Answer: Two agencies may serve one individual. Both agencies must be fully compliant with Rule 132 by having completed assessments and ITPs. Neither may bill for the same service provided at the same time. Each may bill only for services provided by their own staff.
Answer: Yes, if DMH considers it to be supported housing (program 820). Otherwise the services would be provided as CS Residential in a 24-hour supervised setting.
Answer: Yes. For the Division of Mental Health, this applies to supervised residential (program 830), crisis residential (program 860) and CILA (program 620). Services provided to residential consumers outside the facility will be reported as CS-Individual or CS-Group or other allowed Rule 132 services.
Answer: Supervised or crisis residential and CILA are not considered natural environments, should be certified sites and services provided there should be billed as on-site. Other residential settings are considered natural settings.
Answer: No. Skills training modules delivered within the facility may be billed as CS-Residential.
Answer: The 60% natural setting requirement does not apply to Community Support Residential.
Answer: CS-Group. Only services delivered within the certified 24 Hr supervised facility should be billed as CS-Residential. And, only the provision of an active intervention is billable.
Answer: No. A group provided within a residential setting would be billed as CS-Residential, group mode. An RSA could bill for this service.
Answer: Services provided by the CILA staff to a client at the CILA are CS-Residential.
Answer: The services are billed as CS-Residential. It is an on-site service provided at a certified site.
Answer: To have CS-Residential in the ITP will not be sufficient to cover those services.
Answer: An agency aggregate of 60% of CS services are expected to be provided in a client's natural setting. An agency's percentage will be derived from each type of Community Support service, across the agency, not per individual client. CS-Residential is totally on-site and is not counted in figuring the 60% natural setting requirement.
Answer: Only for a 30 day transition period, and services while in the residential setting should be billed as community support residential, not community support team. CS-Team services are intensive services to support an individual while they are learning to live, work and participate in their community. These intensive services are not needed when an individual is in 24-hour residential services.
Answer: Yes, the community support service provided in supervised residential or CILA is CSR. And, yes, the MHA and ITP must be amended to allow that.
Answer: Correct. CSR may only be provided in Supervised Residential, CILA or crisis residential.
Answer: No. Community Support Services provided in Supervised, CILA and Crisis Residential programs are Community Support Residential. Community Support services in Supported Residential programs may be Community Support Individual/Group/Team and may be either onsite or offsite.
Answer: The service would be billed as Community Support Residential. It is provided in a CILA site as part of a group. Service to one participant of the group may not be billed as something different from the overall service being provided. (3/1/12)
Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
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