Proposed Rule/Public Act
|
|
Agency Name |
Department of Human Services |
Contact Person |
Tracie Drew |
Address |
100 South Gand Avenue East
3rd Floor
Springfield, IL 62762 |
Phone |
(217) 785-9772 |
Email |
|
Fax |
(217) 557-1547 |
Heading of the Part/Public Act |
Award and Monitoring of Funds |
Admin Code Citation/Public Act Number |
77 Ill. Adm. Code 2090 |
Section Numbers |
2090.35 |
Illinois Register Citation (Page Number & Publication Date) |
35 Ill. Reg. 1329 |
Type of Rule (New/Emergency/Amended) |
Proposed |
Type of Impact (Reporting/Cost, Fee/Education, Credit/Other) |
Increased administrative time, oversight and reviews documented directly related to submission of request for approval forms related to DASA Utilization Management processes required. Understanding of the DASA UM process, computer skills to submit application forms and the ability to submit clear and concise clinical justifications for admission and continued stay reviews related to residential rehabilitation services. |
Business or Industry Type Affected |
DASA funded providers of residential rehabilitation services ( ASAM Level 3.5) |
Effective Date |
January 14, 2011 |
Plain Language Explanation
This rulemaking is being proposed to change the parameters of determining medical necessity. In order to assure that services continue to be medically necessary, the Department will implement Utilization Management.
Comments
Members of the public may submit comments to the agency contact listed above. Comments should be submitted within 45-days of publication in the Illinois Register.
Public Hearing Location
Not appliciable.
Advisory Opinion
Not applicable.