top of page

Illinois Behavioral Health Services Provider Policy Manual

$4,199.00Price
ABOUT THIS POLICY MANUAL
 
✔ YOU DO No writing, no formatting, no headaches. WE DO ALL OF IT
✔ Full customization included—your agency details and logo, added by our team after purchase.
✔ Regulatory revisions? Or State requests an amendment? We cover them for free!
 
🔹 Buy your policy manual today and receive your customized version within 24 hours!
 
The Illinois Behavioral Health Services Provider Policy Manual establishes a comprehensive framework for agencies delivering mental health and substance use disorder services to individuals across outpatient, residential, and community-based settings. This manual aligns with the Illinois Administrative Code (Title 59, Parts 132 and 140), Medicaid Home and Community-Based Services (HCBS) Waiver regulations (42 CFR 441.301), and federal guidelines such as the Protecting Access to Medicare Act (PAMA, 2014). It ensures compliance with state and federal standards for service delivery, licensure, and quality assurance.
The manual provides detailed guidance for implementing behavioral health services under programs administered by the Illinois Department of Human Services Division of Mental Health (IDHS-DMH), the Department of Healthcare and Family Services (IDHFS), and other certifying agencies. 
Key areas covered include:
  • Eligibility and Service Access: Policies outline eligibility criteria for individuals requiring behavioral health services, including those enrolled in Medicaid HCBS Waiver programs or other state-funded initiatives. 
  • Service Delivery Standards: Behavioral health services include crisis intervention, outpatient therapy, psychiatric evaluation, substance use disorder treatment, targeted case management, psychosocial rehabilitation, and intensive home-based services.
  • Individualized Treatment Plans: Person-centered treatment plans based on comprehensive assessments that address each client’s mental health needs and recovery goals.
  • Staff Qualifications and Training: Licensure requirements for Behavioral health professionals under the Illinois Nurse Practice Act or other relevant statutes. Training in evidence-based practices, cultural competency, and trauma-informed care is mandatory.
  • Health and Safety: Policies emphasize adherence to infection control protocols, emergency preparedness plans, medication safety standards, and procedures for managing adverse events.
  • Client Rights: Safeguards ensure that individuals receiving behavioral health services are treated with dignity, respect, and autonomy while maintaining privacy and confidentiality.
  • Funding and Reimbursement: The manual includes information on Medicaid reimbursement processes, billing procedures for behavioral health services, and reporting obligations for providers. Requirements for prior authorization of inpatient or outpatient services are also detailed.
  • Quality Assurance: Implementation of quality improvement measurements in monitoring service effectiveness, client satisfaction, and compliance with regulatory standards.
  • Coordination of Care: Guidelines encourage collaboration between behavioral health service providers and other healthcare professionals such as primary care physicians, case managers, housing support agencies, and community organizations.
This manual serves as an essential resource for providers delivering behavioral health services in Illinois.
bottom of page