reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.301 - Federal, State and Local Regulations and Court Rules

Current through Register Vol. 48, No. 28, July 12, 2024
All organizations shall attest to compliance, on the license
				  application, and shall comply with all applicable provisions of State and
				  federal constitutions, laws, regulations, court rules or judicial orders,
				  including but not limited to:
a) The
				Illinois Human Rights Act [775 ILCS 5 ]. The licensee shall also take
				affirmative action to ensure that no unlawful discrimination is
				committed;
b) The Americans with
				Disabilities Act of 1990 (
				42 USC 12101
				) and the regulations and guidelines;
c) The Environmental Barriers Act [410 ILCS
				25 ] and The Illinois Accessibility Code (71 Ill Adm Code 400);
d) The Age Discrimination Act of 1975 [
				42 USC
				3001 ]; and
e) The 1991 Civil Rights Act [
				42 USC
				1981 ].
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.303 - Rule Exception Request Process

Current through Register Vol. 48, No. 28, July 12, 2024
a) Requests for exceptions to any Section in
				this Part that is not statutorily mandated may be submitted to the Department.
				Requests shall be made by the Authorized Organization Representative to the
				Associate Director in writing, indicating the specific basis, rationale and
				need for the exception. Requests for exceptions may be made by any Department
				staff or provider.
b) In order to
				maintain uniformity to the greatest extent feasible, the Department will
				endeavor to keep exceptions to a minimum. Prior to granting any exception, the
				Department shall consider, but not be limited to, the following factors: the
				organization's patient or client population and size; type of services;
				geographic location; client or patient well-being if the exception is granted;
				the specific geographic location of the organization; and the accreditation
				status of the organization, as applicable.
c) Exceptions are at the sole discretion of
				the Department and the decision of the Associate Director is final.
d) The Department may revoke any exception
				granted when the circumstances that gave rise to the exception no longer exist
				or when any conditions imposed by the granting of the exception are not
				implemented by the provider or are subsequently prohibited by State or federal
				statute. The provider shall notify the Department in writing within 10 calendar
				days when the circumstances that gave rise to the exception no longer
				exist.
e) An exception to any
				Sections shall be valid only for the term of the license under which it was
				granted unless a different time period or permanent variance is specified by
				the Department. At the point of license renewal, reapplication for the
				exception shall be made.
f) Any
				licensed organization may be granted deemed status, in accordance with the
				provisions specified in Section
				2060.229
				of this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.305 - Facility Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) At the
				time of application for initial or renewal licensure, all organizations, with
				the exception of Recovery Homes that are subject to the provisions specified in
				Section
				2060.509 of this
				Part, shall, on a form supplied by the Department, document full compliance
				with all applicable provisions specified in this Section and, specifically,
				with the following:
1) all local and State
				health, safety, sanitation, building and zoning codes;
2) all applicable sections, as specified in
				this Section, of the National Fire Protection Association's (NFPA) Life Safety
				Code of 2000;
3) the facility
				requirements specified in the Environmental Barriers Act [410 ILCS 25 ] and the
				Illinois Accessibility Code (71 Ill. Adm. Code 400); and
4) the facility requirements specified in
				Section 12181 of the Americans with Disabilities Act of 1990 (
				42
				USC 12181 ).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.307 - Service Termination/Record Retention

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Department shall be notified at least
				30 calendar days prior to the date on which cessation of any service is
				scheduled to occur. If involuntary termination occurs due to inability to
				operate (from damage to the facility, loss of staff, change in management,
				corporate dissolution or any other cause) the licensee shall notify the
				Department upon termination even though the 30 day notice has not
				occurred.
b) All patients receiving
				such services shall be apprised of the pending cessation and the needs of such
				patients shall be met by alternative means. The Department shall be notified
				within ten calendar days prior to closure of any case in which it is
				anticipated that a patient's needs cannot be met by existing systems of
				treatment.
c) When notified by an
				organization of its intention to cease operations at a location, the
				Department, if necessary, will schedule an inspection to ensure that the
				controlled substances inventory is transferred or destroyed in accordance with
				the Drug Enforcement Administration (DEA) requirements set forth at 21 CFR
				1307.14 and
				1301.21(1987),
				respectively.
d) When an
				organization ceases operation of any service, all records (patient, personnel,
				financial) relative to that service shall be maintained as follows:
1) If the organization has a current license
				issued by the Department for any other treatment or intervention service, the
				organization may maintain the records from the service that has ceased
				operation.
2) If the organization
				has no other current license issued by the Department for any other treatment
				or intervention service, all records shall be transferred for maintenance and
				storage to a treatment or intervention service currently licensed by the
				Department or to a person specifically exempted from such licensure in Section
				15-5 of the Act.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.309 - Professional Staff Qualifications

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				All professional staff providing clinical services (except as set forth in
				subsection (b)(2)), as defined in this Part, shall:
1) hold clinical certification as a Certified
				Alcohol and Drug Counselor from the Illinois Alcoholism and Other Drug Abuse
				Professional Certification Association (IAODAPCA), 1305 Wabash Avenue, Suite L,
				Springfield, Illinois 62704; or
2)
				be a licensed professional counselor or licensed clinical professional
				counselor pursuant to the Professional Counselor and Clinical Professional
				Counselor Licensing Act [225 ILCS 107 ]; or
3) be a physician licensed to practice
				medicine in all its branches pursuant to the Medical Practice Act of 1987;
				or
4) be licensed as a psychologist
				pursuant to the Clinical Psychology Practice Act [225 ILCS 15 ]; or
5) be licensed as a social worker or licensed
				clinical social worker pursuant to the Clinical Social Work and Social Work
				Practice Act [225 ILCS 20 ].
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.311 - Staff Training Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) All organizations shall provide an initial
				employee orientation to all staff within the first seven days after employment
				that shall include, at a minimum, the following information:
1) An overview of all organization
				operations, including the specific duties assigned to the employee; emergencies
				and disaster drills; familiarization with existing staff backup and support;
				and all required training.
2) An
				overview of this Part for all staff.
3) Information on bloodborne pathogens and
				universal precautions (as those terms are defined in the regulations set forth
				in Section
				2060.413 of this
				Part) and the importance of tuberculosis control and personal hygiene, the
				responsibilities of all staff with regard to infection control and an overview
				of the fundamentals of HIV, AIDS and tuberculosis control.
4) Information on HIV and AIDS relative to
				the etiology and transmission of HIV infection and associated risk behaviors,
				the symptomatology and clinical progression of HIV infection and AIDS and their
				relationship to substance abuse behavior, the purposes, uses and meaning of
				available testing and test results, relapse prevention and sensitivity to the
				issues of an HIV infected patient.
5) An overview of the principles of patient
				confidentiality, all related federal and State statutes and all record keeping
				requirements regarding confidential information.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.313 - Personnel Requirements and Procedures

Current through Register Vol. 48, No. 28, July 12, 2024
a) All professional staff:
1) shall be at least 18 years of age;
				and
2) cannot have been convicted
				of any felony or had any subsequent incarceration for at least two years prior
				to the date of employment.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.315 - Quality Improvement

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				licensee shall design and utilize a quality improvement plan. Such plan shall
				be written and shall contain, at a minimum, a method of evaluation to assess
				achievement of the organization's mission and the functioning of the
				organization and its service delivery systems and utilization review
				process.
b) The quality improvement
				plan shall be approved by management or, if applicable, the board of directors
				of the organization and annually reviewed and revised as necessary.
c) The evaluation shall contain, at a
				minimum:
1) a mission statement for the
				organization;
2) specific and
				measurable goals, objectives, activities and outcome standards that are
				utilized by the organization to achieve its missions and projected
				results;
3) a description of how
				the organization will review and implement needed changes based on the results
				of the evaluation;
4) a method to
				review use of medication in any level of care;
5) a method of risk management that, at a
				minimum, includes:
A) review and analysis of
				any incident or significant incident reports as referenced in Section
				2060.331
				of this Part; and
B) design and
				implementation of necessary procedures to address both proactively and
				reactively any identified risks; and
6) a method of utilization review to measure
				appropriate patient placement.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.317 - Service Fees

Current through Register Vol. 48, No. 28, July 12, 2024
a) A fee
				schedule shall be established that specifies the fee charged for all treatment
				and intervention services and any other related services and that also
				specifies or estimates the amount for which the individual might be responsible
				based upon the anticipated length of stay in treatment or the type of
				intervention service.
b) Each
				person shall be given a fee schedule prior to the beginning of any treatment or
				intervention service for which the organization intends to seek reimbursement
				from the individual, indicating the amount that he or she will be responsible
				to pay along with any relevant payment schedule for each service.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.318 - Reimbursement Rates and Rate Modification Methodology

Current through Register Vol. 48, No. 28, July 12, 2024
a) Reimbursement rates for Department funding
				and/or for services reimbursed through Medicaid are or have been developed
				through the application of Department approved formal methodologies specific to
				each reimbursable service. Unique to each service, a mean is then established
				and a standardized rate adopted with the exception of provider specific rates
				for certain residential and withdrawal management levels of care.
b) When an increase to an appropriation is
				made specifically for a cost of living adjustment (COLA) to Department
				established rates, the Department will increase all treatment provider service
				rates by the same percent and all contract awards by the same corresponding
				percent using the increased funds available, unless the appropriation results
				in an increase of 1 percent or less to each individual provider, or an increase
				of 1 percent or less for each category of service. If this occurs, increases to
				established rates and awards will be made to one or more specific categories of
				funded treatment/recovery service providers using the increased appropriations
				available. All funded providers that deliver the selected service or services
				will receive a uniform rate/award increase within their category of service.
				Services targeted for increased rates or awards will be selected based on the
				following criteria:
1) The amount of increase
				to appropriated funds;
2) The need
				for provider capacity enhancement or expansion;
3) Analysis of the impact of the rate
				increase on other State agencies that fund substance use disorder
				services;
4) Analysis of prior
				State fiscal year earnings posted by vendor or location;
5) Based upon the analysis of earnings and
				appropriated funds, a determination of the total value of the rate increase in
				order to keep earnings liabilities within the available appropriation;
				and
6) The ability of the
				Department to continue the rate increase into future fiscal years if budget
				requests are approved.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.321 - Confidentiality - HIV Antibody/AIDS Status

Current through Register Vol. 48, No. 28, July 12, 2024
a) The organization shall have written
				policies and procedures controlling access to records and information governed
				by the AIDS Confidentiality Act [410 ILCS 305 ] (AIDS Act), and the AIDS
				Confidentiality and Testing Code (77 Ill Adm Code 697) (AIDS Code).
b) The confidentiality of the following
				information is protected by the AIDS Act and AIDS Code:
1) the identity of a person upon whom a test
				for HIV is performed; and
2) the
				results of a test for HIV for an individual.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.323 - Patient Rights

Current through Register Vol. 48, No. 28, July 12, 2024
a) A written
				statement shall be provided to any patient at the time of acceptance for an
				intervention service or admission to a treatment service which describes the
				rights of all patients as specified in Article 30 of the Act as follows:
1) access to services will not be denied on
				the basis of race, religion, ethnicity, disability, sexual orientation or HIV
				status;
2) services will be
				provided in the least restrictive environment available;
3) confidentiality of HIV/AIDS status and
				testing and anonymous testing as specified in Section
				2060.321
				of this Part;
4) the right to
				nondiscriminatory access to services as specified in the American's With
				Disabilities Act of 1990 (
				42 USC 12101
				);
5) the right to give or withhold
				informed consent regarding treatment and regarding confidential information
				about the patient;
6) a description
				of the route of appeal available when a person disagrees with an organization's
				decision or policies;
7)
				confidentiality of patient records as specified in Section
				2060.319
				of this Part;
8) the right to
				refuse treatment or any specific treatment procedure and a right to be informed
				of the consequences resulting from such refusal.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.325 - Patient/Client Records

Current through Register Vol. 48, No. 28, July 12, 2024
a) Licensees
				shall maintain a written record for each patient or client. Such record may
				also be maintained electronically on a computer but shall be made available in
				hard copy upon request for review by the Department.
b) Any written entry on the record shall be
				in ink and shall be dated and shall meet all other signatory requirements for
				professional staff as specified in Sections
				2060.421 and
				2060.423 of
				this Part.
c) Written signatures or
				initials and electronic signature or computer-generated signature codes and
				corresponding dates are acceptable as authentication to identify the author of
				the record entry by that author and to confirm that the contents are what the
				author intended. Signature or initial stamps shall not be utilized.
d) All signatures or initials, whether
				written, electronic, or computer-generated, shall include the initials of the
				signer's credentials.
e) In order
				to utilize electronic signature or computer-generated signature codes and
				dates, the organization shall adopt a policy that permits use and
				authentication by electronic or computer-generated signature and dates and
				shall, at a minimum:
1) identify which staff
				are authorized to authenticate records using electronic or computer-generated
				signatures and dates;
2) ensure
				that each user is assigned a unique identifier that is generated through a
				confidential access code;
3)
				certify in writing that each identifier is kept confidential; and
4) have each user certify in writing that he
				or she is the only person with user access to the identifier and the only
				person authorized to use the signature code.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.327 - Emergency Patient Care

Current through Register Vol. 48, No. 28, July 12, 2024
a) A
				written plan shall be submitted at the time of application for licensure which
				specifies the manner in which emergency patient care is provided, either by the
				organization or through a linkage agreement with another facility or both, in
				the event of unforeseen interruption of services to current patients.
b) The plan should specify staff who are
				authorized to provide emergency care, the method for exchange of patient
				records when necessary, the name, location and contact person who is part of
				the emergency patient care plan, the method of transfer of any patients, if
				applicable, to another facility and the method of notification of patient
				families concerning the emergency and any subsequent transfer of the
				patients.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.329 - Referral Procedure

Current through Register Vol. 48, No. 28, July 12, 2024
a) Written
				procedures shall be established for the referral of patients to other providers
				for services that are not available within the organization and/or that are
				requested by the patient. These procedures shall include the following:
1) the method of obtaining any necessary
				written consent from the patient for transfer of any relevant portion of the
				patient record and for communication regarding patient services with that
				provider;
2) the method for
				ensuring continuity of patient care which shall include a written referral
				document that indicates the reason for the referral, provides information about
				any service received to date and any additional services needed or requested,
				specifies any necessary continued coordination between the providers and the
				time frame for any necessary follow-up reports; and
3) the method by which a patient may request
				a referral.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.331 - Incident and Significant Incident Reporting

Current through Register Vol. 48, No. 28, July 12, 2024
a) An incident is any action by staff or
				patients that led to, or is likely to lead to, an adverse effect on patient
				services because of a deviation from established patient care
				procedures.
b) Such incidents shall
				be documented immediately, in writing, by staff and such report shall be
				maintained at the facility for review by Department staff as necessary or
				during inspection.
c) A significant
				incident is any occurrence at the facility which requires the services of the
				coroner and/or which renders the facility inoperable.
d) A verbal report of any significant
				incident shall be given to the Department's Division of Licensing and
				Monitoring within 24 hours after its occurrence.
e) A written report of any significant
				incident shall be submitted within ten calendar days after the occurrence and,
				if applicable, a copy of any coroner's report shall be submitted within five
				calendar days after receipt of the written report.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.333 - Complaints

Current through Register Vol. 48, No. 28, July 12, 2024
a) A complaint
				shall be filed with this Department whenever evidence is discovered that
				indicates non-compliance with this Part by any other organization providing
				services licensed under this Part or about any person suspected of providing
				unlicensed services. An individual may also file a complaint with the
				Department relative to any service. In all cases, complaints shall be directed
				to the Department as follows:
1) complaints
				may be received verbally but shall be documented in writing by the complainant
				before any official Department action is undertaken;
2) any supporting documentation relative to
				the complaint shall also be submitted to the Department; and
3) the Department shall notify the
				organization of any complaints that it receives relative to any service
				provided within the organization.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.335 - Inspections

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Department
				shall conduct inspections of services licensed under this Part to enforce
				compliance with this Part.
b) Such
				inspections shall be routinely scheduled but may also occur at any reasonable
				time. Employees of the Department shall be authorized to enter the facility and
				shall be permitted access to all areas and records.
c) If consent to inspect is not given, the
				Department will seek access pursuant to Section 45-5 of the Act.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.337 - Investigations

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Department
				may on its own motion, and shall upon the sworn complaint in writing of any
				person setting forth charges which, if proved, indicate criminal activity
				and/or would constitute grounds for sanction pursuant to the Act, conduct its
				own investigation and/or refer the matter for investigation.
b) The Department may also refer such matters
				for investigation to the appropriate legal authority.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart C - REQUIREMENTS - ALL LICENSES › Section 2060.341 - License Hearings

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Hearings conducted pursuant to Sections 45-20 and 45-25 [20 ILCS 301/45-20 and
				45 -25] of the Act shall follow the procedures set forth in 89 Ill. Adm. Code
				508 and this Section.
b) Any
				organization receiving a "Notice of an Opportunity for Hearing" shall file a
				request for such hearing within 30 calendar days after the date of notice or
				the hearing rights afforded under this Act shall be deemed waived.
c) Both the burden of going forward with
				evidence and the burden of proof rest with the party requesting a hearing. The
				burden of proof is to show by preponderance of the evidence that the
				Department's decision is contrary to the evidence on the record when taken as a
				whole.
d) Hearing Officer Report
1) Within 30 calendar days after the
				conclusion of the hearing, the hearing officer shall deliver a report of the
				hearing to the Secretary.
2) All
				exhibits, pleadings, documents, or other material made a part of the record
				will accompany the report.
3) The
				report will summarize the testimony presented at the hearing and the hearing
				officer's opinion about the reliability of the witnesses.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart D - REQUIREMENTS - TREATMENT LICENSES › Section 2060.403 - Court Mandated Treatment

Current through Register Vol. 48, No. 28, July 12, 2024
Any organization providing treatment to any individual under
				  a specific court order that mandates such treatment shall:
a) Have the organization's medical director
				develop admission criteria and any necessary associated clinical protocol that
				will allow physician confirmation for admission and initial placement in a
				level of care without a diagnosis of substance abuse or dependence for an
				individual under a court order for treatment. Such criteria and protocol shall
				be in accordance with all other provisions specified in Section
				2060.417
				of this Part; and
b) Deliver such
				treatment in accordance with the provisions specified in the court order as
				long as there is clinical justification (as specified in Section
				2060.419
				and
				2060.423 )
				for the intensity and duration of such treatment; and
c) Upon admission to treatment, require all
				necessary patient signatures authorizing the release of information, in
				accordance with Section
				2060.319,
				in order to ensure effective communication with the court relative to progress
				in treatment, any recommended change in duration and intensity of treatment,
				unsuccessful or successful discharge from treatment and information about the
				individual's continuing care plan.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart D - REQUIREMENTS - TREATMENT LICENSES › Section 2060.405 - Detoxification

Current through Register Vol. 48, No. 28, July 12, 2024
The medical director, as referenced in Section
				  2060.413 of this
				  Part, shall develop protocols and authorize procedures for the medical
				  supervision of and the staffing pattern for any patient receiving ambulatory or
				  clinically managed residential detoxification as specified in the ASAM Patient
				  Placement Criteria. All other detoxification shall be medically monitored or
				  managed by a physician according the specifications contained in the ASAM
				  Patient Placement Criteria and as follows:
a) Medically Monitored (Level III.7-D)
Medically monitored detoxification is for adults and
				  adolescents. At least two staff persons shall provide 24 hour observation,
				  monitoring and treatment, one of whom shall meet the staff qualifications
				  specified in Section
				  2060.309(c)
				  of this Part.
b) Medically
				Managed (Level IV-D)
Medically managed detoxification is for adults and
				  adolescents. However, medically managed opioid maintenance therapy shall only
				  be used for adolescents age 16 and 17. At least two staff persons shall provide
				  24 hour observation, monitoring and treatment, one of whom shall meet the staff
				  qualifications specified in Section
				  2060.309(c)
				  of this Part. Medically managed detoxification also requires that a physician
				  see the patient daily.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart D - REQUIREMENTS - TREATMENT LICENSES › Section 2060.407 - Group Treatment

Current through Register Vol. 48, No. 28, July 12, 2024
Group treatment shall consist of didactic and counseling
				  groups as follows:
a) Didactic groups
				are, but are not limited to, a therapeutic activity the primary purpose of
				which is to educate patients and their significant others on a specific
				treatment related topic in a group setting. All didactic groups shall be led or
				supervised by professional staff or by other professionals with credentials
				specific to the subject matter of the didactic group following a lesson plan or
				outline approved by the organization. Justification for all patients who attend
				any didactic group needs to be documented. Didactic groups should not exceed an
				average of 24 people.
b) Counseling
				groups are, but are not limited to, a therapeutic activity the primary purpose
				of which is to allow patients or their significant others an opportunity to
				process issues related to their treatment in a group setting. Counseling groups
				can have a specific focus (i.e., women, relapse, cocaine, etc.) but are
				generally less educational and more process oriented than didactic groups. All
				counseling groups shall be facilitated by professional staff. Justification for
				all patients who attend any counseling group needs to be documented as an
				assessed need. Counseling groups at no time shall exceed 16 patients per
				group.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart D - REQUIREMENTS - TREATMENT LICENSES › Section 2060.409 - Patient Education

Current through Register Vol. 48, No. 28, July 12, 2024
All organizations shall develop a patient education plan that
				  specifies all patient education that is available at the facility and ensures
				  that all patients are informed about this plan and the mandatory elements of it
				  (as specified in this Section) prior to or during the development of the
				  treatment plan. Patient education may be provided individually or in a group in
				  accordance with the group size specifications contained in Section
				  2060.407 of this
				  Part. Such education shall be provided to each patient at least once and
				  documented as such in the patient record. Upon subsequent admissions, the need
				  for such education may be determined by the organization. At a minimum, the
				  patient education plan shall include the following:
a) Information about the benefits and risks
				of all medications prescribed by the organization's medical director or
				physician working under his/her supervision/direction, laboratory tests
				performed by the organization's medical director or physician working under
				their supervision/direction, treatment protocol, all rules relative to patient
				conduct and patient rights, and all organization rules relative to confidential
				patient information as referenced in Section
				2060.319
				of this Part.
b) Initial AIDS risk
				reduction counseling and education services and tuberculosis information
				consisting of the following components:
1)
				Education relative to infectious disease control and HIV/AIDS that shall
				provide information about the etiology and transmission of HIV infection and
				associated risk behaviors, symptomatology and clinical progression of HIV
				infection and AIDS and their relationship to substance abuse behavior,
				prevention of transmission and risk reduction (including information about
				needle sharing, sexual transmission, transmission to infants, etc.), the
				availability of counseling and testing services, the confidentiality rights of
				the patient regarding counseling, testing and HIV status and relapse
				prevention.
2) Education relative
				to infectious disease control and tuberculosis that shall include information
				about its transmission and prevention, the importance of diagnosis, the
				requirement for skin testing and the interpretation of skin test results, the
				importance of x-rays for positive test results and HIV infected persons, the
				importance of treatment regimens and the basic symptoms associated with
				tuberculosis.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart D - REQUIREMENTS - TREATMENT LICENSES › Section 2060.411 - Recreational Activities

Current through Register Vol. 48, No. 28, July 12, 2024
Recreational activities may be provided to patients if
				  they:
a) are identified in the
				treatment plan as an assessed need; and
b) are conducted under the supervision of
				staff. Recreational activities shall not average more than one-fourth of the
				treatment services received for any patient in any ASAM level of
				care.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart D - REQUIREMENTS - TREATMENT LICENSES › Section 2060.413 - Medical Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Medical
				Director
1) Any organization providing
				treatment services shall designate a medical director, who is licensed and in
				good standing to practice medicine in all its branches in Illinois, who shall
				oversee all medical procedures.
2)
				The medical director may be part-time or serve on a consulting basis and the
				name and professional license number of the medical director shall be
				designated on the application for licensure.
3) The medical director as well as all
				medical and nursing staff shall read and comply with this Part.
4) The Department shall be notified in
				writing, within 10 calendar days, of any change in medical directors.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart D - REQUIREMENTS - TREATMENT LICENSES › Section 2060.415 - Infectious Disease Control

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Licensees shall be in compliance with:
1)
				guidelines issued by the U.S. Centers for Disease Control and Prevention in
				"Recommendations for Prevention of HIV Transmission in Health Care Settings":
				and "Update: Universal Precautions for Prevention of Transmission of Human
				Immunodeficiency Virus, Hepatitis B Virus, and other Bloodborne Pathogens in
				Healthcare Settings", both known as "Universal Precautions"; and
2) the U.S. Department of Labor rules for
				Occupational Exposure to Bloodborne Pathogens, 29 CRF
				1910.1030(2000).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart D - REQUIREMENTS - TREATMENT LICENSES › Section 2060.417 - Assessment for Patient Placement

Current through Register Vol. 48, No. 28, July 12, 2024
An assessment shall be conducted prior to admission to any
				  level of care. This assessment shall be an individual face-to-face service and
				  shall include collection of demographic data as referenced in Section
				  2060.325(1)
				  of this Part and:
a) For admission to
				Level 0.5, Early Intervention:
1) review of
				any specific conditions of court supervision or probation including any prior
				substance abuse screenings or evaluations conducted prior to admission (i.e.,
				DUI); and
2) sufficient assessment
				to screen for, or rule out, substance related disorders.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart D - REQUIREMENTS - TREATMENT LICENSES › Section 2060.419 - Assessment for Treatment Planning

Current through Register Vol. 48, No. 28, July 12, 2024
Upon admission and initial placement in Levels I-IV of care,
				  the clinical assessment of the patient shall continue in order to develop the
				  treatment plan. Patient needs shall be determined through specific inquiry and
				  analysis in the six dimensions established in the ASAM Patient Placement
				  Criteria and include but not be limited to:
a) a review of the medical screening, any
				subsequent physician referrals or changes in the patient's health, including a
				determination of acute intoxication and/or withdrawal potential, the current
				substance use or abuse pattern and medication use, and history of prior
				treatment for substance abuse or dependence and number of relapses, if
				applicable;
b) any previous
				emotional or behavioral problems and treatment and the patient's current
				emotional and behavioral functioning, including any history of previous or
				on-going physical, emotional or sexual abuse, in order to detect problems that
				may be life threatening or indicative of severe personality disorganization or
				that may seriously affect the patient's progress in treatment;
c) an analysis of the patient's home and/or
				living environment including child care needs, religion, childhood, military
				service history, education and vocational history, financial status, social or
				peer group, family constellation and history of substance abuse and a
				determination of the need for participation of any family members or
				significant others in the patient's treatment, information on pending criminal
				or misdemeanor charges or any specific conditions of court supervision,
				probation or parole including any prior substance abuse evaluations conducted
				in specific reference to an offense of DUI.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart D - REQUIREMENTS - TREATMENT LICENSES › Section 2060.421 - Treatment Plans

Current through Register Vol. 48, No. 28, July 12, 2024
a) At a
				minimum, the initial patient treatment plan shall be based on the patient's
				presenting concerns as evidenced from the biomedical and emotional/behavioral
				assessment. Such treatment plan shall be developed within 24 hours after
				admission for any patient in Level IV care, seven calendar days after admission
				for any patient in Level III or II care and 14 calendar days after admission
				for any patient in Level I care.
b)
				The initial treatment plan shall be confirmed by the medical director or
				physician according to established protocol (i.e., in person, by telephone,
				facsimile transmission, standing order), in accordance with the time frames
				established in subsection (a) of this Section. Such confirmation shall be
				documented in the patient record by date and signature of the physician making
				such confirmation. The treatment plan shall also be signed and dated by the
				patient, indicating participation in the development of the plan, and by the
				professional staff member assigned primary responsibility for services to the
				patient.
c) The treatment plan
				shall be written, gender and culturally appropriate and individual to each
				patient.
d) The treatment plan
				shall list problems (e.g., an injury, dysfunction or loss), goals (a statement
				to guide resolution or reduction of the problem), objectives (observable and
				measurable signposts on the way to achieving the goals), methods (the treatment
				services to be provided, the site of those services, the intensity and duration
				of those services) and a time table for achieving the goals and objectives of
				treatment that are within the time frame of the patient's expected
				participation.
e) The treatment
				plan shall describe and include the frequency of all activities, referrals and
				consultations planned for the patient and/or any family members or significant
				others and shall designate all professional staff members assigned to provide
				or coordinate referrals for such services. Referrals or consultations for other
				needed services not directly provided may include, but not be limited to,
				prenatal care, other medical care, child care services or any other appropriate
				legal, financial, social or mental health service.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart D - REQUIREMENTS - TREATMENT LICENSES › Section 2060.423 - Continued Stay Review

Current through Register Vol. 48, No. 28, July 12, 2024
a) Ongoing
				assessment of the patient's progress in treatment shall occur in order to
				determine continued stay in the level of care in which the patient was placed
				or the need to move to another level of care or to discharge. The assessment
				shall be accomplished using the ASAM "continued stay" or "discharge" criteria."
				As the patient moves through treatment, progress shall be continually assessed
				and recorded in progress notes. At a minimum, a continued stay review shall
				include a review of the ASAM continued stay or discharge criteria, the current
				treatment plan, and all subsequent progress notes. Continued stay reviews shall
				be measured through hours or days. The type of measurement (hours or days) must
				be specified in the initial and each subsequent treatment plan and this
				measurement must remain unchanged until the next continued stay review.
				Continued stay review shall occur as follows:
1) upon movement to any other level of care
				based on any change in the level of patient functioning; or
2) every 60 calendar days or after every 10
				hours of treatment for patients receiving Level I or residential extended care,
				every 30 calendar days or after every 27 hours of treatment for patients
				receiving Level II care, every 14 calendar days for patients receiving Level
				III care, and every 24 hours for patients receiving Level IV care;
3) prior to planned discharge;
4) every 30 days for patients in opioid
				maintenance therapy during the first 90 days of treatment and every 90 days
				thereafter for patients who demonstrate 90 days of stable participation and for
				whom no change has occurred in the ASAM Biomedical Conditions and Complications
				dimension.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart D - REQUIREMENTS - TREATMENT LICENSES › Section 2060.425 - Progress Notes and Documentation of Service Delivery

Current through Register Vol. 48, No. 28, July 12, 2024
a) Progress notes shall reflect patient
				progress and shall be consistent with the clinical assessment, level of care
				and expectation of progress. Progress notes can include a summary of services
				delivered prior to each continued stay review. Progress notes shall be
				summarized a minimum of every 14 calendar days for patients in Level II care,
				daily for patients in Level III care, and upon each continued stay review for
				patients in Level I and Residential Extended Care. Progress notes shall be
				entered in the patient record and include the following:
1) chronological documentation of the
				patient's progress in treatment;
2)
				documentation of any change in the patient's behavior; and
3) descriptions of the patient's response to
				treatments, the outcome of treatment, and the response of significant others to
				events in the course of treatment.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart D - REQUIREMENTS - TREATMENT LICENSES › Section 2060.427 - Continuing Recovery Planning and Discharge

Current through Register Vol. 48, No. 28, July 12, 2024
a) Organizations shall develop a continuing
				recovery plan for patients who are no longer actively receiving treatment in,
				or no longer require, an ASAM level of care.
b) The continuing recovery plan shall contain
				the following information as appropriate for individual patients:
1) a relapse prevention plan for patients who
				have obtained abstinence that also identifies actions to be taken if relapse
				should occur;
2) actions planned by
				the organization to support continuing recovery or reinitiation of active
				treatment services;
3) specific and
				measurable patient involvement in the event that accountability by the patient
				is required for any case management or monitoring organization (i.e., circuit
				courts, offices of probation, Office of the Illinois Secretary of State, parole
				officers, employers, etc.); and
4)
				community recovery support services that will maintain, support and enhance
				progress made in treatment.
The continuing recovery plan shall be completed prior to the
				  patient discharge from all ASAM levels of care within the organization for any
				  patient no longer meeting the criteria for continued active treatment.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart E - REQUIREMENTS - INTERVENTION LICENSES › Section 2060.501 - General Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
In addition to the provisions specified in this Subpart, all
				  DUI evaluation, DUI risk education and designated program services shall meet
				  all applicable provisions specified in Subparts A, B, and C of this Part.
				  Recovery Homes shall meet all applicable provisions specified in Subparts A and
				  B, as well as all provisions specified in Section
				  2060.509 of this
				  Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2060 - ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES › Subpart E - REQUIREMENTS - INTERVENTION LICENSES › Section 2060.503 - DUI Evaluation

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				purpose of a DUI evaluation is to conduct an initial screening to obtain
				significant and relevant information from a DUI offender about the nature and
				extent of the use of alcohol or other drugs in order to:
1) identify the offender's risk to public
				safety for the circuit court of venue or the Office of the Secretary of State;
				and
2) recommend an initial
				intervention to the DUI offender and to the circuit court of venue or the
				Office of the Secretary of State.