§ 20-22 — Implementation plan for cost reporting

(a) For the purpose of understanding behavioral health services cost structures and their impact on the Illinois Medical Assistance Program, the Department shall engage stakeholders to develop a plan for the regular collection of cost reporting for all entity-based providers of behavioral health services reimbursed under the Rehabilitation or Prevention authorities of the Illinois Medicaid State Plan. Data shall be used to inform on the effectiveness and efficiency of Illinois Medicaid rates. The plan at minimum should consider the following: (1) alignment with certified community behavioral health clinic requirements, standards, policies, and procedures; (2) inclusion of prospective costs to measure what is needed to increase services and capacity; (3) consideration of differences in collection and policies based on the size of providers; (4) consideration of additional administrative time and costs; (5) goals, purposes, and usage of data collected from cost reports; (6) inclusion of qualitative data in addition to quantitative data; (7) technical assistance for providers for completing cost reports including initial training by the Department for providers; and (8) an implementation timeline that allows an initial grace period for providers to adjust internal procedures and data collection. Details from collected cost reports shall be made publicly available on the Department's website and costs shall be used to ensure the effectiveness and efficiency of Illinois Medicaid rates. (b) The Department and stakeholders shall develop a plan by April 1, 2024. The Department shall engage stakeholders on implementation of the plan.

Legislative History

(Source: P.A. 103-102, eff. 7-1-23.)