 
    5. Appendix (pdf)
  3. Community Based Service (Rule 132)
  4. DMH Provider Enrollment
    1. DHS-DMH Provider Enrollment (pdf)
    2. Forms for Provider Database
  5. Accreditation Standards/Requirements
    1. CARF International
    2. The Joint Commission
    3. CQL The Council on Quality and Leadership
    4.  COA Council on Accreditation
    5. HFAP Healthcare Facilities Accreditation Program

III. CONSUMER ELIGIBILITY AND ENROLLMENT

  1. Consumer Eligibility, Enrollment/Registration and Benefits (pdf)
  2. IL DHS DMH DSM5 ICD-10 Diagnoses Eff 10-1-2016 (pdf)
  3. Functional Standardized Assessments of Consumers Overview (pdf)
    1. Level of Care Utilization System (LOCUS) 
    2. CIS-Columbia Impairment Scale 
    3. Ohio Scales
    4. DECA - Devereux Early Childhood Assessments 
  4. Notice of DHS Community - Based Service (pdf)

IV. MENTAL HEALTH SERVICES

  1. Service Definitions and Requirements
    1. Rule 132 59 ILAC, effective October 1, 2015
    2.  Community Mental Health Providers (CMHP) Reimbursement-Service Definition and Reimbursement Guide (SDRG) 
    3. Community Based Services (Rule 132) - Training Presentations
    4. Rule 132 Questions and Answers
  2. Medical Necessity Criteria and Guidance Manual (pdf) 


  1. Capacity Grant Definitions and Requirements
    1. DMH Community Services Contract-Attachment B
  2. Forensic Services
    1. Fitness Restoration Manual (pdf)
    2. Forensic Handbook Update May (pdf)
  3. Child and Adolescent Services
  4. Pre-Admission Screening/Mental Health (PAS/MH)
    1. PAS/MH Contractor's Procedure Manual (pdf)
  5. Title XX/ Donated Funds Initiative Program Manual


V. CONSUMER REGISTRATION FOR COMMUNITY SERVICES

  1. DHS/DMH Consumer Registration Requirements
    1. Illinois Mental Health Collaborative for Access and Choice - Batch Registration for Providers with their own software or third party software 
    2. Illinois Mental Health Collaborative for Access and Choice - Provider Connect Registration for Providers using DMH/Collaborative Software 

VI. CLAIMS SUBMISSION FOR DMH SERVICES 

  1. MEDI Home
  2. HFS Chapter 300 Companion guide 5010 - Electronic Processing

VII.PRE-ADMISSION SCREENING/ MENTAL HEALTH 

  1. PAS/MH Contractor's Procedure Manual (pdf) 

VIII. SASS CLAIMS SUBMISSION 

  1. Screening, Assessment and Support Services

IX. WILLIAMS CONSENT DECREE 

  1. Williams Vs. Rauner 
  2. Resource Directory and Guide (RDG) for Williams Transition Coordinators 
  3. Individualized Comprehensive Service Plan Guide

X. IMPORTANT REFERENCE AND RESOURCE DOCUMENTS

  1. Illinois Statutes
    1. Mental Health and Developmental Disabilities Confidentiality Act 
    2. Mental Health and Developmental Disabilities
    3. Children's Mental Health Act of 2003 
    4. Public Act 097 - 0515, Disclosure for Treatment and Coordination of Care
    5. Public Act 097-0689 (SMART) Act 
    6. Illinois Mental Health Community Services Act (405 ILCS 30)
    7. Mental Health and Developmental Disabilities Administrative Act (20 ILCS 1705) 
    8. Title 59 Mental Health 
    9. Firearms Concealed Carry Act (Public Act 098-0063) 
      1. 59 IAC 150 Mental Health Reporting for Firearm Owner's Identification Card
      2. DHS FOID Mental Health Reporting Requirements 
      3. DHS FOID Mental Health Reporting
  2. Important Federal Policies, Regulations, and Reports
    1. Code of Federal Regulations (CFR) 
    2. United States Code (USC) 
    3. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) 
    4. Surgeon General's Report on Mental Health, 1999  
    5. President's New Freedom Commission's Report on Mental Health, 2003
  3. Evidence Based Practices:
    1. Dartmouth IPS Supported Employment Center 
    2. SAMHSA Registry of Evidence Based Practices
  4. Continuity of Care 
    1. Continuity of Care Strategic Planning Guidelines (pdf)
    2. USARF for Adults (pdf) 
  5. Coordination of Benefits - Provider Requirements (pdf)
  6. HFS Medicaid Provider Handbooks
    1. HFS Medicaid Provider Handbook - Chapter 100
    2. HFS Medicaid Provider Handbook - Chapter 200
    3. HFS Medicaid Providers - Chapter 300 Companion Guide 5010 - Electronic Processing

NOTE:  For accessible versions of any of these documents, please contact