IL HB4970

Creates the Illinois Certified Community Behavioral Health Clinics Act, requiring the Department of Healthcare and Family Services and Department of Human Services to develop a Medicaid pilot program modeled on federal criteria from the Protecting Access to Medicare Act of 2014

Targets four key populations: children with serious emotional disturbances, children with substance use disorders, adults with serious mental illness, and adults with substance use disorders

Requires submission of a federal Section 1115 waiver application by December 31, 2020, with stakeholder listening sessions within 3 months of approval and full implementation within 9 months of approval

Establishes a prospective payment system (daily or monthly) for certified clinics, including supplemental payments for managed care enrollees to ensure clinics receive full payment, with payments made at least every 3 months

Mandates certification criteria covering staffing, 24-hour crisis services, care coordination, sliding scale payments, and required services including crisis intervention, screening, outpatient treatment, psychiatric rehabilitation, peer support, and veterans' mental health care, with recertification required every 2 years