Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 103 - GRANTS › Subpart A - SYSTEM DESIGN › Section 103.11 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
For the purpose of this Part, the following terms are
				  defined:
"Accreditation." A process establishing that a program
				  complies with nationally recognized standards of care as set by one of the
				  following:
1997 Hospital Accreditation Standards (Joint Commission on
				  Accreditation of Healthcare Organizations (JCAHO), One Renaissance Boulevard,
				  Oakbrook Terrace, Illinois 60181, 1996);
1997 Standards for Behavioral Health Care (Joint Commission
				  on Accreditation of Healthcare Organizations (JCAHO), One Renaissance
				  Boulevard, Oakbrook Terrace, Illinois 60181, 1996);
1996 Comprehensive Accreditation Manual for Health Care
				  Networks (Joint Commission on Accreditation of Healthcare Organizations
				  (JCAHO), One Renaissance Boulevard, Oakbrook Terrace, Illinois 60181,
				  1996);
Council on Accreditation 1997 Standards for Behavioral Health
				  Care Services and Community Support and Education Services (Council on
				  Accreditation of Services for Families and Children (COA), 120 Wall Street,
				  11th Floor, New York, New York 10005, 1996);
Outcome Based Performance Measures (The Council, 100 West
				  Road, Suite 406, Towson, Maryland 21204, 1993);
Standards Manual and Interpretive Guidelines for Behavioral
				  Health (Commission on Accreditation of Rehabilitation Facilities (CARF), 4891
				  East Grant Road, Tucson, Arizona 85711, 1996);
Standards Manual and Interpretive Guidelines for Employment
				  and Community Support Services (Commission on Accreditation of Rehabilitation
				  Facilities (CARF), 4891 East Grant Road, Tucson, Arizona 85711, 1996);
				  or
Education Standards (National Accreditation Council for
				  Agencies Serving the Blind and Visually Handicapped, 15 West 65th Street, New
				  York, New York 10023, 1994).
"Agency plan." A part of the grant agreement which identifies
				  the services to be provided, the target population and the geographic areas to
				  be served. It identifies how the services will be financed and through what
				  budget items and funding sources.
"Authorized agency representative." The administrative head
				  of an agency appointed by the agency's governing body with overall
				  responsibility for fiscal and programmatic management.
"Code." The Mental Health and Developmental Disabilities Code
				  [405 ILCS 5 ].
"Community agency" or "agency." Local government or
				  not-for-profit corporation under contract with the Department to provide
				  services.
"Confidentiality Act." The Mental Health and Developmental
				  Disabilities Confidentiality Act [740 ILCS 110 ].
"Control." For a not-for-profit corporation, control is
				  indicated if current members of the governing body (or staff) of the agency
				  comprise 50 percent or more of the governing body of the controlled entity or
				  the governing body of the agency can select 50 percent or more of the
				  controlled entity, or any combination of seats and selection that results in
				  influencing 50 percent or more of the seats of the controlled entity. For a
				  for-profit corporation, control is indicated if the agency owns or controls, by
				  options or trust, 50 percent or more of the voting stock of the corporation, or
				  has control over the selection of over 50 percent of the governing body of the
				  for-profit corporation, or the hiring of its management. For a partnership,
				  control is being a general partner in a limited partnership, or being a partner
				  with more than 50 percent of the invested equity in a general partnership. For
				  a sole proprietorship, control exists if the proprietor is a full or part-time
				  employee of the grantee.
"Controlled entity." Any corporation, partnership or sole
				  proprietorship that is controlled by the agency's governing body.
"Day mode." An administrative designation quantifying service
				  activities which are delivered during any substantial and regularly scheduled
				  portion of a specific 24-hour time period.
"Days." Calendar days unless otherwise specified.
"Department." The Department of Human Services.
"Deemed status." If an agency has been accredited by an
				  approved accrediting body as identified in the definition of "accreditation" in
				  this Section, the Department shall deem the agency to be in compliance with
				  specific Sections of this Part. 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.
"Event mode." An administrative designation quantifying
				  service activities which are delivered in short, time-limited segments.
"Fair market value." The prevailing rate at which similar
				  business is contracted in the agency's community, including the following
				  specific criteria:
Fair market rent means up to plus 10 percent from the average
				  of two estimates of appropriate rental costs from two local appraisers, which
				  the agency is responsible for securing. If the appropriate rental cost is
				  unclear, the Department and the agency shall establish a fair and appropriate
				  fee.
Fair market fees for personnel means, whenever possible, the
				  like prevailing rates in the community on a per day or per hour basis.
"Geographic service area." A geographic division for the
				  purpose of providing locally-operated networks of services. The Department's
				  programs are funded through a structure of service areas.
"Governing body." The policy-making authority of an agency
				  which establishes policies concerning the agency's operation and the welfare of
				  individuals; provides for the agency's administration by appointing an
				  authorized agency representative to implement its policies, and exercises
				  general oversight of the agency's operation, its fiscal affairs and
				  programmatic content to implement the agency's mission.
"Grant agreement." When fully executed, the obligating
				  instrument providing the basis for Departmental financial participation in
				  grant-in-aid programs, and which formalizes the contractual relationship
				  between the Department and the agency indicating the amount of Department funds
				  which will be paid to the agency for the provision of services as described in
				  the grant agreement and the agency plan.
"Individual" or "individuals." A person or persons who
				  receives or receive mental health or developmental disability services.
"Lapse." Grant funds not expensed at the expiration of the
				  grant agreement, due to allowable expenses not meeting revenue for Department
				  grant funds awarded, by program.
"Lapse notice." A notification that the Department has
				  determined potential lapsed funds, when the Department revenue by program
				  exceeds allowable expense, by Department-funded program.
"Linkage." Person-to-person contact to assure that the
				  supports and services needed by the individual and specified in the individual
				  services plan are obtained. The qualified mental retardation professional,
				  qualified mental health professional or staff under their supervision shall be
				  responsible for assuring linkage.
"Medicaid." Medical assistance issued by the Illinois
				  Department of Public Aid under the provisions of Title XIX of the Social
				  Security Act ( 42 U.S.C.A. 1396 et seq. (1996)), for eligible recipients
				  including Aid to the Aged, Blind and Disabled (AABD), Temporary Assistance to
				  Needy Families (TANF), Medical Assistance No Grant (MANG), Refugee Repatriate
				  Program (RRP) recipients, as well as Title XIX eligible Department of Children
				  and Family Services (DCFS) wards.
"Network of services." A network which is developed and
				  maintained by service providers, community residents (including consumers and
				  consumer representatives), mental health authorities and the Department
				  (including State-operated facilities), and which is planned, organized and
				  coordinated for the delivery of mental disabilities services. Such a network
				  will emphasize continuity, accessibility, appropriateness and
				  comprehensiveness.
"Operating fund." A term inclusive of funds an agency may
				  have in its accounting records, except those in a capital fund(s).
"Performance indicator." A qualitative and/or quantitative
				  measure that can be included: in the assessment of how well the mental health
				  and developmental disabilities service system is functioning; in evaluating
				  both outcomes and system processes; and in assessing all levels of the system,
				  including the system as a whole, the geographic service area, the agency, the
				  State-operated facility, and the individual receiving mental health or
				  developmental disabilities services.
"Preliminary evaluation." The use of a system to evaluate the
				  physical, social, developmental, behavioral and psychosocial aspects of an
				  individual.
"Redistribution." A change in the distribution of the
				  agency's total award between two or more individual program awards, involving
				  an intra-agency transfer of funds; therefore, the increases to individual
				  programs are always balanced by the decreases to other programs, but not
				  changing the agency total.
"Reduction." A decrease in the level of funding to a program
				  currently receiving grant funds as well as a decrease to the agency
				  total.
"Residential mode." An administrative designation quantifying
				  service activities which are delivered in a specified living
				  environment.
"Secretary." The Secretary of the Department of Human
				  Services or his or her designee.
"Services" or "mental health or developmental disability
				  services." Any treatment or habilitation events or products as contracted for
				  through the grant agreement and as specified in the agency plan.
"Supplemental." For a program currently receiving grant
				  funds, a supplemental represents an increase to both the individual program
				  award and the agency total. For a new program, a supplemental represents both
				  the addition of a specific program award, and an increase to the agency
				  total.
"Umbrella agencies." Those organizations which have overall
				  legal, administrative, planning, and funding responsibility for delivery of
				  services in more than one geographic service area.