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ofChicago
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Ordinance
Amendment of Municipal Code Section
2 112 150
concerning grants and other agreements with managed care
entities regarding c ity s mental hea lth centers
Committee on Health and Environmental Protection
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Mental
Health Safety Net
O R D I N A N C E
WHEREAS,individualswithmental illnesswho do not receive appropriate treatment and support can
become entangled inthecriminaljusticesystem, and even beinvolved in
violent
incidents,resulting in
the need fo rpolice intervention,and
WHEREAS,an analysis done byWBEZradio revealed thatsome of the policedistrictswhichreceive the
most mental health911 calls are also the
districts
withthe fewest mental health services, and
WHEREAS,the Chicago Departmento f
Public
Health
(CDPH)operates
sixcommunitymental health
clinics,the
majority
o fwhichare locatedinunderservedareasthat have ahighrate ofmentalhealth 911
calls,
and
WHEREAS,
CDPH
has indicated thatthese
clinics
have the capacity toservemore
clients,
but are
underutilizeddue in largemeasureto managementissuesincludinginadequatestaffing, inabilityto bill
fo rMedicaidreimbursement, and
insufficient
community outreach, and
WHEREAS,
due to inadequate numbers o fpsychiatrists,in the
past
two
years
the numbero fpsychiatrist
hourso fcareinCDPHmental healthclinicshas dropped by more thanhalf,compromisingcareand
halting
the intakeo fnew clientsinsomeclinics,and
WHEREAS,when theIllinoisDepartment of
Human
Services signaled plans toshift
Medicaid
recipients
tomanagedcareplans,CDPHfailedto take actionto jo inany managedcarenetwork,resulting in a
disruption o fcarefor
some
Medicaidrecipients who have been turned away
f r o m
theclinicsand along
termloss of sorely-needed revenue, and
WHEREAS,
CDPH
has recently executed atwo year contract toimprovethe department's billing
services andreviewoptionsfo rcontractswithmanagedcareentities,thetwo yeartimelineposes
significantconcerns due to the urgent need fo radequatebilling
processes
and reimbursement fo rservices
currently
being
provided
at mental health centers, and
WHEREAS,addressingthese
ongoing
management problems
could
increase the numbero fclientsserved
at theCDPH clinics
within
the currentCDPHbudgetframework,therefore
B E I T
O R D A I N E D
B Y T H E C I T Y
C O U N C I L
OF T H E C I T Y O F
C H I C A G O
Section 1.Section 2-112-150 of the MunicipalCodeo fChicago is hereby amended byinsertingthe
language underscored asfollows:
2-112-150 Grants and other agreements.
a) The commissioner shall have the powerto i)applyfo rgiftsand grants o fservices, equipment,
supplies, materials, or funds
f r o m
the
United
States,
the
State
of
Illino is,
other government entities, their
agenciesorofficers,orf r o many person,foundation,association,not-for-profitcorporation,f i rmor
corporation,
and ii )to enterintocontracts andagreementsresultingingiftsor grants f r o mtheseand other
sources. The commissionershalln o t ifythe mayor, the budget
director,
and thecomptrollero feach such
action. The commissioner shall have the power to expend such receipts on projects that implement the
policies of the department o fhealth,providedthatallexpenditureso fgrant and/or contract funds shall be
subject to thesamepolicies and practices as the expenditureo fcorporate
funds,
includingthe provisions
of
career
service rules.
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(b)
The commissioner shallhavethe power to i)make grants orsubgrantso fdulyappropriated funds,
ii )make grants orsubgrantso fpersonal propertyincluding,but notlimitedto,vaccines,
H IV
testing kits
and condoms,
iii)
execute or amend grant or subgrant
agreements
to effectuate the
purposeso f
this
subsection b) ,and iv )execute such documents and provide any
information,assurances
orcertifications
necessaryor appropriate to effectuate thepurposeso f
this
subsection (b).
(c)
The commissioner shall
encourage
and conduct such studies, investigations and
research
as
in
his
judgment
will
promote and
improve public
health. Such
activity
may be carried out
join tly with
public or
private entities. In furtherance thereof the commissioner shallhavethe power to enter
intoagreements
with
public and private entities
for
the sharing and other use
o fpublic
health-related data.
An y
such
agreements
shallcomplywithapplicable law governingprivacy. Inorder to effectuate suchagreements,
the commissioner is authorized: i)subject to the
availability
of
duly
appropriated funds, to pay
application,processing, and otherfees,and ii )to executeancillarydocuments and provideancillary
information,assurances
or
certifications.
(d) The commissioner shallhavethe power to enter
into
contracts withhealth plans, insurance
companies, and managed
care
entities
for
reimbursement
for
health
care
services
provided
by the
department,includingclinical,planning,dataanalysis,
care
coordination,
quality
improvement, anddata
sharing.
(e) The Commissioner shall enter
into
contracts withatleastthree
(3 )
managed
care
entities for
reimbursement
for
health
care
servicesprovidedtoindividualswithMedicaidhealth planswithinsix(6)
months
o fthe
passageof this ordinance.
f )The Commissioner shall take whateverstepsarenecessarytoensure adequatestaffingo fpsychiatrists
at thecitvmental health
centerswithinfour (4)
monthso f
the
passageo fthis ordinance.
(g)
The Commissioner shall conduct such
activities
asnecessaryto
increase
awarenessof mental health
issuesand of services available at thecitymental health centers,
including
conducting mental health
workshops in communities disproportionately impacted by violence.
(h)
The Commissioner shall provide amonthlyreport toCity
Council
whichshall be posted on the
CDPH
website regarding the numbero fexecuted contractswithmanagedcareentities and thestatusofany
contracting
process,
the
level
of
staffing
o fpsychiatrists at thecitymental health
centers
and the
steps
taken toensure adequatepsychiatricstaffing,and theactivitiescompleted toincreaseawarenessof
mental
healthissuesand of services available at thecitvmental health centers.
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