Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 509 - FISCAL/ADMINISTRATIVE RECORDKEEPING AND REQUIREMENTS › Section 509.15 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
"Accreditation" - means a process establishing that a program
				complies with nationally recognized standards of care set by one of the
				following:
Accreditation Manual for Hospitals (Joint Commission on
				Accreditation of Healthcare Organizations (JCAHO), One Renaissance Boulevard,
				Oakbrook Terrace, Illinois 60181, 1993);
Manual on Agency Accreditation (Council of Accreditation of
				Services for Families and Children (COA), 520 Eighth Avenue, Suite 2202B, New
				York, New York 10018, 1993);
Mental Health Standards (Joint Commission on Accreditation of
				Healthcare Organizations (JCAHO), One Renaissance Boulevard, Oakbrook Terrace,
				Illinois 60181, 1993);
Standards for Services for People with Developmental
				Disabilities (The Council on Quality and Leadership in Supports for People with
				Disabilities (The Council), 100 West Road, Suite 406, Towson, Maryland 21204,
				1990);
Standards Manual for Organizations Serving People with
				Disabilities (Commission on Accreditation of Rehabilitation Facilities (CARF),
				101 North Wilmot Road, Suite 500, Tuscon, Arizona 85711, July 1992).
"Agency" - means the individual or organization with whom the
				Department has a contract/agreement for services. The term Provider is
				synonymous with agency.
"Arm's Length Transaction" - means a transaction between two
				parties, with neither party having the ability to control or exercise
				significant influence over the other party in the making or implementing of
				financial and operational decisions.
"Day" - means a calender day.
"Deemed Status" - means an agency has been accredited by an
				approved accrediting body as identified in Section
				509.110. The
				Department may deem the agency to be in substantial compliance with all or part
				of Sections
				509.30
				and
				509.80
				at the sole discretion of the Department. Deemed status, however, may be
				nullified by a finding by the Department that the agency is in substantial
				non-compliance with one or more of the designated Sections of this Part.
"Department" - means the Illinois Department of Human
				Services.
"Fee-for-Service" - means a program for which the payments are
				made on the basis of a rate, unit cost or allowable cost incurred and are based
				on a statement or bill as required by the Department. Payments made as a
				fee-for-service are not subject to the Illinois Grant Funds Recovery Act [30
				ILCS 705 ].
"Grant" - means a program that receives all or part of the
				funding in advance of the actual delivery of services. This includes prorated
				prospective payments and payments made by the Department on an estimated basis
				or any other basis when the Department does not know the actual amount earned
				by the Provider. This does not include advance payments made under the
				authority of Section 9.05 of the State Finance Act [30
				ILCS 105/9.05 ]. All funds paid as a grant are subject
				to the Illinois Grant Funds Recovery Act [30 ILCS 705 ].
"Secretary" - means the Secretary of the Illinois Department of
				Human Services.