Table of Contents:
- Registration Now Open for the 2020 IARF Virtual Conference
- The Horton Group to Host Webinar on Navigating the PPP
- Vote Yes For Fair Tax Organizational Sign-On
- DDD Releases Draft Information Bulletins – Appeals and Bed Holds
- DDD Community Day Services Reopen & Division Plans Survey
- Revised Appendix K Receives Approval
- Proposed Rate Changes for SUPR Providers
- DMH CRSS Virtual Fundamentals Training - Save the Dates
- DMH September 24 Recovery & Empowerment Statewide Call
- Federal Provider Relief Fund Payments for Medicaid and CHIP Providers
- Are You Interested in Serving as an Integrated Health Home?
- IARF BH COVID Billing Relief Extension & Telehealth Utilization Survey
- Pritzker Administration Provides COVID-19 Update on Metro East
- NIH News Release: People with I/DD Disproportionately Affected by COVID-19
- ANCOR: 2020 Policy Summit: Register Today to Save $100
- Feds Send More than $11 Million to Illinois for Community Health Centers
- Pritzker Administration Receives $36 Million in Federal Funding to Fight Opioid Crisis
- Managing Your IL ABLE Account Webinar
REGISTRATION NOW OPEN FOR THE 2020 IARF VIRTUAL CONFERENCE
IARF is pleased to announce that registration has officially opening for our 2020 Virtual Conference & Expo! This year’s event will be held online November 10, 11, 17, & 18. The virtual conference will feature 6 keynote speakers, over 15 educational sessions, a virtual exhibit hall and continuing education credits! Click here to learn more about the 2020 IARF Virtual Conference, view the schedule-at-a-glance, and register to attend today!
In addition to educational sessions, we will also host a virtual exhibit hall for vendors and attendees. Showcase your brand's products and services to attendees virtually! Exhibiting, advertising, and sponsoring at the 2020 IARF Virtual Conference offers your company the chance to increase brand awareness and provides a great opportunity to connect with conference attendees. Click here to learn more about what packages are available. (Contact: Maggie Henley)
THE HORTON GROUP TO HOST WEBINAR ON NAVIGATING THE PPP
Join The Horton Group on September 22nd for an informational webinar on the Paycheck Protection Program (PPP). Certified Exit Planning Advisor® (CEPA), Certified Merger & Acquisition Advisor® (CM&AA), Brett Dearing, partner at Certiy Partners will discuss how to navigate the PPP. During the webinar Dearing will give an overview of PPP, discuss potential future challenges caused by the loan and transitioning to the growth mindset. Details and webinar registration link are available below. (Contact: Maggie Henley)
Navigating the PPP: How to Maximize Forgiveness and Prepare for Future Challenges Webinar
Tuesday, September 22
10:00 am – 11:00 am
VOTE YES FOR FAIR TAX ORGANIZATIONAL SIGN-ON
As you all know, IARF last December unanimously passed a resolution to support the Illinois Fair Tax initiative. As a part of that initiative, IARF has been participating in the Vote Yes for Fair Tax and Vote Yes for Fairness committees.
Vote Yes for Fair Tax has requested that organizations who support the passage of the Fair Tax constitutional amendment in November sign on to formally list their support. You can do so by clicking here. You can learn more about the Fair Tax by clicking here. (Contact: Dan Frey)
DDD RELEASES DRAFT INFORMATIONAL BULLETINS – APPEALS AND BED HOLDS
The Division of Developmental Disabilities released two Draft Informational Bulletins (IB) this week. The first Draft IB is titled CILA and POS Bed Hold Request Form and Process. The second IB is titled Appeals Process - Effective Immediately. The comment period on these two draft IB’s is open until September 8th. (Contact: Beth Owens)
DDD COMMUNITY DAY SERVICES REOPEN & DIVISION PLANS SURVEY
On September 1st, DDD Community Day Services (CDS) were reopened in Illinois, and reinvention payments were discontinued. Director Allison Stark released THIS VIDEO welcoming everyone back to CDS. Next week the Division plans to release a survey for providers of CDS programs. This survey is meant to help the Division understand the CDS operations post-reopening. The division plans to continue collecting data on service capacity and closure to closely monitor the CDS service system. (Contact: Beth Owens)
REVISED APPENDIX K RECEIVES APPROVAL
On Monday, August 31, 2020, CMS approved Illinois' second 1915(c) HCBS Waivers Emergency Preparedness and Response Appendix K in order to respond to the COVID-19 pandemic. The most recent Appendix K request is additive to the one previously approved and is effective from January 27, 2020 through January 26, 2021. The new additions are listed below. It is important to note that while the Division has asked for the approval of a rate increase for CDS, it does not mean that it has the appropriations to currently implement it.
- The state may temporarily increase the rate for Community Day Service (CDS) services (31C/31U) and At-Home Day Program (37U) not to exceed 25% effective September 1, 2020 in order to assist providers with increased costs due to additional staffing for support, monitoring and cleaning, cleaning supplies, PPE, and transportation costs.
- Virtual Day Services (VDS) is being developed in response to the changing needs of the individuals served during the Public Health Emergency. This is intended to be a temporary service provided during the Public Health Emergency. The service is expected to result in the person experiencing meaningful interactions with people outside their home.
- The rate for Virtual Day Services (VDS) effective September 1, 2020 will be $5.46 per hour. The rate was developed based on the current Community Day Service (CDS) model with adjustments to 1) increase wage and fringe benefit assumptions; 2) remove costs related to transportation, which is not required for VDS; and 3) increase staffing ratio and productivity assumptions to reflect the virtual delivery model for day services
(Contact: Beth Owens)
PROPOSED RATE CHANGES FOR SUPR PROVIDERS
The Illinois Department of Human Services, Division of Substance Use Prevention and Recovery (IDHS/SUPR), and the Department of Healthcare and Family Services (HFS) are proposing a change in the methods and standards by which IDHS/SUPR and HFS will reimburse providers. The proposed change is effective for dates of service on or after September 1, 2020
and is addressed below.
IDHS/SUPR and HFS are proposing to implement a revised methodology and per diem rates for certain substance use disorder (SUD) treatment services including, residential rehabilitation (ASAM level of care 3.5); and withdrawal management (ASAM levels of care 3.2 and 3.7). The proposed methodology and per diem rates will be established in conformance with 77 Ill. Adm. Code 2090.40 and 2090.70 through an aggregate cost modeling approach that establishes baseline cost survey rates. Adjustments will be made to baseline cost survey rates to account for policy and fiscal objectives.
As a result of implementing the revised methodology, IDHS/SUPR and HFS anticipate improvements in rate equity and consistency across and among providers. The proposed methodology eliminates provider-specific per diem rates in lieu of statewide per diem rates that are applicable to all providers for a given service and level of care. The proposed change will result in a fiscal impact increasing annual expenditures for fiscal year 2021, based on a 9/1/2020 implementation date, is estimated to be $4.3 million ($5.2 million annualized) to DHS and $18.3 million ($22.1 million annualized) to HFS.
Any interested party may submit questions or comments concerning these proposed changes in methods and standards. All questions or comments must be submitted in writing within thirty (30) days of the publication date of this notice and addressed to:
Bureau of Program and Policy Coordination
Division of Medical Programs
Healthcare and Family Services
201 South Grand Avenue East
Springfield, IL 62763-0001
E-mail address: HFS.firstname.lastname@example.org
(Contact: Dan Frey)
DMH CRSSVIRTUAL FUNDAMENTALS TRAININGS – SAVE THE DATE
The IDHS/DMH Bureau of Wellness & Recovery Services has shared the modified and virtual plan for the Certified Recovery Support Specialist (CRSS) Fundamentals Training.
Save one date for this training on your calendar!
Registration information will be released at a later date.
There are 6 options for completing this all-day
training (9-4, with a one-hour break for lunch). CEU'S will be provided through the Illinois Certification Board (5.5 CEUs).
Attendance will be limited to those who do not yet have their CRSS credential.
This allows the capacity to be limited and will help provide sufficient opportunities for new trainees to participate in the interactive learning exercises.
Mon Oct 26, 9am-12pm AND
Wed Oct 28, 9am-12pm AND
Fri Oct 30, 9am-12pm AND
Mon Nov 16, 9am-12pm AND
Wed Nov 18, 9am-12pm AND
Fri Nov 20, 9am-12pm AND
The CRSS Training will be provided via WebEx. Additional information, including Registration and instructions on how to use WebEx, will be sent separately. (Contact: Dan Frey)
DMH SEPTEMBER 24 RECOVERY & EMPOWERMENT STATEWIDE CALL
Please plan to join on September 24, 2020 for our next Recovery & Empowerment Statewide Call
for 2020! The theme this year is "2020 Vision for Ourselves!” These educational forums place an emphasis on sharing successful tools and strategies for wellness. This month's focus is “Finding the Positives in Our Challenges!”
Individuals are welcome to dial in from a personal phone or from home. Remember to provide the moderator with your name, the agency you are representing (if applicable), and the number of persons listening in from your location.
ABOUT THIS MONTH'S CALL:
DATE: September 24, 2020
TIME: 10:00am - 11:00am
TOPIC: Finding the Positives in Our Challenges
OBJECTIVES: Participants will learn: How to see ourselves beyond our illnesses; how physical illness affects our mental health and vice versa; ways to stay well despite an illness; and the importance of holistic wellness.
DIAL-IN NUMBER: 1-844-867-6167
ACCESS CODE: 4360050
MEETING TITLE: Recovery & Empowerment Statewide Call
SPEAKERS: Rhonda Keck, Tom Troe, and Jenna Lutz
(Contact: Dan Frey)
FEDERAL PROVIDER RELIEF FUND PAYMENTS FOR MEDICAID AND CHIP PROVIDERS
In recent months, the HFS has informed Medicaid and CHIP providers via multiple informational notices
regarding funding opportunities for federal COVID-19 CARES Act Provider Relief Fund payments. Information about these funding opportunities can be found on the federal Centers for Medicare & Medicaid Services dedicated website located here
HFS is sharing this update to providers:
The deadline to apply for Phase 2 General Distribution Funding has been extended to September 13, 2020
As a reminder, to be eligible to apply for Phase 2 General Distribution, the applicant must:
- Have billed Medicare fee-for-service during the period of January 1, 2019 - December 31, 2019; or
- Be a Medicare Part A provider that experienced a change in ownership and billed Medicare fee-for-service in 2019 or 2020, which prevented the otherwise eligible provider from receiving Phase 1 General Distribution payment;
- Have billed Medicaid / CHIP programs or Medicaid managed care plans for health-related services between January1, 2018 – December 31, 2019; or
- Have billed a health insurance company for oral healthcare-related services as a dental service provider; or
- Be a licensed dental service provider who does not accept insurance and has billed patients for oral healthcare-related services.
Additionally, to be eligible to apply, the applicant must meet all
of the following requirements:
- Filed a federal income tax return for fiscal years 2017, 2018, 2019; or be exempt from filing a return;
- Provided patient care after January 31, 2020 (Note: patient care includes health care, services and support, as provided in a medical setting, at home, or in the community);
- Did not permanently cease providing patient care directly or indirectly;
- Did not receive a previous General Distribution payment totaling approximately 2 percent of annual patient revenue; and
- For individuals, reported on Form 1040 (or other tax form) gross receipts or sales from providing patient care.
Qualifying Illinois Medicaid or CHIP providers are encouraged to apply. (Contact: Dan Frey)
ARE YOU INTERESTED IN SERVING AS AN INTEGRATED HEALTH HOME?
With the launch of the Integrated Health Home (IHH) now pushed back to January 1, 2021, there are ways to begin the process of becoming an IHH ahead of more specific information or criteria becoming available. If you are interested in serving as an IHH, please let the Illinois Association of Medicaid Health Plans (IAMHP) know and they will send that information on to the Medicaid health plans.
Complete the IHH Submission Form and IAMHP will send at least a weekly report to the plans with your information. (Contact: Dan Frey)
IARF BH COVID BILLING RELIEF EXTENSION & TELEHEALTH UTILIZATION SURVEY
IARF is attempting to ascertain the level of decline in billing for the codes that received COVID relief dollars from the MCOs for March 8 - June 30. Answers are being sought to questions as they relate to the codes that received the COVID relief rate increase. This will allow IARF to present an accurate accounting of our members' losses during the pandemic, and advocate more effectively for an extension of this rate increase.
Additionally, the state is encouraging providers to conduct a migration of services to telehealth for the remainder of the public health crisis, and legislation is in development to make these changes permanent. It is believed that an increase in telehealth utilization will correspond with more stable claims and billing. You view and complete the survey by clicking here
. (Contact: Dan Frey)
PRITZKER ADMINISTRATION PROVIDES COVID-19 UPDATE ON THE METRO EAST
Gov. J.B. Pritzker gave a statewide COVID-19 update at the James R. Thompson Center Wednesday afternoon. Pritzker addressed Region 4, or the Metro East region as they will have mitigation efforts in place due to the region seeing its positivity rate continue to rise. The governor said nine of the 11 regions in the state have seen their positivity rate climb. Assistant Director of the Illinois Department of Public Health Amaal Tokars said there are 2,128 new cases of COVID-19 in the state with 27 deaths. She said 238,643 people were diagnosed in total, and 8,091 people have lost their lives to the virus. (Contact: Luis Andrade)
NIH NEWS RELEASE: PEOPLE WITH I/DD DISPROPORTIONATELY AFFECTED BY COVID-19
The COVID-19 pandemic has taken a disproportionate toll on people with intellectual and developmental disabilities (IDDs), write the directors of the Intellectual and Developmental Disabilities Research Centers (IDDRC) Network, a nationwide group funded by NIH’s Eunice Kennedy Shriver National Institute of Child Health and Human Development. The article was written by John Constantino, M.D., director of the IDDRC at Washington University School of Medicine in St. Louis, along with fellow IDDRC directors and leaders of the Association of University Centers on Disabilities. It appears in the American Journal of Psychiatry.
(Contact: Luis Andrade)
ANCOR: 2020 POLICY SUMMIT LEADING BEYOND CRISIS: REGISTER TODAY AND SAVE $100
The early bird rate to join us at the 2020 Virtual Policy Summit: Leading Beyond Crisis, taking place 10/5-10/7, 2020, ends at 11:59 pm EDT, TODAY! Be sure to lock in the lowest rate to join us as we look ahead to the policies, programs and practices that will be key to transforming to a new normal defined by systems change, strength and sustainability. Click Here
to Register for the Virtual Policy Summit, browse the sessions and schedules. (Contact: Luis Andrade)
FEDS SEND MORE THAN $11 MILLION TO ILLINOIS FOR COMMUNITY HEALTH CENTERS
44 community health centers are receiving more than $11 million in federal aid. The funds come from the US Department of Health and Human Services’ health center cluster grant program, according to a joint release from Illinois’ senators. The amounts allocated range from $31,676 to $532,189. You can read the full list by clicking here
. (Contact: Dan Frey)
PRITZKER ADMINISTRATION RECIVES $35 MILLION IN FEDERAL FUNDING TO FIGHT OPIOID CRISIS
Governor JB Pritzker and the Illinois Department of Human Services (IDHS) announced today that the state has received $36.7 million in federal funding to fight the opioid crisis. Funding expands prevention, treatment, recovery and overdose response initiatives across the state.
The State Opioid Response (SOR) federal grant is awarded by the Substance Abuse and Mental Health Services Administration (SAMHSA), a branch of the U.S. Department of Health and Human Services (HHS).
The opioid crisis, amplified by the devastation of COVID-19, affects the residents of the state of Illinois in profound ways. These federal dollars will help the state address the opioid crisis during COVID-19. The programs funded by this award will bring critical services to help persons with opioid use disorder, assist those on a path to recovery, provide emergency lifesaving medication for people experiencing an opioid overdose, and deliver a prevention and support message across the state.
Funds will be used to continue the following initiatives:
- Expanded access to Medication Assisted Recovery (MAR) services for persons with opioid use disorders, including those in the criminal justice system;
- Hospital screenings and linkage to community treatment programs for their patients; supportive housing and digital resources for persons in recovery from opioid use disorder;
- Access to medication-assisted recovery for patients at federally qualified health centers;
- Recovery support services for pregnant and postpartum women with opioid use disorders; mentoring and coaching for medical professionals prescribing medications for opioid use disorder; and a toll-free Helpline for opioids and other substances.
- Expansion this year for treatment of persons with stimulant use disorder, in response to rising rates of methamphetamine and cocaine use.
If you or someone you know is experiencing problems with substance use disorder, call the state’s Helpline for Opioids and other Substances at 1-833-2FINDHELP (1-833-234-6343) Text “HELP” to 833234 or visit HelplineIL.org. (Contact: Dan Frey)
MANAGING YOUR IL ABLE ACCOUNT WEBINAR
The “Managing Your IL ABLE Account” webinar will be held on Wednesday, September 9, 2020 from 12:00 – 1:00 pm. Join the IL ABLE plan experts for this one-of-a-kind webinar which will be geared to those who already own and manage – or who are about to open and manage! – an IL ABLE account. Attendees will learn more about the mechanics of their accounts and will get answers to the questions that Customer Service is often asked. Registration can be completed HERE. (Contact: Beth Owens)