Medicaid trauma recovery services for adults

Medicaid trauma recovery services for adults. (a) The Department of Healthcare and Family Services shall, subject to approval from the United States Department of Health and Human Services and State appropriations for this purpose, implement a team-based model of care system to address trauma recovery from chronic exposure to firearm violence for Illinois adults. On or before October 1, 2023, the Department of Healthcare and Family Services shall seek approval from the United States Department of Health and Human Services to ensure the model of care system may include providers such as community mental health centers, behavioral health clinics, hospitals, and others deemed appropriate by the Department of Healthcare and Family Services. (b) The team-based model of care shall include, at a minimum, the following services: (1) Outreach services that recruit trauma-exposed adults into the system and develop supportive relationships with them based on lived experience in their communities. Outreach services include both services to support impacted individuals and group services that reduce violence between groups that need conflict resolution. (2) Case management and community support services that provide stabilization to individuals recovering from chronic exposure to firearm violence, including group cognitive behavior therapy sessions and other evidence-based interventions that promote behavioral change. (3) Group and individual therapy that addresses underlying mental health conditions associated with post-traumatic stress disorder, depression, anxiety, substance use disorders, intermittent explosive disorder, oppositional defiant disorder, attention deficit hyperactivity disorder, and other mental conditions as a result of chronic trauma. (4) Services deemed necessary for the effective integration of paragraphs (1), (2), and (3). (c) The Department of Healthcare and Family Services is authorized to ensure that different types of providers delivering violence prevention services under the model of care operated in a manner consistent with evidence-based and evidence-informed practices. The Department of Healthcare and Family Services shall develop reimbursement methodologies that account for differences among provider types. (d) On or before October 1, 2023, the Department of Healthcare and Family Services and Department of Human Services shall create and execute a joint Background Check Waiver Process, limiting the disqualifying offenses, for Peer Support Workers who provide such services. (Source: P.A. 102-16, eff. 6-17-21; 103-8, eff. 6-7-23.)