Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1235 - HEALTH CARE WORKER SELF-REFERRAL › Subpart A - AUTHORITY, PUBLIC HEARINGS, PURPOSE AND DEFINITIONS › Section 1235.50 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
The following definitions shall apply to the terms used in
				  this Part:
"Act" means the Health Care Worker Self-Referral Act. [ 225
				  ILCS 47 ]
"Board"
or "State Board"
means the
				  Health Facilities and Services Review Board.
[ 224 ILCS 47/15(a)
				  ]
"Community" means a metropolitan area for a city, and
				  a county for a rural area.
[
				  225 ILCS
				  47/20(b) ]
"Entity" means any individual, partnership, firm,
				  corporation, or other business that provides health services but does not
				  include an individual who is a health care worker who provides professional
				  services to an individual.
[
				  225 ILCS
				  47/15(b) ]
"Group Practice" means a group of 2 or more health
				  care workers legally organized as a partnership, professional corporation,
				  not-for-profit corporation, faculty practice plan or a similar association in
				  which
occurs:
each health care worker who is a member or employee
				  or an independent contractor of the group provides substantially the full range
				  of services that the health care worker routinely provides, including
				  consultation, diagnosis, or treatment, through the use of office space,
				  facilities, equipment, or personnel of the group;
the services of the health care workers are provided
				  through the group, and payments received for health services are treated as
				  receipts of the group;
and
the overhead expenses and the income from the
				  practice are distributed by methods previously determined by the
				  group.
[
				  225 ILCS
				  47/15(c) ]
"Health Care Worker" means any individual licensed
				  under the laws of this State to provide health services, including but not
				  limited to: dentists licensed under the Illinois Dental Practice Act
[
				  225 ILCS 25 ]
; dental hygienists licensed under the Illinois Dental
				  Practice Act; nurses and advanced practice nurses licensed under the Illinois
				  Nurse Practice Act
[ 225 ILCS 65 ]
; occupational therapists
				  licensed under the Illinois Occupational Therapy Practice Act
[ 225
				  ILCS 75 ]
; optometrists licensed under the Illinois Optometric Practice
				  Act of 1987
[ 225 ILCS 80 ]
; pharmacists licensed under the
				  Pharmacy Practice Act
[ 225 ILCS 85 ]
; physical therapists
				  licensed under the Illinois Physical Therapy Act
[ 225 ILCS 90
				  ]
; physicians licensed under the Medical Practice Act of 1987
[ 225 ILCS 60 ]
; physician assistants licensed under the Physician
				  Assistant Practice Act of 1987
[ 225 ILCS 95 ]
; podiatrists
				  licensed under the Podiatric Medical Practice Act of 1987
[ 225 ILCS
				  100 ]
; clinical psychologists licensed under the Clinical Psychologist
				  Licensing Act
[ 225 ILCS 15 ]
; clinical social workers
				  licensed under the Clinical Social Work and Social Work Practice Act
[
				  225 ILCS 20 ]
; speech-language pathologists and audiologists licensed
				  under the Illinois Speech-Language Pathology and Audiology Practice
				  Act
[ 225 ILCS 110 ]
; or hearing aid dispensers licensed under
				  the Hearing Instrument Consumer Protection Act
[ 225 ILCS 50 ]
or any of their successor Acts.
[
				  225 ILCS
				  47/15(d) ]
"Health Services" means health care procedures and
				  services provided by or through a health care worker.
[
				  225 ILCS
				  47/15(e) ]
"Immediate Family Member" means a health care
				  worker's spouse, child, child's spouse, or a parent.
[
				  225 ILCS
				  47/15(f) ]
"Investment Interest" means an equity or debt
				  security issued by an entity, including, without limitation, shares of stock in
				  a corporation, units or other interests in a partnership, bonds, debentures,
				  notes, or other equity interests or debt instruments except that investment
				  interest does not include interest in a hospital licensed under the laws of the
				  State of Illinois.
[
				  225 ILCS
				  47/15(g) ]
"Investor" means an individual or entity directly or
				  indirectly owning a legal or beneficial ownership or investment interest (such
				  as through an immediate family member, trust, or another entity related to the
				  investor).
[
				  225 ILCS
				  47/15(h) ]
"Metropolitan Area" means a geographically identified area
				  consisting of community areas or townships (as applicable) not to exceed a
				  population of 50,000 people.
"Office Practice" includes the facility or facilities
				  at which a health care worker, on an ongoing basis, provides or supervises the
				  provision of professional health services to individuals.
[
				  225 ILCS
				  47/15(i) ]
"Referral" means any referral of a patient for health
				  services, including, without limitation:
The forwarding of a patient by one health care worker
				  to another health care worker or to an entity outside the health care worker's
				  office practice or group practice that provides health
				  services.
The request or establishment by a health care worker
				  of a plan of care outside the health care worker's office practice or group
				  practice that includes the provision of any health services.
[
				  225 ILCS
				  47/15(j) ]
"Rural Area" means any geographic area located outside a
				  metropolitan statistical area as defined by the U.S. Census
				  Bureau.