Ill. Admin. Code tit. 89 § 140.455

Current through Register Vol. 48, No. 52, December 27, 2024

Section 140.455 - Payment for Mental Health Services

a) The amount approved for payment for mental health services described in Section 140.454 shall be based on the type and amount of service required by and actually delivered, and provided consistent with any service limitations, utilization controls, or prior approval processes established or authorized by the Department.

b) The payment amount for a service described in Section 140.454(a) through (d) is determined in accordance with the rate methodologies outlined in the Department's published fee schedule, available at https://www.illinois.gov/hfs/MedicalProviders/MedicaidReimbursement/Pages/CMHP.aspx.

c) The payment amount for a service described in Section 140.454(e) shall be at the rate of reimbursement paid to a physician for the same service.

d) Payment for services described in Section 140.453(d)(1) and (3) is effective for dates of service on or after August 1, 2018.

Ill. Admin. Code tit. 89, § 140.455

Amended at 33 Ill. Reg. 11287, effective July 14, 2009

Amended at 42 Ill. Reg. 12986, effective 6/25/2018

Amended at 43 Ill. Reg. 6736, effective 5/28/2019