Certified Specialty Provider (CSP) Shift in Primary Funding Source

The CSP organization should work with their designated Certifying State Agency (CSA) to complete the steps for a shift in primary funding source.

If the Illinois Department of Human Services (DHS) is the designated CSA, the DHS-Division of Mental Health (DHS-DMH) Provider Access, Credentialing, and Enrollment Unit (PACE) and the DHS-Bureau of Accreditation, Licensure and Certification (BALC) shall assist with completion of the requirements. If the Illinois Department of Children and Family Services (DCFS) is the designated CSA, the Infant Parent Institute (IPI) shall assist with completion of the requirements.

The following are the steps that a CSP organization must take if there is a shift in primary funding source for community mental health treatment. The shift in primary funding source would apply to the individual CSP site and would entail the primary funding source transferring from DHS to DCFS or from DCFS to DHS.

1. CSP Notifies Originating CSA of Shift in Primary Funding Source

Written notification must be submitted by the CSP to the originating CSA when there is a shift in primary funding source. If the originating CSA is DHS, the notification should be sent to DHS-DMH-PACE at DHS.DMHProviderAssist@illinois.gov.  If the originating CSA is DCFS, the notification should be sent to DCFS.Medicaid@illinois.gov.  This notification shall include the:

  • CSP name on file with the originating CSA
  • Employer Identification Number (EIN)/Tax Identification Number (TIN) of the CSP
  • Address of the site
  • Primary contact name and title
  • Primary contact email address and telephone number

2. Originating CSA Forwards Information

If DHS is the originating CSA, the notification received by DHS-DMH-PACE shall be forwarded to DHS-BALC. DHS-BALC shall then forward the following documents to the new CSA, DCFS-IPI:

  • Notification
  • Current certificate
  • Last site survey results
  • Office of the State Fire Marshal (OSFM) inspection report

If DCFS is the originating CSA, DCFS-IPI shall then forward the following documents to the new CSA, DHS-BALC and DHS-DMH-PACE:

  • Notification
  • Current certificate
  • Last site survey results
  • Office of the State Fire Marshal (OSFM) inspection report

If a site is missing a current OSFM inspection, within the last two (2) years, the transfer will be held until the originating CSA has received current inspection reports for all sites. Fire clearance must be obtained prior to proceeding with the transfer.

The receiving CSA shall reach out to the originating CSA if any further information is needed. The receiving CSA shall reach out to the CSP if any additional information is needed or if any forms need to be completed.

3. Certification End Date Extension (if applicable)

If the CPSs Provisional or Full Certificate is to expire in the next six (6) months from the transfer from one CSA to another, the originating CSA, DHS-BALC or DCFS-IPI, shall extend the certificate expiration date for three (3) months from the certificate end date to allow for the new CSA to review the documents received from the originating CSA and schedule the CSP for a site review. In this instance, the originating CSA shall:

  • Update the current certificate to reflect the extension in expiration (if the originating CSA is DHS, this shall be completed by BALC).
  • Forward the updated certificate as follows:
    • If the originating CSA is DCFS, the updated certificate shall be forwarded to the CSP, DHS-DMH-PACE and DHS-BALC.
    • if the originating CSA is DHS, the updated certificate shall be forwarded to the CSP, DHS-DMH-PACE and DCFS-IPI at DCFS.Medicaid@illinois.gov.

4. Bureau of Community Programs Notified (applies when DHS is the designated CSA)

When DHS is the designated CSA, DHS-DMH-PACE shall notify the respective Program Manager of the shift in primary funding source by forwarding the notification received from the CSP and a copy of the current certificate.