Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 686 - PROVIDER REQUIREMENTS, TYPE SERVICES, AND RATES OF PAYMENT › Subpart C - HOMEMAKER SERVICES › Section 686.200 - Homemaker Service Provider Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
In order to provide Homemaker Services under HSP (see 89 Ill.
				  Adm. Code
				  676.40 ), a
				  Homemaker Service Provider must be in compliance with all Medicaid provider
				  requirements for the Illinois Department of Healthcare and Family Services
				  (HFS) and DHS.
a) Only Homemaker
				Service Providers with an approved Homemaker Agreement may be used to provide
				Homemaker Services to individuals being served through HSP.
b) In order to be approved by HSP, the
				Homemaker Service Provider must comply with the following, to the satisfaction
				of HSP:
1) provide a comprehensive array of
				services that include, but are not limited to, those services described in
				Section
				686.210;
2) assure HSP that all referrals will be
				responded to within 48 hours after receipt from HSP;
3) have written billing procedures and
				provide a copy to HSP as part of the compliance review;
4) have documented procedures to cover
				unexpected absences and emergencies to ensure services will be provided in an
				adequate and safe manner to all individuals served by the Homemaker Service
				Provider;
5) have written
				procedures to respond to customer and counselor complaints regarding
				services;
6) maintain comprehensive
				written job descriptions for, at a minimum, the positions of Executive Director
				or Administrator, supervisory staff, and Homemakers;
7) have established a local presence to
				ensure regular and on-going contact with HSP and other appropriate community
				groups;
8) have procedures for
				regular and on-going recruitment of Homemakers through local
				resources;
9) be incorporated or
				provide HSP with a copy of a written statement of purpose and
				function;
10) maintain adequate
				records for planning, budgeting, administration and program evaluation and
				planning. These records shall be available at all times to HSP and the United
				States Department of Health and Human Services (HHS), or any entity designated
				by HSP or HHS, and shall be maintained for a period of at least 5 years, or
				until advised that all State and federal audits are completed. These records
				must include, but not be limited to:
A)
				records of all referrals, including the disposition of each referral;
B) customer records, which include:
i) dates and times services were provided to
				each individual;
ii) dates and
				times of supervisor-Homemaker weekly conferences;
iii) semi-annual reports of supervisory
				visits with each customer served;
iv) monthly service reports for each customer
				served that document a summary of services, actual or anticipated changes in
				the customer's condition, recommended changes in the current HSP Service Plan,
				and all customer contacts;
v)
				records of all staffings held pertaining to the customer;
vi) records of all financial transactions
				between the customer and any Homemaker Service Provider employee;
C) administrative records, which
				include:
i) cumulative service statistics
				pertaining to any agreement with HSP;
ii) billing and payment records that pertain
				to HSP;
D) personnel
				records, which include:
i) attendance
				records;
ii) schedules for all
				direct service staff;
iii)
				documentation regarding each individual's qualification for the position
				held;
iv) wage rate and effective
				date for each staff member;
v) job
				performance evaluations for each staff person that include annual evaluations
				and at least one probationary evaluation completed within the first six months
				of employment;
vi) orientation and
				training attendance information for each staff member, which must include the
				name of each instructor, the date, the time and the title of each training
				program attended; and
vii)
				verification of liability insurance in the amounts of at least $15,000 per
				person bodily injury, $30,000 minimum per occurrence, and $10,000 in property
				damage, per occurrence, if the employee will or could be expected to transport
				customers in the course of his/her work;
11) maintain insurance coverage against any
				and all liability, loss, damage and/or expense from wrongful or negligent acts
				of the Homemaker Service Provider or any of its employees and provide HSP with
				written verification of that coverage;
12) maintain written procedures on reporting
				loss and damage arising from the wrongful or negligent acts of the Homemaker
				Service Provider or any of its employees;
13) agree to hold harmless DHS and HSP
				against any and all liability, loss, damage, cost, or expense arising from
				wrongful or negligent acts of the Homemaker Service Provider or any of its
				employees;
14) assist HSP in
				monitoring and evaluating the Homemaker Service Provider's performance under
				any agreement with HSP;
15)
				maintain any and all information regarding individuals referred to the
				Homemaker Service Provider by HSP as confidential and not for public release
				without the written consent of HSP and the customer;
16) maintain and have available for review by
				customers and purchasers of services policies governing:
A) the nature and scope of each service
				provided by the Homemaker Service Provider;
B) a two-way receipt system for any time an
				employee of the Homemaker Service Provider handles an individual's money, food
				stamps or other negotiable items or tender;
C) personnel policies governing salary, leave
				time, hours of work, employee grievance procedures, and attendance at in and
				out-service trainings; and
17) have in place an Affirmative Action Plan
				that is approved by its governing body.