Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 1200 - PROGRAM CONTENT AND GUIDELINES FOR DIVISION OF SPECIALIZED CARE FOR CHILDREN › Section 1200.20 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
"Act" means the Specialized Care for Children Act [ 110 ILCS
				345 ]. "Applicant Child" means the individual seeking DSCC Program
				benefits.
"Associated Health Impairment" means a health impairment that,
				in isolation, would not be considered a medically eligible condition, but the
				treatment of which is medically necessary to successfully treat a medically
				eligible condition, excluding malignancy and chronic vegetative states.
"Care Coordination Services" means services paid for or
				provided by DSCC to promote the effective and efficient organization and
				utilization of resources to assure access to necessary comprehensive services
				for children eligible under this Part and their families.
"Chronic" means a condition that is expected to be long lasting
				or to be lifelong.
"Covered Supports and Services" means those benefits for which
				financial assistance is available under Section
				1200.120.
"DSCC" or "Division" means the Division of Specialized Care for
				Children.
"DSCC Program" or "Program" means the program of care
				coordination services and financial assistance, a component of which is
				diagnostic services, for children with physical disabilities or who suffer from
				conditions that may lead to physical disabilities who meet eligibility criteria
				as set forth in this Part.
"Day" means calendar day, except when an action to be taken is
				scheduled to occur on a Saturday, Sunday or a State of Illinois holiday, in
				which case the legally responsible adult, designated representative, or DSCC
				has until the end of the next State business day to take the action.
"Designated Representative" means a person authorized by the
				LRA to act on his or her behalf.
"Diagnostic Services" means services provided or paid for by
				DSCC without regard to eligibility for financial assistance that are medically
				necessary to determine whether an applicant or recipient child meets the
				medical eligibility criteria of Section
				1200.110.
				Diagnostic services are a component of care coordination services and financial
				assistance and no separate application is required. Diagnostic services are
				further described in Section
				1200.90.
"Director" means the Executive Director of DSCC.
"Financial Assistance" means DSCC payment to a provider or
				other eligible persons for covered supports and services rendered to an
				applicant or recipient child.
"Good Cause Shown" means a sufficient justification determined
				in the sole discretion of the Director or designee for failure to meet a
				requirement of this Part. The availability of good cause shown is limited as
				further specified in this Part. Good cause shown includes, but is not limited
				to, family emergencies, family death, demonstrated delays caused by the U.S.
				Postal Service, demonstrated delays or failures in electronic systems, or
				failure of a third party (e.g., medical provider) to submit necessary
				information to determine whether a child meets medical eligibility
				criteria.
"Legally Responsible Adult" or "LRA" means:
if the applicant or recipient child is non-emancipated, a
				person with legal authority to act on behalf of and legally required to
				financially provide for the applicant or recipient child; or
an applicant or recipient child who is emancipated under State
				law to act on his or her own behalf.
"Medically Eligible Condition" means a medical condition that
				serves as one of the criteria that renders the applicant or recipient child
				eligible for DSCC Program benefits as detailed in Section 1200.110.
"Provider" means a person, firm, corporation, association,
				agency, institution or other legal entity that provides covered supports and
				services to an applicant or recipient child and meets the requirements of
				Section
				1200.150.
"Recipient Child" means the individual who has been determined
				eligible to receive DSCC Program benefits.
"Receipt by DSCC" means the date DSCC acknowledges taking
				possession of information or forms (e.g., completed application) by means of an
				electronic or manual stamp.
"Receipt by an LRA" means the date the LRA acknowledges taking
				possession of information or forms (e.g., Notice of Determination) or 10 days
				after the date of the information or forms, whichever is
				later.