MedicaidAdministrativeMedium impact
Public Act 097-0515 Disclosure for Treatment and Coordination of Care
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
May 23, 2012
We identified it
Jun 20, 2026
Summary
Illinois Public Act 097-0515 allows healthcare providers to receive mental health and developmental disability records for Medicaid/SCHIP recipients without patient consent for treatment coordination. This enables better integration of behavioral and physical healthcare services to avoid dangerous drug interactions and improve care coordination.
Action Required
Immediately: Billing and clinical teams should understand they can now request and receive mental health/developmental disability records for Medicaid patients without consent for treatment coordination. Update workflows to include requesting relevant behavioral health history when treating Medicaid patients with complex conditions. Contact Bureau of Managed Care at 217-524-7478 with questions about implementation.