MEDICAID-ANTIPSYCHOTIC MEDS

Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision concerning utilization management controls and prior approval on specialty drugs, provides that for drugs for the treatment of AIDS or severe mental illness (rather than for the treatment of AIDS), the Department of Healthcare and Family Services shall take into consideration the potential for non-adherence by certain populations, and shall develop protocols with organizations or providers primarily serving those with HIV/AIDS or those with severe mental illness (rather than those with HIV/AIDS), as long as such measures intend to maintain cost neutrality with other utilization management controls such as prior approval. In a provision concerning limitations on prescription drugs, provides that antipsychotic drugs used to treat severe mental illness shall not be subject to prior approval as a result of the 4-prescription limit and shall not count toward the monthly prescription limit when used for the following mental disorders: post-traumatic stress disorder, schizophrenia, schizoaffective disorder, bipolar disorder, or panic disorder. Effective immediately.