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Report on the Detoxification Services Planning Process and Resulting Recommendations  

Report on the Detoxification Services Planning Process and Resulting Recommendations as per the Save Medicaid Access and Resources Together (SMART) Act Senate Bill 2840- Public Law 97- 0689

From the Illinois Departments of Healthcare and Family Services and Human Services, Division of Alcohol and Substance Abuse

September 26, 2013

Report On Detoxification Services Planning Process and Resulting Recommendations as Per SMART Act (SB-2840) Public LAW 97-0689

Table of Contents

  1. Introduction Julie Hamos, Director, Department of Healthcare and Family Services
  2. Executive Summary Sharron Matthews, Assistant Director, Department of Healthcare and Family Services
  3. Results of Research and Analytical Study of Utilization of Inpatient Detoxification Services Conducted by HFS
    1. The Problem
    2. The Impact of the SMART Act In-Patient Detoxification Services Utilization Policy Change on Patient Behavior and Hospital Admissions  
  4. The SMART Act Legislation, the Formation of the Workgroup and Committees, and the Planning Process
  5. Summaries of Work Committees’ Information Submitted for an Enhanced Continuum of Detoxification Service Delivery
  6. Impact of Policy Changes and the Planning Process on Hospitals, Service Providers and Client/Patient Behavior
  7. Recommendations for Policy, Services, and Program Improvements  
    1. Hospital-Based In-Patient Services, Medications, Protocols and Standing Orders 
    2. Consideration of Coverage for Methadone Treatment Services Under Illinois Medicaid Program
    3. Overview of a Recommended System Delivery Design to More Effectively Serve Patients/Clients Receiving Hospital and Community-Based Provider Substance Abuse Services and Treatment
    4. A Continuum of Care Model for the Future: Screening, Intervention and Engagement Continuum of Care Pilot   
  8.  Conclusion: A Process that Worked

Appendices

  1. Lists of Participants in the Workgroup, Work Committees and Conference

  2. Summary of Information on Areas of Detoxification Services Planning by Most impacted Hospitals Work Committee

    Quality Standards for Services Delivery
    Admission Criteria for Detoxification Services
    Diversion to Alternative Service Settings
    Recovery Support Services
    Standing Orders, Protocols and Guidelines

  3. Summary of Information on Areas of Detoxification Services Planning by DASA Providers and Other Stakeholders Work Committee

    Quality Standards for Services Delivery
    Admission Criteria for Detoxification Services
    Diversion to Alternative Service Settings
    Recovery Support Services
    Standing Orders, Protocols and Guidelines

  4. Summary of Information on Innovations, Best Practices, and Future Strategies from Hospitals, and DASA Providers and Other Stakeholders