ervin mh ordinance

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City

ofChicago

Office of the City Clerk

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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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ervin mh ordinance

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