reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 115 - STANDARDS AND LICENSURE REQUIREMENTS FOR COMMUNITY-INTEGRATED LIVING ARRANGEMENTS › Subpart E - HOST FAMILY LIVING ARRANGEMENTS › Section 115.590 - Minimum CILA Agency/Caregiver Contract Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) All independent contractors or caregivers
				shall provide services in compliance with a contract or signed agreement made
				with the CILA agency. The contract or signed agreement shall include, at a
				minimum, the following provisions:
1) Names of
				the caregivers and all other individuals residing in the home.
2) Names of the individuals served.
3) Legal address and phone number of the
				residence.
4) Signed assurance of
				compliance with all applicable federal and State rules and
				regulations.
5) Description and
				documentation of training of the primary caregivers.
6) Detailed description of how the home will
				be monitored by the CILA agency and related entities, including assurance of
				the host family's compliance with investigations of the Department's Office of
				the Inspector General, Centers for Medicare & Medicaid Services, Department
				of Healthcare and Family Services, DHS, and the CILA agency.
7) Description of how the transportation
				needs of the individual will be met.
8) Description of the expected daily schedule
				of the individuals and caregivers.
9) Indication of participation in the
				development and/or review of the individual's Personal Plan and Implementation
				Strategy and how ongoing documentation of service delivery will
				occur.
10) Description of relief
				services, including number per month, arrangements for relief services,
				requests for additional relief services, and responsibility to take relief
				time.
11) How documentation of the
				individual's financial resources will occur.
12) If the primary caregiver is employed
				outside the home, information relative to the outside employment, including:
A) The CILA agency's approval of outside
				employment for the caregiver;
B)
				Employer's name, address, and phone number;
C) Employer's type of business;
D) Hours caregiver will be working in this
				employment;
E) Name, address, and
				phone number of the authorized substitute caregiver who will provide care in
				the absence of the primary caregiver; and
F) Copy of the documentation of training of
				the substitute caregiver.
13) Other information as determined by the
				individual receiving services and their family/guardian, the host family
				caregiver, the CILA agency, and the Department.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 115 - STANDARDS AND LICENSURE REQUIREMENTS FOR COMMUNITY-INTEGRATED LIVING ARRANGEMENTS › Subpart E - HOST FAMILY LIVING ARRANGEMENTS › Section 115.600 - Relief Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each
				host family shall develop and submit a plan for the provision of relief
				services to the CILA agency for approval. The plan will be controlled by the
				host family in accordance with Department of Labor rules and
				regulations.
b) The CILA agency
				shall have a plan and arrangements for providing relief for employees and
				contractual workers who have responsibility more than eight consecutive hours
				or five consecutive days for individuals receiving services and shall have
				evidence of implementation of the plan and arrangements. This plan shall comply
				with federal and State labor laws and shall provide recognition of the need for
				relief in host family model settings.
c) For each traditional care setting, the
				CILA agency shall develop, maintain, and implement a plan to provide relief
				services.
1) The relief plan shall provide, at
				a minimum, an average of 20 hours of relief services monthly per individual
				served, and two weeks per year of vacation/personal time for each
				caregiver.
2) Relief hours shall be
				documented by the CILA agency.
3)
				The CILA agency shall develop criteria and implement procedures for host
				families to request more than the required minimum average hours of relief
				based on an individual's needs. The CILA agency must submit this criteria and
				procedures to the Department for prior review. The Department may require
				changes based upon its review.
4)
				The CILA agency shall employ or contract with, train, and pay all persons
				providing relief services to the host family. These functions shall not be
				performed by the host family.
5)
				The CILA agency shall not allow for relief services for a host family by a
				relative of the host family.
6) All
				relief workers must meet the same training requirements and background checks
				as the host family.
7) The CILA
				agency shall ensure that host families do not leave individuals in the care of
				untrained and/or unauthorized persons.
8) Individuals shall not be moved from their
				residence for durations of overnight stays or longer for the sole purpose of
				providing relief to host families. Overnight or absence from the host family
				arrangement for the benefit of the individuals must be addressed in the
				Personal Plan and Implementation Strategy.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 115 - STANDARDS AND LICENSURE REQUIREMENTS FOR COMMUNITY-INTEGRATED LIVING ARRANGEMENTS › Subpart E - HOST FAMILY LIVING ARRANGEMENTS › Section 115.610 - Conflicts of interest

Current through Register Vol. 48, No. 28, July 12, 2024
In order to avoid conflicts of interest or the appearance of
				  conflicts of interest, the provider agency shall:
a) For host families of the traditional care
				model, observe and include in the contract of host family caregivers policies
				including, but not limited to, those identified in subsection (b).
b) For host families of the shared living
				model, inform and ensure that host family caregivers are knowledgeable
				regarding policies including, but not limited to, the following:
1) A host family relative may not provide
				agency administrative direction and/or monitoring oversight of the host
				family;
2) A host family member may
				not serve in a supervisory or administrative position within the provider
				agency's host family program;
3)
				Employees of provider agencies and members of host families may not serve as
				guardians or representative payees of individuals for whom they have direct
				care or supervisory responsibilities;
4) No provider agency administrator, Board of
				Directors member, or officer shall serve as a host family member for the
				provider agency with which he or she is affiliated; and
5) No person employed by or contracting with
				the provider agency as a host family member shall enter into any independent
				financial relationship or transaction with the agency or individuals served,
				including, but not limited to, rental or lease arrangements, personal cash
				loans, or property transactions (including sale, trade or transfer).
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 115 - STANDARDS AND LICENSURE REQUIREMENTS FOR COMMUNITY-INTEGRATED LIVING ARRANGEMENTS › Subpart E - HOST FAMILY LIVING ARRANGEMENTS › Section 115.620 - Quality Assurance Plan

Current through Register Vol. 48, No. 28, July 12, 2024
In addition to general oversight requirements stated or
				  implied in other Sections of this Part, the CILA agency's own quality assurance
				  plans must ensure that additional monitoring occurs through visits by the
				  following staff:
a) A QIDP employed by
				the CILA agency will visit each individual served in a host family setting a
				minimum of 1 time per month for a minimum of 1 hour. These face-to-face visits
				shall occur at the individual's residence while the individual is present.
				Issues to monitor include, at a minimum:
1)
				Health of the individual;
2) Safety
				of the individual;
3) Provision of
				services as outlined in the individual's Implementation Strategy;
4) The individual's satisfaction with level
				of service received; and
5) The
				individual's integration into the living environment and community outlined in
				the individual's Personal Plan and Implementation Strategy.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 115 - STANDARDS AND LICENSURE REQUIREMENTS FOR COMMUNITY-INTEGRATED LIVING ARRANGEMENTS › Subpart F - REIMBURSEMENT RATE COMPONENTS (REPEALED) › Appendix A - Specific Level of Functioning Assessment and Physical Health Inventory (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 116 - ADMINISTRATION OF MEDICATION IN COMMUNITY SETTINGS › Section 116.10 - Purpose

Current through Register Vol. 48, No. 28, July 12, 2024
The purpose of this Part is to ensure the safety of individuals
				in programs funded by the Department of Human Services by regulating the
				storage, distribution and administration of medications in specific settings,
				as well as training of non-licensed staff in the administration of medications.
				This applies exclusively to all programs for individuals with developmental
				disabilities in:
a) community day
			 services;
b) residential settings
			 of 16 persons or fewer that are funded, certified or licensed by DHS and that
			 distribute or administer medications; and
c) all intermediate care facilities for
			 persons with developmental disabilities with 16 beds or fewer that are licensed
			 by the Illinois Department of Public Health.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 116 - ADMINISTRATION OF MEDICATION IN COMMUNITY SETTINGS › Section 116.30 - Master Nurse-Trainer and Nurse-Trainers

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Department's Master Nurse-Trainers are
			 designated by the DD Medical Director and shall meet the following criteria:
1) Demonstration of competence to teach adult
			 learners through:
A) evidence of previous
			 teaching or training experience; or
B) completion of courses in teaching and
			 instructing.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 116 - ADMINISTRATION OF MEDICATION IN COMMUNITY SETTINGS › Section 116.40 - Training and Authorization of Non-Licensed Staff by Nurse-Trainers

Current through Register Vol. 48, No. 28, July 12, 2024
a) Only a
			 Nurse-Trainer may delegate, supervise and authorize the tasks of medication
			 administration to authorized direct care staff.
b) Prior to training non-licensed staff to
			 administer medication to an individual, the Nurse-Trainer must have an
			 understanding and knowledge of the individual's physical and mental status,
			 medical history, medication orders and medications prescribed to initially
			 train and authorize unlicensed staff to administer medications and to provide
			 any additional medication related training of non-licensed authorized staff.
			 The following is acceptable evidence of that understanding and knowledge:
1) The registered nurse completing the
			 assessment of an individual's health as required by Section
			 116.90(a)
			 must sign and date the assessment. To be valid, this assessment can be no more
			 than one year prior to the date of the training of the non-licensed
			 staff.
2) If the Nurse-Trainer
			 initially training and authorizing unlicensed staff or providing additional
			 training is not the registered professional nurse who completed the assessment
			 of an individual's health as required by Section
			 116.90(a),
			 there must be clear evidence that the Nurse-Trainer has reviewed an
			 individual's current assessment within the last 365 calendar days and
			 considered other relevant information before doing any training or providing
			 direction about medication administration for that individual.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 116 - ADMINISTRATION OF MEDICATION IN COMMUNITY SETTINGS › Section 116.50 - Administration of Medications

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 Medications shall be administered in accordance with the Mental Health and
			 Developmental Disabilities Administrative Act [ 20 ILCS 1705 ] and the Illinois
			 Nurse Practice Act.
b) With the
			 exception of subcutaneous insulin administration by insulin pen by authorized
			 staff and emergency epinephrine administration by epinephrine auto-injector by
			 staff trained in epinephrine administration, non-licensed staff shall not
			 administer any medication in an injectable form.
c) Medications that are regularly available
			 without a prescription at a commercial pharmacy (although need not be purchased
			 there) may be purchased for stock when they are prescribed as PRN or regularly
			 scheduled (such as daily, weekly or monthly, but not limited to those
			 schedules) by a physician or any other person licensed to prescribe medications
			 in Illinois. The following conditions shall apply:
1) The medication must be stored in the
			 original container, with the original label intact.
2) No labeling other than the original
			 container labeling is allowed. This labeling may not be obscured in any
			 way.
3) The prescription
			 instructions, as written by the physician or any other person licensed to
			 prescribe medications in Illinois and as interpreted by the Nurse-Trainer, will
			 be placed on the MAR as required by Section
			 116.70(b)
			 and followed as written.
4)
			 Providers may not repackage medications.
5) The provider shall communicate with all
			 appropriate parties regarding regularly prescribed stock medications during an
			 individual's absence from his or her residence during a medication
			 administration period.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 116 - ADMINISTRATION OF MEDICATION IN COMMUNITY SETTINGS › Section 116.60 - Medication Self-Administration

Current through Register Vol. 48, No. 28, July 12, 2024
a)
As part of the normalization process, in order for each individual to
			 attain the highest possible level of independent functioning, all individuals
			 shall be permitted to participate in their total health care program
[
			 20
			 ILCS 1705/15.4(d) ]. Every program
			 shall include, but not be limited to, individual training in promoting
			 wellness, prevention of disease, and medication self-administration procedures.
1)
Every program shall adopt written
			 policies and procedures for assisting individuals in obtaining preventative
			 health and medication self-administration skills in consultation with the
			 registered professional nurse
[
			 20
			 ILCS 1705/15.4(d) ].
2) Individuals shall be evaluated to
			 determine their self-administration of medication capabilities by a
			 Nurse-Trainer through the use of DHS required, standardized screening and
			 assessment instruments.
3)
When the results of the screening and assessment indicate an individual
			 not to be
independently
capable to self-administer his or her
			 own medications, programs shall be developed in consultation with the Community
			 Support Team
(CST) or Interdisciplinary Team (IDT)
to provide
			 individuals with
medication self-administration training as identified
			 in each individual's treatment/service plan [
			 20
			 ILCS 1705/15.4(d) ].
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 116 - ADMINISTRATION OF MEDICATION IN COMMUNITY SETTINGS › Section 116.70 - Medication Administration Record and Required Documentation

Current through Register Vol. 48, No. 28, July 12, 2024
a) All medications,
			 including patent or proprietary medications (e.g., cathartics, headache
			 remedies or vitamins, but not limited to those) shall be given only upon the
			 written order of a physician, advanced practice nurse, or physician assistant.
			 All orders shall be given as prescribed by the physician and at the designated
			 time. Telephone orders may be taken by a registered professional nurse or
			 licensed practical nurse. All orders shall be immediately written on the
			 individual's record or a "telephone order form" and signed by the nurse taking
			 the order. These orders shall be countersigned or documented by facsimile
			 prescription or electronically signed by the physician within 10
			 days.
b) Medication Administration
			 Record
1) Except as provided in Section
			 116.60(g),
			 an individualized MAR shall be kept for each individual for medications
			 administered, including PRN medications, and shall contain at least the
			 following:
A) the individual's name;
B) the name and dosage form of the
			 medication;
C) the name of the
			 prescribing physician, physician assistant, dentist, podiatrist or certified
			 optometrist;
D) dose or quantity to
			 be taken;
E) frequency or times of
			 administration;
F) route of
			 administration;
G) date and time
			 given;
H) most recent date of the
			 order;
I) allergies to medication;
			 and
J) special considerations,
			 including special directions and precautions for the medication's preparation
			 and administration and contraindications for the medication.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 116 - ADMINISTRATION OF MEDICATION IN COMMUNITY SETTINGS › Section 116.80 - Storage and Disposal of Medications

Current through Register Vol. 48, No. 28, July 12, 2024
a) All medications shall be stored in locked
			 compartments or within the locked medicine container, cabinet or
			 closet.
b) Access to medications
			 shall be limited to licensed personnel and authorized direct care staff. Each
			 program shall maintain an up-to-date list of authorized direct care
			 staff.
c) Each program shall have a
			 written procedure for safeguarding medications kept in an individual's room or
			 possession and shall require medications to be stored when individual safety
			 cannot otherwise be assured.
d) All
			 medications shall be stored in their original containers.
e) All prescription medications that are
			 given to individuals at the direction of the physician, registered professional
			 nurse, advanced practice nurse, pharmacist, physician assistant, dentist,
			 podiatrist, or certified optometrist shall have a label with the same
			 information as would appear on a pharmacy label in accordance with Section 22
			 of the Illinois Pharmacy Practice Act [ 225 ILCS 85 ] to show:
1) the name and address of the pharmacy where
			 the prescription is sold or dispensed;
2) the name or initials of the person
			 authorized to practice pharmacy;
3)
			 the date on which the prescription was filled;
4) the name of the patient;
5) the prescription number as filed in the
			 prescription files;
6) the last
			 name of the practitioner who prescribed the prescription;
7) the directions for use as contained in the
			 prescription; and
8) the
			 proprietary name or names or the established name of the medications, the
			 dosage and the quantity.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 116 - ADMINISTRATION OF MEDICATION IN COMMUNITY SETTINGS › Section 116.90 - Individual Health Supports and Assessment

Current through Register Vol. 48, No. 28, July 12, 2024
a) The registered professional nurse shall
			 assess an individual's health status at least annually or more frequently at
			 the discretion of the registered professional nurse.
b) A physician, advanced practice nurse or
			 physician assistant shall assess an individual's health status at least
			 annually or more frequently at the discretion of the physician or at the
			 request of the agency or the registered professional nurse.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 116 - ADMINISTRATION OF MEDICATION IN COMMUNITY SETTINGS › Section 116.100 - Quality Assurance

Current through Register Vol. 48, No. 28, July 12, 2024
a) A
			 registered professional nurse, advanced practice nurse, licensed practical
			 nurse, pharmacist or physician shall review the following for all individuals:
1) medication orders;
2) medication labels and medications listed
			 on the MAR to ensure that they match physician orders; and
3) MARs (for persons who are not
			 self-medicating) to ensure that they are completed appropriately for:
A) medication administered as
			 prescribed;
B) refusal by the
			 individual; and
C) full signatures
			 provided for all initials used.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 116 - ADMINISTRATION OF MEDICATION IN COMMUNITY SETTINGS › Section 116.110 - Administrative Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) Written
			 policies and procedures shall be developed by each agency that include:
1) Provisions for on-going supervision and
			 monitoring of authorized direct care staff.
2) Provisions for annual review and any
			 necessary retraining of authorized direct care staff in theory and practice of
			 medication administration.
3)
			 Provisions for a systematic review of all medication errors, adverse drug
			 reactions, and incidents to identify contributing factors and plan corrective
			 action.
4) Provisions for recording
			 and reporting of all instances of retraining and retesting for failure to
			 qualify as an authorized direct care staff.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart A - GENERAL PROVISIONS › Section 117.100 - Purpose

Current through Register Vol. 48, No. 28, July 12, 2024
a) The purpose of
				the Home-Based Support Services Law for Mentally Disabled Adults [405 ILCS
				80/2-1 ] is to authorize the Department to encourage,
				develop, sponsor and fund home-based and community-based services for adults
				who are mentally disabled in order to provide alternatives to
				institutionalization and to permit them to remain in their own homes (Section
				2-2 of the Home-Based Support Services Law).
b) The purpose of the Family Assistance Law
				for Mentally Disabled Children [405 ILCS 80/3-1 ] is to create a
				mandate for the Department to strengthen and promote families who provide care
				within the family home for children whose level of mental illness or
				developmental disability constitutes a risk of out-of-home placement. It is
				intended to strengthen, promote and empower families to determine the most
				appropriate use of resources to address the unique and changing needs of those
				families' mentally disabled children (Section 3-2 of the Family Assistance
				Law).
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart A - GENERAL PROVISIONS › Section 117.110 - Incorporation by reference

Current through Register Vol. 48, No. 28, July 12, 2024
Any rules of an agency of the United States or of a
				  nationally-recognized organization or association that are incorporated by
				  reference in this Part are incorporated as of the date specified, and do not
				  include any later amendments or editions.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart A - GENERAL PROVISIONS › Section 117.115 - Principles

Current through Register Vol. 48, No. 28, July 12, 2024
a) Individuals and
				their families or legal guardians shall select the needed supports and
				services.
b) Individuals shall live
				in homes of their choosing in communities with or near family and friends and
				other individuals who are important to them.
c) Services shall be designed as described in
				Subparts B and C of this Part and provided to enhance the individual's existing
				natural social support network of family, friends, and acquaintances within the
				larger community of persons without disabilities, as well as social contacts
				among peers and paid caregivers.
d)
				Individuals and their families or legal guardians shall be permitted to
				experience decision-making and risk in order to enhance personal
				growth.
e) Individuals shall not be
				obligated to participate in a particular training program or activity because
				it is part of the program structure or for the convinence of staff.
f) The type, intensity and source of support
				services shall vary according to the individual's needs, other supports
				available and personal preferences, shall promote community integration,
				independence and self-sufficiency, and shall change as the individual's needs
				and preferences change.
g) Training
				and assistance shall be provided to the extent possible in natural environments
				during the course of a normal day. This includes participating in general
				community life, school, work and leisure activities and accessing general
				community goods and services, rather than participating primarily or only
				within the service system with other persons with disabilities and paid
				caregivers.
h) The values of
				integration, individuality, personal choice and skill enhancement shall also
				encompass health, leisure and recreational activities, social services and
				education, as well as family and home-based supports.
i) Use of generic (non-disability) community
				resources such as church, Y.M.C.A., Y.W.C.A., educational, clubs, shopping and
				recreation shall be preferred over segregated programs for special populations,
				to the extent consistent with the needs of the individual and family. However,
				if it is difficult for the individual to use generic resources without support,
				support tailored to the individual's needs shall be offered.
j) Family support must focus on the family
				unit. Family support should be broadly defined so as to respond to the needs of
				all members of the family, including the individual with a developmental or
				mental disability, parents, siblings, and other extended family members living
				within the household.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart A - GENERAL PROVISIONS › Section 117.125 - Individuals' records and informed consent

Current through Register Vol. 48, No. 28, July 12, 2024
a) The individual or guardian shall give
				informed consent for the release of information and to participate in the
				services specified in the service/treatment plan, which shall be documented in
				the individual's case record.
b)
				The Department shall maintain a roster of all applicants who have been chosen
				and have been determined eligible for the programs described in this
				Part.
c) The Department shall
				maintain a permanent case record for each individual who has been chosen and
				determined eligible. Control and protection of the record shall be governed by
				the Act.
d) Department staff shall
				maintain a continuous, chronological record of all activities and events in the
				case records. Events and activities shall be documented in a standard format
				with sufficient specificity that progress can be monitored by an uninformed
				reviewer without additional information from responsible staff.
e) Department-designated agencies shall also
				maintain a case record for each individual served. Control and protection of
				the records shall be governed by the Act.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart A - GENERAL PROVISIONS › Section 117.130 - Outreach plan

Current through Register Vol. 48, No. 28, July 12, 2024
Annually, information shall be disseminated by the Department
				  in English and in Spanish to individuals who may be eligible for the programs
				  described in this Part, and to persons who have contact with individuals who
				  may be eligible to participate in these programs. Furthermore, all
				  developmental disability and mental health agencies, service facilitation units
				  and other service organizations shall be sent brochures containing preliminary
				  application forms (117.Appendix A) for distribution to potentially-eligible
				  individuals. The Department shall diseminate letters explaining the programs to
				  agencies and advocacy organizations around the State.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart A - GENERAL PROVISIONS › Section 117.135 - Preliminary application process

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				The Department shall disseminate preliminary applications in English and
				Spanish annually to those individuals who may be eligible to participate in the
				programs described in this Part.
b)
				Applicants shall submit their completed preliminary applications to the
				Department, 405 Stratton Building, Springfield, IL 62765 annually by a date
				determined by the Department, but no later than July 31.
c) Preliminary application for the Home-Based
				Support Services Program, described in Subpart B (form DMHDD-1235), must be
				made by the individual or his or her guardian. Preliminary application for the
				Family Assistance Program, described in Subpart C (form DMHDD-1236), must be
				made by the child's parent. The applicant is responsible for providing complete
				and accurate information as specified in the application package and
				instructions (see Section 117.Appendix B, Illustrations A and B).
d) Individuals shall be chosen through a
				random selection process as described in Section
				117.120. The number
				of individuals chosen to participate in these programs shall be contingent upon
				the availability of funds appropriated by the General Assembly for these
				purposes. The Department shall notify individuals in writing of their selection
				within 30 days after final approval of the application. In each year in which
				funds are available for expanded enrollment, the Department shall conduct a
				random selection process and select additional individuals for these
				programs.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart A - GENERAL PROVISIONS › Section 117.140 - Application and eligibility determination process

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Department shall send and ask
				applicants chosen through the random selection process to complete an
				application package (described in subsection (b) of this Section) within 30
				days after being notified that they have been chosen.
b) The application package shall include:
1) A letter explaining the Department's
				eligibility verification process;
2) Instructions for submitting the necessary
				clinical information to verify the severity of the disability and other
				eligibility criteria;
3) A listing
				of Department-designated agencies in the applicant's region which may assist
				with verification of disability;
4)
				Written instructions to the primary examiners on what they must do to verify
				eligibility;
5) Eligibility
				criteria for individuals with severe mental illness or emotional disturbance,
				severe autism, severe mental retardation and severe and multiple impairments;
				and
6) Eligibility determination
				forms that must be signed by the primary examiner (see Section 117.Appendix
				B).
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart A - GENERAL PROVISIONS › Section 117.145 - Hearings and appeals

Current through Register Vol. 48, No. 28, July 12, 2024
a) If the
				Department denies an individual's application for participation in the programs
				included in this Part, the Department shall give written notice within 30 days
				to:
1) The person who signed the application
				for participation in the Home-based Support Services Program; or
2) The parent for the Family Assistance
				Program.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart B - HOME-BASED SUPPORT SERVICES PROGRAM › Section 117.200 - Eligibility criteria

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				number of eligible adults chosen to participate in this program shall be
				contingent upon the availability of funds appropriated by the General Assembly
				for these purposes.
b) To be
				eligible for the Home-Based Support Services Program an individual must:
1) Reside in Illinois;
2) Be between the ages of 18 and 60,
				inclusive;
3) Reside in his or her
				own home or, within two months of being notified that he or she has been chosen
				to participate in this program, he or she shall reside full-time in his or her
				own home.
4) Need home-based
				support services, but not require 24-hour-a-day supervision;
5) Be eligible and must have applied for
				federal Supplemental Security Income (SSI) ( 42 U.S.C.A. 1381(1996) ) or
				federal Social Security Disability Income (SSDI) ( 42 U.S.C.A. 401(1996) )
				benefits;
6) Be diagnosed as having
				one of the following conditions:
A) Severe
				autism;
B) Severe mental
				illness;
C) Severe or profound
				mental retardation; or
D) Severe
				and multiple impairments.
7) Apply annually.
8) Not receive CILA services in conjunction
				with this Section. (Community Integrated Living Arrangements Licensure and
				Certification Act [210 ILCS 135 ].
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart B - HOME-BASED SUPPORT SERVICES PROGRAM › Section 117.205 - Notice of eligibility and service authorization

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Department shall notify individuals
				found eligible, in writing, within 30 days after final approval of their
				applications. This notification shall include instructions for accessing
				services and the names of Department-designated agencies that can assist the
				individual in developing a service/treatment plan.
b) The service facilitator shall send a copy
				of the service/treatment plan, signed by the individual or his or her guardian,
				to the Department within 60 days from the date of the Department's final
				approval of the application. Payment for services shall be based on the plan
				and services delivered shall be consistent with the plan.
c) If an individual chosen to participate in
				this program is receiving Department-funded purchase of care or grant-in-aid
				services, reimbursement for his or her support under this program shall be
				reduced based on the Department's costs of the individual's purchase of care or
				grant-in-aid services. The individual can choose, however, to design his or her
				individualized plan to include newly-arranged services that may better meet the
				individual's needs and for which there is no offset.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart B - HOME-BASED SUPPORT SERVICES PROGRAM › Section 117.210 - Notice of ineligibility and right to appeal

Current through Register Vol. 48, No. 28, July 12, 2024
a) If, based on the evaluations as described
				in Section
				117.140,
				the individual is found ineligible, the Department shall notify him or her or
				the guardian in writing within 30 days.
b) Appeal of a service denial may be made as
				provided for in Section
				117.145.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart B - HOME-BASED SUPPORT SERVICES PROGRAM › Section 117.215 - Services and funding provisions

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				The Department shall purchase services from service agencies, organizations or
				individuals based on the service/treatment plan. Such services may include, but
				are not limited to:
1) Home health
				services;
2) Service
				facilitation;
3) Crisis
				management;
4) Training and
				assistance in self-care;
5)
				Personal care services;
6)
				Habilitation and rehabilitation services;
7) Employment-related services;
8) Supported employment;
9) Respite care for the caregiver;
				and
10) Other skills training that
				enables an individual to become self-supporting.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart B - HOME-BASED SUPPORT SERVICES PROGRAM › Section 117.220 - Service facilitation services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Department shall notify individuals
				who are chosen to participate in the program in writing of the availability of
				an array of community services which Department-designated agencies can
				provide, including service facilitation.
b) Periodically, as desired by the individual
				but no less than annually, the service facilitator shall review with the
				individual the adequacy of the plan and make any modifications desired by the
				individual.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart B - HOME-BASED SUPPORT SERVICES PROGRAM › Section 117.225 - Service/treatment plan

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				service/treatment plan shall be developed by the individual, his or her
				guardian, and other persons the individual asks to participate as well as a
				service facilitator.
b) The plan
				shall serve as the basis on which services may be billed by an agency,
				organization or individual and reimbursed by the Department.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart B - HOME-BASED SUPPORT SERVICES PROGRAM › Section 117.230 - Selection of services

Current through Register Vol. 48, No. 28, July 12, 2024
Individuals whose eligibility has been verified and who have
				  a completed service/treatment plan shall receive services on a monthly basis
				  not to exceed the funding level set by the plan.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart B - HOME-BASED SUPPORT SERVICES PROGRAM › Section 117.235 - Service monitoring

Current through Register Vol. 48, No. 28, July 12, 2024
Annually, the Department through on-site field review shall
				  monitor a sample of the service/treatment plans of participating individuals to
				  assure services are meeting the plans' stated goals, the needs of the
				  individuals being served, and to ensure that the individuals are satisfied with
				  the services which they are receiving.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart B - HOME-BASED SUPPORT SERVICES PROGRAM › Section 117.240 - Service termination

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				funding for services will cease if any of the following occur:
1) The adult no longer meets the eligibility
				criteria;
2) The adult
				dies;
3) The adult reaches the age
				of 61 years; or
4) The adult or
				guardian submits false information during the application process.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart C - FAMILY ASSISTANCE PROGRAM › Section 117.300 - Eligibility criteria

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				number of eligible families chosen to participate in the Family Assistance
				Program shall be contingent upon the availability of funds appropriated by the
				General Assembly for these purposes.
b) To be eligible, a family must meet all of
				the following criteria:
1) Have a child 17
				years old or younger who has a diagnosis of one of the conditions described in
				Section
				117.200(b)(6)
				 and who lives in the home. The eligible
				child may be living in an out-of-home placement at the time of application but
				must live with the parent within 60 days after the date of being notified of
				acceptance.
2) Reside in
				Illinois.
3) Have a maximum
				household federal taxable income of less than $65,000 annually (natural or
				adoptive family) as verified by the family's federal income tax return. Income
				eligibility shall be based on the year immediately preceding the date of
				application, unless the family can verify that its federal taxable income shall
				be less in the year the application is made. Families who can verify that they
				did not file an income tax return because of limited income shall be considered
				eligible. Such families shall be required to verify household income by listing
				all of their income from all sources from the previous year. The family income
				limit shall not apply to children in foster care. In such cases, the foster
				child's income shall be the determinant.
4) Apply annually.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart C - FAMILY ASSISTANCE PROGRAM › Section 117.305 - Eligibility determination process

Current through Register Vol. 48, No. 28, July 12, 2024
The eligibility determination process for the Family
				  Assistance Program shall be conducted as follows:
a) Documentation of severe or profound mental
				retardation shall be in accordance with Section
				117.140(c).
b) Documentation of a severe emotional
				disturbance shall be based on a comprehensive, documented evaluation by a
				licensed clinical psychologist or psychiatrist who shall verify that the child
				has a primary diagnosis which meets the DSM-III-R criteria of a mental disorder
				with onset in childhood or adolescence (excluding V-codes, adjustment
				disorders, mental retardation when no other mental disorder is present, or
				other forms of dementia based on organic, physical or alcohol/substance abuse
				disorders). A child who suffers from this severe disability requires sustained
				treatment intervention for a year or more and generally requires attention from
				two or more agencies. The child must meet DSM-III-R Axis V criteria of severe
				functional impairment (a score of 40 or below on the Global Assessment of
				Functioning Scale (GAF Scale) contained in the DSM-III-R) and must be
				experiencing significant limitations of major life activities in his or her
				capacity for living in a family or family equivalent and in two or more of the
				following areas (not to include impairment in functioning due to physical or
				environment limitation):
1) Self-care at an
				appropriate developmental level;
2)
				Perceptive and expressive language;
3) Learning; or
4) Social interaction and self-direction,
				including behavioral controls, decision-making, judgment and value systems at
				an appropriate developmental level.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart C - FAMILY ASSISTANCE PROGRAM › Section 117.310 - Notice of eligibility or ineligibility

Current through Register Vol. 48, No. 28, July 12, 2024
The Department shall notify families in writing within 30
				  days after its final approval or disapproval of the
				  application.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart C - FAMILY ASSISTANCE PROGRAM › Section 117.315 - Right to appeal

Current through Register Vol. 48, No. 28, July 12, 2024
Appeal of a service denial may be made as set forth in
				  Section
				  117.145.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart C - FAMILY ASSISTANCE PROGRAM › Section 117.320 - Services and funding provisions

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				The family shall use the monthly stipened to assist in meeting the expenses
				associated with the child's presence in the family home. The child's parent
				shall be responsible for determining the stipend's use. Examples of such uses
				of the stipend include:
1) Respite
				care;
2) Purchase of special
				equipment and supplies needed by the child;
3) Individual or family counseling;
4) Training for a parent or
				sibling;
5) Home remodeling to meet
				the needs of the child; or
6) A
				special car or a lift for a van to transport the eligible child.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart C - FAMILY ASSISTANCE PROGRAM › Section 117.325 - Service facilitation services

Current through Register Vol. 48, No. 28, July 12, 2024
The Department shall inform the family of eligible children
				  in writing of the availability of service facilitation services. When serving
				  families, the service facilitator shall provide information to the family
				  concerning local support services, including but not limited to in-home
				  services, crisis intervention, and respite care and shall advocate for the
				  family in accessing desired services. The service facilitator's role is to
				  assist the family to make its own decisions and choices by providing the family
				  with information needed to better access the service system; to make the family
				  aware of generic services that are available in the community; to assist in
				  advocating for the family's expressed needs and desires; and to work with the
				  family to creatively make suggestions regarding some potential uses of the
				  family assistance dollars.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart C - FAMILY ASSISTANCE PROGRAM › Section 117.330 - Stipend termination

Current through Register Vol. 48, No. 28, July 12, 2024
a) Payment
				of the stipend shall cease when any of the following occur:
1) The family no longer meets the eligibility
				criteria;
2) The eligible child
				attains the age of 18;
3) The
				eligible child moves from the family home;
4) The parent no longer has custody of the
				child;
5) The family fails to make
				a report on any of the eligibility standards described in subsections (a)(1)
				through (4) of this Section as required by Section
				117.320;
6) The parent does not submit the annual
				verification statement on the use of the funds to the Department as required by
				Section
				117.320(b);
7) The parent submits false information to
				the Department in an application or a verification statement regarding the
				stipend's use;
8) The eligible
				child is abused or neglected as reported under the provisions of the Abuse and
				Neglected Child Reporting Act [325 ILCS 5 ] and as confirmed by the Department
				of Children and Family Services; or
9) The family uses the monthly stipend for
				alcohol, illegal drugs, gambling or any illegal activities.
Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 117 - FAMILY ASSISTANCE AND HOME-BASED SUPPORT PROGRAMS FOR PERSONS WITH MENTAL DISABILITIES › Subpart C - FAMILY ASSISTANCE PROGRAM › Section 117.335 - Right to investigate suspected fraud

Current through Register Vol. 48, No. 28, July 12, 2024
The Department reserves the right to investigate suspected
				  fraud of the Family Assistance Program and to take necessary action if such
				  fraud is found.