Current through Register Vol. 48, No. 38, September 20, 2024
a) SFSP transition
bed services will be provided to individuals enrolled in the SFSP, at the time
of the SFSP youth's admission to the program and upon leaving the hospital or
similar treatment facility.
b) SFSP
transition bed services are subject to prior authorization and shall not be
authorized for any combination of periods or days to exceed 30 total
days.
c) In order for an SFSP youth
to receive an initial 7 days of transition bed services upon admission to the
SFSP, the following requirements must be met:
1) The SFSP youth will enter transition bed
services upon leaving the hospital or similar treatment facility;
2) A suitable bed is available to accept the
SFSP youth within the network of available SFSP transition beds;
3) The Department's designated provider of
mobile crisis response services for children determines that the SFSP youth can
be stabilized through the application of community supports, but requires
short-term use of transition bed services;
4) The SFSP youth's crisis safety plan
indicates that the use of a transition bed will stabilize the SFSP youth's
immediate behavioral health needs and is signed by an LPHA;
5) The SFSP youth's parent or legal guardian
is willing to accept the SFSP youth home or be solely responsible for
establishing an alternative residence for the SFSP youth upon discharge from
the transition bed; and
6) The
prior authorization has been approved for the SFSP youth to access the SFSP
transition bed pursuant to Section 139.500(f)(1).
d) Once an SFSP youth has completed the
initial 7 days of transition bed services, the SFSP youth may receive
additional periods of authorized days, not to exceed 30 total days of
transition bed services, if the following requirements are met:
1) Ongoing authorization of care is approved
pursuant to Section 139.500(f)(2);
2) The SFSP youth and the SFSP youth's parent
or legal guardian continue to meet the ongoing SFSP eligibility requirements in
Sections 139.205 and 139.210; and
3) The SFSP youth's parent or legal guardian
has identified a living arrangement for the SFSP youth upon discharge from the
SFSP transition bed.
e)
The Department will reimburse providers of SFSP transition bed services as
follows:
1) For State-funded services, pay
the program or facility at the rate established by the Purchased Care Review
Board (PCRB) as detailed in 89 Ill. Adm. Code 900. All PCRB rates and rate
changes shall be applied by HFS with a prospective effective date, following
the receipt of the PCRB Rate Change Letter from the provider and confirmation
of the rate from the PCRB; or
2)
For services that qualify for federal financial participation, the Department
shall fund services consistent with the rate methodology established pursuant
to section 1902(a)(13) of the Social Security Act (
42 USC
1396a) .
