HFS Expands CMHC/BHC Medicaid Billing

April 15, 2020

On Tuesday, the Illinois Dept. of Healthcare and Family Services (HFS) issued a provider notice that temporarily expands Medicaid-billable case management activities for Community Mental Health Centers and Behavioral Health Clinics (CMHCs/BHCs). A maximum of 90 minutes per day per client may be billed under Case Management – Mental Health for the following activities:

  • Purchasing, packaging and delivering food and groceries (excluding food preparation), medications, household consumer products, supplies needed to work from home, and products necessary to maintain the safety, sanitation, and essential operation of residences for clients who cannot leave their homes due to being included in a high risk category, such as being elderly, having underlying chronic medical conditions, or due to behavioral health conditions that prevent them from leaving their home;   
  • Delivering phones to clients who do not currently have access to a phone with sufficient capabilities to allow them to participate in medical or behavioral health services via telehealth;   
  • Assisting clients in managing financial necessities, such as arranging for access to emergency cash, replacing lost debit cards, paying rent and picking up bills for clients for whom the provider is the representative payee; or,   
  • Answering phone calls from clients who may have questions or concerns about COVID-19.

All other billing requirements for the service must be met, including identification of Case Management as a recommended service on the client’s most recent Illinois Medicaid – Comprehensive Assessment of Needs and Strengths (IM-CANS). Questions may be directed to the HFS Bureau of Behavioral Health via telephone at 217-557-1000 or via email at HFS.BBH@illinois.gov.