MedicaidCoverageMedium impact
1115 Waiver Pilot Program: Intensive In-Home Billing and Service Delivery Requirements
Illinois Medicaid - HFS·IL · Psychiatry, Pediatrics·Provider Notice
Effective date
Jan 1, 2019
We identified it
Jun 20, 2026
Summary
Illinois has established a new Medicaid waiver pilot program for Intensive In-Home behavioral health services for children ages 3-21 with severe mental health conditions. Providers must be enrolled as Community Mental Health Centers or Behavioral Health Clinics and meet specific service delivery requirements to receive weekly reimbursement of $160 base rate plus potential $75 outcome bonuses.
Action Required
By January 1, 2019: Behavioral health providers in Illinois must ensure enrollment as CMHC or BHC in IMPACT system to participate. Must implement IM+CANS assessments and develop clinical intervention plans signed by LPHA. Submit Service Request Forms through Integrated Health Home providers only. Meet minimum service requirements: 1 intervention during engagement week, then 2 face-to-face interventions per week. Bill weekly at $160 base rate when requirements met.