FAQ Companion Document for Rule 2060 Revision

Where can I find the full text of changes?
Is a crosswalk available to compare current and revised rule changes?
Summary of Substantive Changes:
Where and how should I submit public comments regarding the rule during the First Notice period?
When does the public comment period end?

Where can I find the full text of changes?

https://www.ilsos.gov/departments/index/register/volume48/register_volume48_15.pdf

Is a crosswalk available to compare current and revised rule changes?

Due to the fact this this revision is a full repeal and recreation of the rule, a crosswalk of detailed changes is not available. The following summary, however, highlights substantive changes by Subpart, and may aid stakeholders in their review of the rule text. Please note, the summary is not comprehensive, nor should it serve as a substitute for reviewing the full, new proposed rule itself.

Summary of Substantive Changes:

Subpart A-

Removes stigmatizing language.
Updates names of Divisions and Departments.
Makes all language consistent with the most recent revisions to the Substance Use Disorder Act and the American Society of Addiction Medicine (ASAM) 3rd Edition criteria and the DSM5.
Removes outdated or no longer used definitions and adds new ones.
Adds a new section that specifies the purpose of the rule.

Subpart B-

Updates instructions for obtaining license applications.
Adds a new section that specifies the expectation of readiness and capacity for all new applicants.
Allows for off-site services from the facility if they are under 15 staff hours or less per week at the same location.
Allows SUPR to renew a license for less than three years based upon previous or current violations or a continued pastern of non-compliance. Allows for due process if this occurs and for the license to remain in effect until conclusion of hearing.
Incorporates a verbal interview procedure with the applicant as part of license processing requirements.

Subpart C-

Updates facility requirements to reflect the 2015 version of the Life Safety Code and allows for time-limited exceptions to achieve compliance with new standards for fire safety.
Updates the most recent CDC Guidelines regarding Tuberculosis control. Eliminates outdated and more restrictive TB testing requirements.
Includes a requirement that all service recipients in the past six years be notified of the location of records in the event there is a facility closure. Notification can be via public notice, email, etc.
Adds a supervision requirement for all clinical staff of at least once monthly.
Adds staff training requirements regarding ASAM and Part 2060.
Requires that utilization management be conducted by a person meeting the professional staff requirements and independent of the delivery of the service. Clarifies the time frame and number of files that should be used for utilization management.
Removes the reimbursement rate section in anticipation of incorporating this information into the new SUPR rate methodology manual or into an amendment for Part 2030.
Added a new requirement that all patients are given information about Medication Assisted Recovery and offered referral access if not offered by the organization.
Updates the Sanctioning section to better identify the progressive nature of sanctions and technical assistance.
Removed requirement for linkage (referral) agreements.

Subpart D-

Added a new structure and philosophy section that clarifies "individual" care.
Enhances descriptions of each level of care including new descriptions of Level 2.5 (Partial Hospitalization) and Withdrawal Management.
Clarifies Medical Director Requirements Allows Advanced Nurse Practitioners with full practice authority or Advanced Nurse Practitioners or Physician Assistants to serve as Medical Directors for specified levels of care.
Replaces the medical screening with medical review. Incorporates the current components of the medical screening into the assessment and clarifies the requirements for medical review.
Clarifies requirements for physical examinations and allows the Medical Director to determine a different time for completion, if necessary.
Revised the confirmation of diagnosis, initial placement and treatment plan to allow all Illinois licensed professional staff (not a CADC) to perform these confirmations unless there is a bio-medical problem identified in ASAM Dimension 1 or 2 that requires medical or nursing care or a mental health problem identified in Dimension 3 that requires medication management. Also allows these professional staff to perform applicable confirmations for CADC's.

Subpart E-

Removes the Mortimer-Filkens objective test for DUI Services.
Adds snowmobiling (SUI) and boating (BUI) to the list of impaired driving offenses.
Updates the symptoms to be consistent with the DSM5.
Allows for on-line instruction of risk education without an exception from SUPR.
Revises the designated program section to incorporate all services under the heading of specialized case management.
Includes some enhancements for recovery homes relative to referrals for MAR and a procedure to document daily attendance.

Where and how should I submit public comments regarding the rule during the First Notice period?

Please do not submit comments or questions directly to the Division of Substance Use Prevention and Recovery (SUPR) staff, instead interested persons may present their comments concerning these rules within 45 days after the date of this issue of the Illinois Register.

All requests and comments should be submitted in writing to:

Tracie Drew, Chief
Bureau of Administrative Rules and Procedures
Department of Human Services
100 South Grand Avenue East
Harris Building, 3rd Floor
Springfield, Illinois 62762
(217) 785-9772
DHS.AdministrativeRules@illinois.gov

When does the public comment period end?

First notice was published on April 12, 2024 and the public comment period runs through May 27, 2024.