# 89 Ill. Adm. Code 1400.140.453: Section 140.453 Community-based Mental Health Service Definitions and Professional Qualifications

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URL: https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_453

## Section

- **Citation:** 89 Ill. Adm. Code 1400.140.453
- **Heading:** Section 140.453 Community-based Mental Health Service Definitions and Professional Qualifications
- **Jurisdiction:** Illinois
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Illinois Administrative Code / Title 89  /  / Part 1400  / Section 140.453 Community-based Mental Health Service Definitions and Professional Qualifications

## Text

Section 140
TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER d: MEDICAL PROGRAMS
PART 140 MEDICAL PAYMENT
SECTION 140.453 COMMUNITY-BASED MENTAL HEALTH SERVICE DEFINITIONS AND PROFESSIONAL QUALIFICATIONS
Section 140.453  Community-based Mental Health Service Definitions
and Professional Qualifications
a)         Inter-Departmental
Collaboration and Administration.  The Department of Human Services-Division of
Mental Health (DHS-DMH) and the Department of Children and Family Services
(DCFS), pursuant to an executed interagency agreement, shall ensure the
administration and coordination of mental health services.
b)         Community-based
Mental Health Professional Qualifications.  All individuals qualified under
this Section to provide services shall only provide the services listed in this
Section within their scope of practice, as defined or by federal or state law,
regulation or policy.
1)         All
professional definitions provided in this subsection (b) are only applicable to
services detailed in this Section.
2)         Independent
Practitioner (IP). An IP, as defined by Section 140.452(a)(3), may receive
direct reimbursement for services pursuant to Section 140.452(e). All other
credentialed staff detailed in this Section except Peer Support Workers as
defined by subsection (b)(7), must be employees of a Community Mental Health
Center or Behavioral Health Clinic that may qualify for reimbursement for the
services provided.
3)         Licensed
Practitioner of the Healing Arts (LPHA)
y receive
direct reimbursement for services pursuant to Section 140.452(e). All other
credentialed staff detailed in this Section except Peer Support Workers as
defined by subsection (b)(7), must be employees of a Community Mental Health
Center or Behavioral Health Clinic that may qualify for reimbursement for the
services provided.
3)         Licensed
Practitioner of the Healing Arts (LPHA).  An LPHA is defined as:
A)        A
physician who holds a valid license in the state of practice and is legally
authorized under state law or rule to practice medicine in all its branches, so
long as that practice is not in conflict with the Medical Practice Act of l987;
B)        An
advanced practice nurse with psychiatric specialty that holds a valid license
in the state of practice and is legally authorized under state law or rule to
practice as an advanced practice nurse, so long as that practice is not in
conflict with the Illinois Nurse Practice Act or the Medical Practice Act of
1987;
C)        A
clinical psychologist who holds a valid license in the state of practice and is
legally authorized under state law or rule to practice as a clinical psychologist,
so long as that practice is not in conflict with the Clinical Psychologist
Licensing Act;
D)        A
licensed clinical professional counselor possessing a master's degree who holds
a valid license in the state of practice and is legally authorized under state
law or rule to practice as a licensed clinical professional counselor, so long
as that practice is not in conflict with the Professional Counselor and
Clinical Professional Counselor Licensing Act [225 ILCS 107];
E)        A
marriage and family therapist who holds a valid license in the state of
practice and is legally authorized under state law or rule to practice as a
marriage and family therapist, so long as that practice is not in conflict with
the Marriage and Family Therapist Licensing Act [225 ILCS 55];
F)         A
clinical social worker possessing a master's or doctoral deg
ct [225 ILCS 107];
E)        A
marriage and family therapist who holds a valid license in the state of
practice and is legally authorized under state law or rule to practice as a
marriage and family therapist, so long as that practice is not in conflict with
the Marriage and Family Therapist Licensing Act [225 ILCS 55];
F)         A
clinical social worker possessing a master's or doctoral degree who holds a
valid license in the state of practice and is legally authorized under state
law or rule to practice as a social worker, so long as that practice is not in
conflict with the Clinical Social Work and Social Work Practice Act.
4)         Qualified
Mental Health Professional (QMHP).  A QMHP is defined as one of the following:
A)        Any individual
identified as an LPHA in subsection (b)(3);
B)        A
registered nurse who holds a valid license in the state of practice, is legally
authorized under state law or rule to practice as a registered nurse, so long
as that practice is not in conflict with the Illinois Nurse Practice Act, and
has training in mental health services or one year of clinical experience,
under supervision, in treating problems related to mental illness, or
specialized training in the treatment of children and adolescents.
C)        An
occupational therapist who holds a valid license in the state of practice and
is legally authorized under state law or rule to practice as an occupational
therapist, so long as that practice is not in conflict with the Illinois
Occupational Therapy Practice Act [225 ILCS 75] with at least one year of
clinical experience in a mental health setting.  In the event the state of
practice does not provide a legal authority for licensure, the individual must
meet the requirements of 42 CFR 484.4 for an occupational therapist
ractice as an occupational
therapist, so long as that practice is not in conflict with the Illinois
Occupational Therapy Practice Act [225 ILCS 75] with at least one year of
clinical experience in a mental health setting.  In the event the state of
practice does not provide a legal authority for licensure, the individual must
meet the requirements of 42 CFR 484.4 for an occupational therapist.
D)        An
individual possessing a master's or doctoral degree in counseling and guidance,
rehabilitation counseling, social work, psychology, pastoral counseling, family
therapy, or a related field and has:
i)          Successfully
completed 1,000 hours of practicum and/or internship under clinical and
educational supervision; or
ii)         One
year of documented clinical experience under the supervision of a QMHP.
5)         Mental
Health Professional (MHP)
A)       An MHP
is defined as one of the following:
i)          Any
individual identified as a QMHP in subsection (b)(4); or
ii)         An
individual meeting the following qualifications, delivering services under the
supervision of a QMHP:
•           An
individual possessing a bachelor's degree in counseling and guidance,
rehabilitation counseling, social work, education, vocational counseling,
psychology, pastoral counseling, family therapy, or related human service
field;
•           An
individual possessing a bachelor's degree in any field, other than those
identified in subsection (b)(4)(D), with two years of documented clinical
experience in a mental health setting under the supervision of a QMHP;
•           A
practical nurse who holds a valid license in the state of practice and is
legally authorized under state law or rule to practice as a practical nurse, so
long as that practice is not in conflict with the Illinois Nurse Practice Act;
•           An
individual possessing a certificate of psychiatric rehabilitation from a
DHS-approved program, plus a high school diploma or GED, plus two years'
documented experience in providi
id license in the state of practice and is
legally authorized under state law or rule to practice as a practical nurse, so
long as that practice is not in conflict with the Illinois Nurse Practice Act;
•           An
individual possessing a certificate of psychiatric rehabilitation from a
DHS-approved program, plus a high school diploma or GED, plus two years'
documented experience in providing mental health services;
•           A
recovery support specialist with a current certification from the Illinois
Alcohol and Other Drug Abuse Professional Certification Association, Inc.;
•           A
family partnership professional with current certification from the Illinois
Alcohol and Other Drug Abuse Professional Certification Association, Inc.;
•           An
occupational therapy assistant with at least one year of experience in a mental
health setting that holds a valid license in the state of practice and is
legally authorized under state law or rule to practice as an occupational
therapist assistant, so long as that practice is not in conflict with the
Illinois Occupational Therapy Practice Act.  In the event the state of practice
does not provide a legal authority for licensure, the individual must meet the
requirements of 42 CFR 484.4 for an occupational therapist; or
•           An
individual with a high school diploma or GED and a minimum of five years
documented clinical experience in mental health or human services.
•           An
individual who has completed a behavioral health technician or other
psychiatric training certification through the Medical Education and Training
Campus in Fort Sam Houston, Texas, with one year documented clinical experience
in a mental health setting under supervision of a QMHP.
B)        Any
individual designated as an MHP prior to July 1, 2011 shall retain that
designation throughout the continual course of his/her employment.  In the
event that the individual leaves the current employer, the designation is no
longer valid
raining
Campus in Fort Sam Houston, Texas, with one year documented clinical experience
in a mental health setting under supervision of a QMHP.
B)        Any
individual designated as an MHP prior to July 1, 2011 shall retain that
designation throughout the continual course of his/her employment.  In the
event that the individual leaves the current employer, the designation is no
longer valid.
6)         Rehabilitative
Services Associate (RSA).  An RSA is defined as one of the following:
A)        Any
individual identified as a QMHP in subsection (b)(4); or
B)        An
individual meeting the following qualifications, delivering services under the
supervision of a QMHP:
i)          Any
individual identified as an MHP in subsection (b)(5);
ii)         Any
individual who is 21 years of age and demonstrates all of the following:
•           Skill
in the delivery of rehabilitative services to adults or children;
•           The
ability to work within a provider agency's structure and accept supervision;
and
•           The
ability to work constructively with individuals receiving services, other
providers of service, and the community; or,
iii)        An
individual qualified as a PSW pursuant to subsection (b)(7).
7)         Peer
Support Worker (PSW). A PSW delivers services from the peer perspective, under
the supervision of a QMHP, and must be an individual who:
A)        Is 21
years of age;
B)        Has
individual lived experience, or experience as a caregiver of a child, with
behavioral health needs;
C)        Demonstrates the ability to work within agency
structure, accept supervision, and participate as a member of a
multi-disciplinary team, when applicable; and
D)        Has
completed a Department-approved peer support training or certification process.
c)         Service
Reimbursements
individual lived experience, or experience as a caregiver of a child, with
behavioral health needs;
C)        Demonstrates the ability to work within agency
structure, accept supervision, and participate as a member of a
multi-disciplinary team, when applicable; and
D)        Has
completed a Department-approved peer support training or certification process.
c)         Service
Reimbursements.  The services detailed in subsections (d) and (e) may be
eligible for reimbursement pursuant to the Department's published fee schedule
when the services are:
1)         Recommended
by an LPHA or IP, operating within his/her scope of practice.  Unless otherwise
noted in this Section, the term services "recommended by an LPHA or IP"
shall mean:
A)        The
services of Integrated Assessment and Treatment Planning performed by an LPHA
or IP to determine an individual's potential clinical need for services; or
B)        Those
services identified by the LPHA or IP following the completion of an Integrated
Assessment and Treatment Plan;
2)         Provided
to an individual for the maximum reduction of mental disability and restoration
to the best possible functional level in accordance with 42 CFR 440.130.  A
mental disability, for the purposes of receiving services under this Section is
established as follows:
A)        The
identification of a diagnosis, a functional impairment, and treatment
recommendations by the LPHA or IP following the completion of the Integrated Assessment
and Treatment Plan; or
B)        For
children under age 21 who do not meet the criteria listed in subsection
.130.  A
mental disability, for the purposes of receiving services under this Section is
established as follows:
A)        The
identification of a diagnosis, a functional impairment, and treatment
recommendations by the LPHA or IP following the completion of the Integrated Assessment
and Treatment Plan; or
B)        For
children under age 21 who do not meet the criteria listed in subsection
(c)(2)(A), the identification of more than one documented criterion for a
mental disorder listed in the Diagnostic and Statistical Manual of Mental
Disorders (DSM-5), a documented impact on the child's functioning in more than
one life domain, and treatment recommendations by the LPHA or IP following the
completion of the Integrated Assessment and Treatment Plan;
3)         Provided
consistent with any service limitations, utilization controls, and prior
authorizations established by the Department.  All prior authorizations for the
services detailed in this Section shall be completed by the Department or its
approved agent; and
4)         Provided
for the direct benefit of the child, which may include support provided to
immediate caregivers of the eligible child.
d)         Medicaid
Rehabilitation Option (MRO).  The following services are established as
qualified mental health services under section 1905(a)(13)(C) of the Social
Security Act (42 USC 1396d(19)).
1)         Integrated
Assessment and Treatment Planning (IATP).  IATP is the formal process of
information gathering and review that utilizes a standardized assessment and
service planning tool in order to: identify a client's integrated healthcare
needs and strengths across all domains; recommend services needed to ameliorate
a client's condition and improve well-being; and develop, review, and update an
individualized treatment plan
ent Planning (IATP).  IATP is the formal process of
information gathering and review that utilizes a standardized assessment and
service planning tool in order to: identify a client's integrated healthcare
needs and strengths across all domains; recommend services needed to ameliorate
a client's condition and improve well-being; and develop, review, and update an
individualized treatment plan.
A)        The
IATP shall:
i)          Be
completed once every 180 days;
ii)         Only
be reimbursed upon utilization of a Department approved assessment and service
planning instrument as published on the Department's website;
iii)        Be
reviewed, approved and signed by an LPHA;
iv)        Be
provided to the client, or the client's parent or guardian, upon completion or
revision.
B)        The
IATP service is also inclusive of the following functions:
i)          Clinical
assessment activities, performed by, or under the supervision of, an LPHA using
a nationally standardized assessment instrument resulting in a written report
or documented outcome that includes the identification of a clinical issue or
tentative diagnosis to assist in the completion of IATP;
ii)         Diagnostic
assessment activities, only when provided consistent with the Clinical
Psychologist Licensing Act [225 ILCS 15] and using a nationally standardized
psychological assessment instrument, resulting in a written report that
includes the identification of issues, tentative diagnosis, and recommendations
for treatment or services; and
iii)        The
completion of the Level of Care Utilization System (LOCUS) screen, or its
successor instrument
stent with the Clinical
Psychologist Licensing Act [225 ILCS 15] and using a nationally standardized
psychological assessment instrument, resulting in a written report that
includes the identification of issues, tentative diagnosis, and recommendations
for treatment or services; and
iii)        The
completion of the Level of Care Utilization System (LOCUS) screen, or its
successor instrument.
C)        IATP
may be provided:
i)          By
Community Mental Health Centers, Behavioral Health Clinics, or Independent
Practitioners;
ii)         At
all service locations and settings deemed appropriate for reimbursement, as detailed
in the Department's published fee schedule;
iii)        On
an individual basis;
iv)        By an
MHP, QMHP, LPHA; and
v)         By
video, phone or face-to-face contact, notwithstanding the restriction on
services provided via phone in Sections 140.6(n) and 140.403.
2)         General MRO Services
A)        Community
Support Services. Community Support Services shall consist of therapeutic
interventions that facilitate illness self-management, identification and use
of natural supports, and skill building.
i)          Community
Support Services includes: engaging the individual to have input into his/her
service delivery and recovery process; development of relapse prevention
strategies and plans; assistance in development of functional, interpersonal
and community coping skills (including adaptation to home, school, family and
work environments); and skill-building related to symptom self-monitoring.
Community Support Services may include an evidence-informed approach to skills
training
er
service delivery and recovery process; development of relapse prevention
strategies and plans; assistance in development of functional, interpersonal
and community coping skills (including adaptation to home, school, family and
work environments); and skill-building related to symptom self-monitoring.
Community Support Services may include an evidence-informed approach to skills
training.
ii)         Community
Support Services may only be provided:
•           By a
Community Mental Health Center or Behavioral Health Clinic;
•           At
all service locations and settings deemed appropriate for reimbursement, as
detailed in the Department's published fee schedule;
•           In
an individual or group modality;
•           By
an RSA, MHP, QMHP, LPHA; and
•           By
video, phone or face-to-face contact, notwithstanding the restriction on
services provided via phone in Sections 140.6(n) and 140.403.
B)        Intensive
Outpatient (IO) Services. Intensive Outpatient Services are scheduled group
therapeutic sessions made available for at least four hours per day, five days
per week, for individuals at risk of, or with a history of, psychiatric
hospitalization.
i)          IO
Services may only be provided:
•           By a
Community Mental Health Center or Behavioral Health Clinic;
•           Through
programs approved pursuant to Table N;
•           At
all service locations and settings deemed appropriate for reimbursement, as
detailed in the Department's published fee schedule;
•           By a
QMHP;
•           In a
group modality; and
•           On a
face-to-face basis.
ii)         IO
services may be subject to prior authorization, pursuant to Section 140.40.
C)        Medication
Administration.  Medication Administration consists of preparing the individual
and the medication for administration and observing the individual for possible
adverse reactions
edule;
•           By a
QMHP;
•           In a
group modality; and
•           On a
face-to-face basis.
ii)         IO
services may be subject to prior authorization, pursuant to Section 140.40.
C)        Medication
Administration.  Medication Administration consists of preparing the individual
and the medication for administration and observing the individual for possible
adverse reactions.  Medication Administration services may only be provided:
i)          By a
Community Mental Health Center or Behavioral Health Clinic;
ii)         At
all service locations and settings deemed appropriate for reimbursement, as
detailed in the Department's published fee schedule;
iii)        On
an individual basis;
iv)        By
face-to-face contact; and
v)         By
staff that hold a valid license in the state of practice and are legally
authorized under state law or rule to administer medication, so long as that
practice is not in conflict with the Illinois Nurse Practice Act or the Medical
Practice Act of 1987 (e.g., a physician, a psychiatrist, advanced practice
nurse, registered nurse or a practical nurse).
D)        Medication
Monitoring.  Medication Monitoring includes observation, evaluation and
discussion of target symptoms responses, adverse effects, laboratory results,
tardive dyskinesia screens, and new target symptoms or medications. Medication
Monitoring services may only be provided:
i)          By a
Community Mental Health Center or Behavioral Health Clinic;
ii)         At
all service locations and settings deemed appropriate for reimbursement, as
detailed in the Department's published fee schedule;
iii)        On
an individual basis;
iv)        By an
RSA, MHP, QMHP or LPHA, as designated in writing to provide the service by
staff that hold a valid license in the state of practice and are legally
authorized under state law to prescribe medication pursuant to the Illinois
Nurse Practice Act or the Medical Practice Act of 1987; and
v)         By video
or face-to-face contact, notwith
ule;
iii)        On
an individual basis;
iv)        By an
RSA, MHP, QMHP or LPHA, as designated in writing to provide the service by
staff that hold a valid license in the state of practice and are legally
authorized under state law to prescribe medication pursuant to the Illinois
Nurse Practice Act or the Medical Practice Act of 1987; and
v)         By video
or face-to-face contact, notwithstanding the restriction on services provided
via phone in Sections 140.6(n) and 140.403. Phone consultation is allowed only
when a client is experiencing adverse symptoms and phone consultation with
another professional is necessary.
E)        Medication
Training.  Medication Training includes training individuals on
self-administration and safeguarding of medication and communication with other
professionals, family or caregivers on medication issues.  Medication Training
services may only be provided:
i)          By a
Community Mental Health Center or Behavioral Health Clinic;
ii)         At
all service locations and settings deemed appropriate for reimbursement, as
detailed in the Department's published fee schedule;
iii)        In
an individual or group modality;
iv)        By
video or face-to-face contact; and
v)         By an
RSA, MHP, QMHP or LPHA, as designated in writing to provide the service by
staff that hold a valid license in the state of practice and are legally
authorized under state law to prescribe medication pursuant to the Illinois
Nurse Practice Act or the Medical Practice Act of 1987.
F)         Psychosocial
Rehabilitation (PSR). PSR shall be rehabilitative therapy for individuals designed
to increase abilities and resources necessary for community living,
socialization, work and recovery.  Core activities include cognitive-behavioral
interventions, problem solving, interventions to reduce or ameliorate symptoms
of a co-occurring disorder and other rehabilitative interventions.  PSR is
provided in an organized program through individual and group interventions
ividuals designed
to increase abilities and resources necessary for community living,
socialization, work and recovery.  Core activities include cognitive-behavioral
interventions, problem solving, interventions to reduce or ameliorate symptoms
of a co-occurring disorder and other rehabilitative interventions.  PSR is
provided in an organized program through individual and group interventions.
The focus of treatment interventions includes capacity building to facilitate
independent living and adaptation, problem solving and coping skills
development.
i)          PSR
services may only be provided:
•           On-site
at a Community Mental Health Center;
•           Through
a program that is approved pursuant to Table N;
•           In
an individual or group modality.  The staffing ratio for groups shall not
exceed one full-time equivalent staff to 15 individuals;
•           By
an RSA, MHP, QMHP and LPHA; and
•           By
face-to-face contact.
ii)         PSR
may be subject to prior authorization, pursuant to Section 140.40.
G)        Therapy/Counseling.
Therapy/Counseling is a treatment modality that uses interventions based on
psychotherapy theory and techniques to promote emotional, cognitive, behavioral
or psychological changes.  Therapy/Counseling Services may be provided:
i)          By a
Community Mental Health Center, Behavioral Health Clinic, or Independent
Practitioner;
ii)         At
all service locations and settings deemed appropriate for reimbursement, as
detailed in the Department's published fee schedule;
iii)        In
an individual, group or family modality;
iv)        By an
MHP, QMHP and LPHA; and
v)         By
video, phone or face-to-face contact, notwithstanding the restriction on
services provided via phone in Sections 140.6(n) and 140.403.
3)         MRO Mental Health
Crisis Services
A)        Crisis
Services. Crisis Services are short-term, time-limited interventions that may
be provided prior to, or without, an established IATP
modality;
iv)        By an
MHP, QMHP and LPHA; and
v)         By
video, phone or face-to-face contact, notwithstanding the restriction on
services provided via phone in Sections 140.6(n) and 140.403.
3)         MRO Mental Health
Crisis Services
A)        Crisis
Services. Crisis Services are short-term, time-limited interventions that may
be provided prior to, or without, an established IATP.
i)          Crisis
Intervention.  Crisis Intervention is short-term intervention for clients who,
in the course of treatment or intervention, appear to need immediate intensive
intervention to achieve crisis symptom reduction and stabilization.  Crisis
Intervention shall be provided:
•           By
video, phone or face-to-face contact, notwithstanding the restriction on
services provided via phone in Section 140.6(n) and 140.403; and
•           By a
QMHP, LPHA or MHP with immediate access to a QMHP.
ii)         Mobile
Crisis Response (MCR).  MCR is a mobile, responding to the location of the
client, intervention seeking to achieve crisis symptom reduction,
stabilization, and restoration of the client to a previous level of functioning,
establishing support for the client's caregivers when applicable, mitigating
the crisis event.  MCR activities are tailored to the needs of the client,
require face-to-face crisis screening, and may include: short-term
intervention; crisis safety planning; brief counseling; consultation with other
qualified providers to assist with the client's specific crisis; referral and
linkage to community services; and, in the event that the client cannot be
stabilized in the community, facilitation of a safe transition to a higher
level of care
ient,
require face-to-face crisis screening, and may include: short-term
intervention; crisis safety planning; brief counseling; consultation with other
qualified providers to assist with the client's specific crisis; referral and
linkage to community services; and, in the event that the client cannot be
stabilized in the community, facilitation of a safe transition to a higher
level of care.  MCR shall be provided:
•           By a
provider certified by the Department to provide MRO Crisis Services pursuant to
Table N;
•           On a
face-to-face basis;
•           By a
crisis team trained in crisis de-escalation techniques, led by a QMHP, LPHA or
MHP with immediate access to a QMHP and at least one other individual meeting
any of the qualifications detailed in subsection (b); and
•           Utilizing
a Department approved crisis screening instrument available on the Department's
website.
iii)        Crisis
Stabilization.  Crisis Stabilization services are available immediately
following an MCR event and are designed to prevent additional behavioral health
crises from occurring by providing strengths-based, individualized, direct
supports on a one-on-one basis to clients in the home or community setting.
Crisis Stabilization services shall be provided:
•           By a
provider certified by the Department to provide MRO Crisis Services pursuant to
Table N;
•           Upon
demonstrated need for stabilizing supports as documented in the client's Crisis
Safety Plan following the review, approval, and signature by an LPHA.  The
Crisis Safety Plan contains an identification of diagnosis, need or functional
impairment; a treatment recommendation of Crisis Stabilization service
accompanied by a recommendation for service amount, frequency and duration; and
documentation of the entity responsible for service delivery;
•           On a
face-to-face basis; and
•           By
an MHP, with immediate access to a QMHP, trained in crisis intervention
techniques
ification of diagnosis, need or functional
impairment; a treatment recommendation of Crisis Stabilization service
accompanied by a recommendation for service amount, frequency and duration; and
documentation of the entity responsible for service delivery;
•           On a
face-to-face basis; and
•           By
an MHP, with immediate access to a QMHP, trained in crisis intervention
techniques.
4)         Team-based MRO Services
A)        Assertive
Community Treatment (ACT) Services. ACT Services consist of integrated crisis,
treatment and rehabilitative supports provided by an interdisciplinary team to
individuals with serious and persistent mental illness or co-occurring mental
health and substance use disorders.  ACT Services are intended to promote
symptom stability, management of co-morbid health conditions, and appropriate
use of psychotropic medications, as well as to restore personal care, community
living, work and social skills.  ACT Services encompass counseling and therapy,
medication management and monitoring, skill building, and crisis stabilization
services.  ACT Services focus on the restoration of functional skills (e.g.,
psychosocial, adaptive, self-care) to promote and maintain community living.
i)          ACT
Services shall be:
•           Provided
only by Community Mental Health Centers;
•           At
least one member of the team who is either a Certified Recovery Support
Specialist (CRSS) or Certified Family Partnership Professional (CFPP), based
upon the age of the clients served by the team.  A person with lived experience
may be included on a team that does not have a CRSS or CFPP if he/she obtains
certification within 18 months after his/her date of hire; and
•           Available
24 hours per day, seven days a week, each week of the year
Recovery Support
Specialist (CRSS) or Certified Family Partnership Professional (CFPP), based
upon the age of the clients served by the team.  A person with lived experience
may be included on a team that does not have a CRSS or CFPP if he/she obtains
certification within 18 months after his/her date of hire; and
•           Available
24 hours per day, seven days a week, each week of the year.
ii)         ACT
Services may only be provided:
•           To
eligible individuals age 18 or older;
•           At
all service locations and settings deemed appropriate for reimbursement, as
detailed in the Department's published fee schedule;
•           In
an individual or group modality; and
•           By
video, phone or face-to-face contact, notwithstanding the restriction on
services provided via phone in Sections 140.6(n) and 140.403.
iii)        ACT Services
may be subject to prior authorization, pursuant to Section 140.40.
iv)        ACT
Services shall be delivered by a team led by a full-time:
•           LPHA;
•           Licensed
social worker (LSW) possessing at least a master's degree in social work, who
holds a valid license in the state of practice and is legally authorized under that
state's law or rule to practice as an LSW so long as that practice is not in
conflict with the Clinical Social Work and Social Work Practice Act [225 ILCS
20] and who has specialized training in mental health services, or with at
least two years experience in mental health services;
•           Licensed
professional counselor possessing at least a master's degree, who holds a valid
license in the state of practice and is legally authorized under that state's
law or rule to practice as a licensed professional counselor so long as that
practice is not in conflict with the Professional Counselor and Clinical Professional
Counselor Licensing Act [225 ILCS 107] and who has specialized training in
mental health services, or with at least two years experience in mental health
services;
•           Registered
and is legally authorized under that state's
law or rule to practice as a licensed professional counselor so long as that
practice is not in conflict with the Professional Counselor and Clinical Professional
Counselor Licensing Act [225 ILCS 107] and who has specialized training in
mental health services, or with at least two years experience in mental health
services;
•           Registered
nurse (RN) who holds a valid license in the state of practice and is legally
authorized under that state's law or rule to practice as a RN, so long as that
practice is not in conflict with the Nursing and Advanced Practice Nursing Act
[225 ILCS 65], and who has at least one year of clinical experience in a mental
health setting or a master's degree in psychiatric nursing; or
•           Occupational
therapist (OT) who holds a valid license in the state of practice, is legally
authorized under that state's law or rule to practice as an OT, so long as that
practice is not in conflict with the Illinois Occupational Therapy Practice Act
[225 ILCS 75] and who has at least one year of clinical experience in a mental
health setting.
B)        Community
Support Team (CST). CST consists of mental health rehabilitation services and
supports to decrease hospitalization and crisis episodes and to increase
community functioning in order for the individual to achieve rehabilitative,
resiliency and recovery goals.  CST facilitates illness self-management, skill
building, identification and use of adaptive and compensatory skills,
identification and use of natural supports, and use of community resources.
i)          CST
Services shall be:
•           Provided
only by programs approved pursuant to Table N;
•           Delivered
by a team led by a full-time QMHP; and
•           Available
24 hours per day, seven days a week, each week of the year
ill
building, identification and use of adaptive and compensatory skills,
identification and use of natural supports, and use of community resources.
i)          CST
Services shall be:
•           Provided
only by programs approved pursuant to Table N;
•           Delivered
by a team led by a full-time QMHP; and
•           Available
24 hours per day, seven days a week, each week of the year.
ii)         CST
Services may only be provided:
•           By a
Community Mental Health Center or Behavioral Health Clinic;
•           At
all service locations and setting deemed appropriate for reimbursement, as
detailed in the Department's published fee schedule;
•           On
an individual basis;
•           By
video, phone or face-to-face contact, notwithstanding the restriction on
services provided via phone in Sections 140.6(n) and 140.403.
iii)        CST
Services may be subject to prior authorization, pursuant to Section 140.40.
C)        Violence
Prevention Community Support Team (VP-CST).  VP-CST consists of trauma-informed
therapeutic interventions and supports focused on reducing traumatic stress
symptoms and increasing community functioning for individuals who have
experienced chronic exposure to firearm violence.  VP-CST facilitates symptom
self-monitoring and management, identification and use of natural supports, and
skill building.  The service includes engaging individuals in the service
delivery and trauma recovery process; development of strategies and plans to
increase safety and community stabilization; and assistance in the development
of functional, interpersonal, and community coping skills
VP-CST facilitates symptom
self-monitoring and management, identification and use of natural supports, and
skill building.  The service includes engaging individuals in the service
delivery and trauma recovery process; development of strategies and plans to
increase safety and community stabilization; and assistance in the development
of functional, interpersonal, and community coping skills.
i)          VP-CST
services must be delivered:
•           Consistent
with the fidelity requirements outlined in the Department's provider handbook
for community-based behavioral health and available on the Department's website;
•           By a
Community Mental Health Center or Behavioral Health Clinic that has been
approved to deliver VP-CST pursuant to Table N;
•           By a
team overseen by a full-time QMHP;
•           By staff
who meet the qualifications of a PSW, RSA, MHP, QMHP, or LPHA;
•           In
an individual, group, or family modality;
•           By
video, phone, or face-to-face contact, notwithstanding the restriction on
services provided via phone in 89 Ill. Adm. Code 140.6(m) and 140.403;
•           At a
service location and setting deemed appropriate for reimbursement, as detailed
in the Department's published fee schedule; and
•           Available
24 hours per day, seven days a week, each week of the year.
ii)         VP-CST
services may be subject to prior authorization, pursuant to Section 140.40.
e)         Targeted
Case Management (TCM).  The following services are established pursuant to section
1905(a)(19) of the Social Security Act (42 USC 1396d(a)(19)).
1)         Types
of TCM Services
A)        Client-centered
Consultation Case Management. Client-centered Consultation Case Management
consists of client-specific professional communications among provider staff or
between provider staff and staff of other providers who are involved with
service provision to the individual
section
1905(a)(19) of the Social Security Act (42 USC 1396d(a)(19)).
1)         Types
of TCM Services
A)        Client-centered
Consultation Case Management. Client-centered Consultation Case Management
consists of client-specific professional communications among provider staff or
between provider staff and staff of other providers who are involved with
service provision to the individual.  Professional communications include
offering or obtaining a professional opinion regarding the individual's current
functioning level or improving the individual's functioning level, discussing
the individual's progress in treatment, adjusting the individual's current
treatment, or addressing the individual's need for additional or alternative
mental health services.  Client-centered Consultation Case Management services
may only be provided:
i)          To
eligible individuals receiving one or more services detailed in Section
140.453(d)(2) (General MRO Services);
ii)         By a
Community Mental Health Center or Behavioral Health Clinic;
iii)        At
all service locations and settings deemed appropriate for reimbursement, as
detailed in the Department's published fee schedule;
iv)        On an
individual basis;
v)         By an
RSA, MHP, QMHP and LPHA; and
vi)        By
video, phone or face-to-face contact, notwithstanding the restriction on
services provided via phone in Sections 140.6(n) and 140.403.
B)        Mental
Health Case Management Services. Mental Health Case Management Services consist
of: assessment, planning, coordination and advocacy services for individuals
who need multiple services and require assistance in gaining access to and in
using behavioral health, physical health, social, vocational, educational,
housing, public income entitlements and other community services to assist the
individual in the community
t Services. Mental Health Case Management Services consist
of: assessment, planning, coordination and advocacy services for individuals
who need multiple services and require assistance in gaining access to and in
using behavioral health, physical health, social, vocational, educational,
housing, public income entitlements and other community services to assist the
individual in the community.  Mental Health Case Management Services may also
include identifying and investigating available resources, explaining options
to the individual, and linking the individual with necessary resources.  Mental
Health Case Management Services may be provided:
i)          For
30 days prior to completion of the Integrated Assessment and Treatment Plan;
ii)         By a
Community Mental Health Center or Behavioral Health Clinic;
iii)        At
all service locations and settings deemed appropriate for reimbursement, as
detailed in the Department's published fee schedule;
iv)        On an
individual basis;
v)         By an
RSA, MHP, QMHP and LPHA; and
vi)        By
video, phone or face-to-face contact, notwithstanding the restriction on
services provided via phone in Sections 140.6(n) and 140.403.
C)        Transition
Linkage and Aftercare Case Management Services shall be provided to assist in
an effective transition in living arrangements, consistent with the
individual's welfare and development.  This includes discharge from
institutional settings, transition to adult services, and assisting the
individual or the individual's family or caretaker with the transition.
i)          Transition,
Linkage and Aftercare Limitation.  The Department will not fund more than 40
hours of this service per State fiscal year for an eligible individual
nt with the
individual's welfare and development.  This includes discharge from
institutional settings, transition to adult services, and assisting the
individual or the individual's family or caretaker with the transition.
i)          Transition,
Linkage and Aftercare Limitation.  The Department will not fund more than 40
hours of this service per State fiscal year for an eligible individual.
ii)         Transition,
Linkage and Aftercare may only be provided:
•           By a
Community Mental Health Center or Behavioral Health Clinic;
•           At
all service locations and settings deemed appropriate for reimbursement, as
detailed in the Department's published fee schedule;
•           On
an individual basis;
•           By
an MHP, QMHP and LPHA; and
•           By
video, phone or face-to-face contact, notwithstanding the restriction on
services provided via phone in Sections 140.6(n) and 140.403.
iii)        Transition
Linkage and Aftercare Case Management Services may be subject to prior
authorization, pursuant to Section 140.40.
2)         Limitation
on Targeted Case Management Services.  The Department shall not fund more than
240 total hours of targeted case management services per State fiscal year per
individual (not per provider).

## Nearby sections

- [89 Ill. Adm. Code 1400.140.403 Section 140.403  Telehealth Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_403.md)
- [89 Ill. Adm. Code 1400.140.405 Section 140.405  Non-Institutional Rate Reductions](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_405.md)
- [89 Ill. Adm. Code 1400.140.410 Section 140.410  Physicians' Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_410.md)
- [89 Ill. Adm. Code 1400.140.411 Section 140.411  Covered Services By Physicians](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_411.md)
- [89 Ill. Adm. Code 1400.140.412 Section 140.412  Services Not Covered By Physicians](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_412.md)
- [89 Ill. Adm. Code 1400.140.413 Section 140.413  Limitation on Physician Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_413.md)
- [89 Ill. Adm. Code 1400.140.414 Section 140.414  Requirements for Prescriptions and Dispensing of Pharmacy Items – Prescibers](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_414.md)
- [89 Ill. Adm. Code 1400.140.416 Section 140.416  Optometric Services and Materials](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_416.md)
- [89 Ill. Adm. Code 1400.140.417 Section 140.417  Limitations on Optometric Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_417.md)
- [89 Ill. Adm. Code 1400.140.421 Section 140.421  Limitations on Dental Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_421.md)
- [89 Ill. Adm. Code 1400.140.424 Section 140.424  Licensed Clinical Social Worker Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_424.md)
- [89 Ill. Adm. Code 1400.140.434 Section 140.434  Record Requirements for Independent Clinical Laboratories](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_434.md)
- [89 Ill. Adm. Code 1400.140.442 Section 140.442  Drug Product Prior Approval and the Preferred Drug List](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_442.md)
- [89 Ill. Adm. Code 1400.140.443 Section 140.443  Filling of Prescriptions](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_443.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_453. Check the current official text before relying on it. Not legal advice.