From: Danielle L. Kirby, Director
Division of Substance Use Prevention and Recovery
Supportive Services Enhancement & Revised Billing Procedure
As IDHS/SUPR continues the transition from an acute SUD care model to a recovery-oriented system of care (ROSC), we want to remove any barriers that might prohibit or prevent the delivery of and reimbursement for SUD supportive services which are often critical to support long term SUD recovery. Therefore, effective immediately, the contract funding billing allowances for case management, early intervention and community intervention have been eliminated.
While delivery of treatment should always be the priority, we recognize the value of supportive service and the increasing need for training and community advocacy activities to build support for the expansion of treatment and recovery support services throughout Illinois. We also want to support the expansion and delivery of recovery support services (RSS) such as employment, peer and recovery coaching, recovery homes, recovery skills, spiritual support, transportation and employment training. Definitions for these services are included at: https://www.dhs.state.il.us/page.aspx?item=46520
The attached "Revised Billing Procedure" document includes information about supportive services, including recovery support, and how to correctly submit bills for reimbursement. It also includes clarification on income eligibility guidelines, the current payor of last resort policy and information about the IDHS/SUPR Billing Verification Report to ensure accurate billing to the correct payment source.
Examples of acceptable billing activities for case management, early intervention and community intervention are specified in the current Contractual Policy Manual at: https://www.dhs.state.il.us/OneNetLibrary/27896/documents/By_Division/OASA/2020/SUPR_Contractual_Policy_Manual_for_FY_2020.pdf.
Additionally, we will now allow time that staff spend receiving SUPR sponsored training to be billed as community intervention. Recovery support services delivered during treatment can be billed as case management and when delivered pre-treatment and post-discharge billed as community intervention. See the attached billing guide for more information.
We also recognize that currently RSS vary widely in their format and delivery. For this reason, we request that, at a minimum, you adhere to the requirements specified in the attachment if you will be seeking reimbursement for this service.
Over the next fiscal year, IDHS/SUPR will continue the development of RSS and anticipates enhancement of these minimum standards. Projected plans include a determination of the appropriate location for RSS (i.e., where is the optimal environment for delivery), a method to identify a unique identifier for pre-treatment and post-discharge services so that it can be linked to treatment service in DARTS, development of a standardized RSS assessment process and recovery plan format, and development of policy and procedures for initial and on-going training. We encourage all organizations to make any necessary adjustments to meet the minimum RSS standards now and to work with us over the next year, via monthly technical assistance calls, as we finalize the RSS requirements. We welcome your feedback and look forward to your assistance.
To better support these service expansions, please review your mobius reports as soon as possible to project utilization for the remainder of the fiscal year based upon the eliminations of contract funding billing allowances and the inclusion of recovery support services. If you cannot access your Mobius reports, contact your contract manager immediately. If you need additional assistance, please contact the help desk (DoIT.SUPRHelp@illinois.gov). This information is critical to ensure that contract funds are fully expended this fiscal year. Using the attached "FY20 SUPR Request for Information" please let us know if you anticipate you won't be able to utilize your full allocation as well as if you can support additional funds. This form should be submitted to your contract manager no later than April 1, 2020. Increase requests will be processed based on available funding.
Additionally, we have scheduled a conference call on March 19, 2020 at 11:00 AM to 12:00PM to review and answer any questions you may have related to these changes and we encourage your participation (Call Number 1-312-535-8110, Access Code: 802 140 776). Submit your questions in advance to DoIT.SUPRHelp@Illinois.gov.