reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 130 - ADMINISTRATION OF SOCIAL SERVICE PROGRAMS › Subpart B - LOCAL INITIATIVE FUND PROGRAM › Section 130.110 - Overview

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Local
				Initiative Fund was established to make a portion of the Title XX Social
				Services Block Grant monies received by the Department available to local
				public and private service providers. This fund is also the mechanism for
				funding the Donated Funds Initiative.
b) The Department will make use of the Local
				Initiative Fund as governed by the appropriations authority established by the
				Illinois General Assembly (Section 12-10.1 of the Illinois Public Aid Code
				[305 ILCS
				5/12-10.1]) for the purpose of purchasing social
				services. This authority is through the appropriation from the Local Initiative
				Fund, which is the designated account into which the Department receives
				federal funds and out of which it reimburses up to 75% of the costs of services
				provided under the Donated Funds Initiative.
c) The Department shall decide if and when to
				co-fund service programs utilizing locally generated funds for a portion of the
				service program. This decision will be based upon the ability of the provider
				to assure the availability of the co-payment share, the eligibility of the
				services to be provided, past experience with the provider in the provision of
				services, record keeping and general contractual compliance, availability of
				State and federal funds, the need for the service in the geographic area as
				evidenced by research available to the Department concerning the need for
				services, the recommendations of sponsoring agencies and the best interests of
				the client population. The Department reserves the right to unconditionally
				refuse to contract with any provider. Opportunities may be made available to
				sponsoring agencies to solicit proposals from service providers under the
				donated funds initiative, through issuance of a Request for Proposal at such
				times as funds are available due to increases in the agency's allocation or the
				withdrawal of an existing provider. All the conditions for funding must be
				approved by the Department
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 130 - ADMINISTRATION OF SOCIAL SERVICE PROGRAMS › Subpart B - LOCAL INITIATIVE FUND PROGRAM › Section 130.120 - Program Administration

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				Local Initiative Fund is administered by the Department through contracts with
				public and private non-profit agencies that provide social services to people
				who are elderly, people with developmental disabilities, neglected children and
				adults, people with physical disabilities, offenders and ex-offenders, victims
				of domestic violence and other low-income individuals.
b) Public and private non-profit service
				providers are subject to the supervision of the Department for the management
				of the Donated Funds Initiative program.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 130 - ADMINISTRATION OF SOCIAL SERVICE PROGRAMS › Subpart B - LOCAL INITIATIVE FUND PROGRAM › Section 130.130 - Request For Proposal

Current through Register Vol. 48, No. 28, July 12, 2024
If previously obligated or new funds are made available, the
				  Department may prepare a Request for Proposal, in accordance with Central
				  Management Services Standard Procurement rules (44 Ill. Adm. Code 1). The
				  Request for Proposal will contain information that describes the Donated Funds
				  Initiative including the 25% (10% for family planning services) match
				  requirement, the services to be provided, the target population, the activities
				  that may be expected of the service provider and the Department and the
				  evaluation criteria.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 130 - ADMINISTRATION OF SOCIAL SERVICE PROGRAMS › Subpart B - LOCAL INITIATIVE FUND PROGRAM › Section 130.140 - Sponsoring Agency Responsibilities

Current through Register Vol. 48, No. 28, July 12, 2024
Each sponsoring agency must:
a) Provide reasonable and necessary technical
				assistance to applicants (i.e., clarifications and instructions on completing
				materials);
b) Advise the
				Department of changes in programs or targeted client populations that may
				require revisions in the Report on Projected Expenditures for the Title XX
				Social Services Block Grant; and
c)
				Assure that each service provider receives instructions and all necessary forms
				to document and report service provision and financial information and, where
				applicable, determine eligibility.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 130 - ADMINISTRATION OF SOCIAL SERVICE PROGRAMS › Subpart B - LOCAL INITIATIVE FUND PROGRAM › Section 130.150 - Funding Mechanism

Current through Register Vol. 48, No. 28, July 12, 2024
Public or private not-for-profit agencies providing services
				  funded through the Local Initiative Fund are required to provide cash and
				  in-kind contributions for 25% of the cost of the program being funded (10% in
				  the case of family planning services). No more than 15% (4% in the case of
				  family planning services) of the total cost of the program may be represented
				  by in-kind contributions. The other 75% (90% in the case of family planning
				  services) is made available from federal funds provided through the Title XX
				  Social Services Block Grant.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 130 - ADMINISTRATION OF SOCIAL SERVICE PROGRAMS › Subpart B - LOCAL INITIATIVE FUND PROGRAM › Section 130.152 - Sources of Local Funds

Current through Register Vol. 48, No. 28, July 12, 2024
a) Local
				funds constitute 25% (10% for family planning services) share of expenditures
				when the funds are provided for in either of two ways:
1) Transferred Funds or In-kind Contributions
				- Contributing non-federal agencies or individuals make cash transfers of funds
				directly to the service provider for subsequent expenditure on services or
				qualifying non-cash contributions. These funds/contributions must be placed in
				separate accounts, or otherwise separately identified along with the State's
				share of the funds identified in the Donated Funds Initiative
				agreement.
2) Certification of
				Expended Funds - Public agencies may certify that their expenditures were for
				Title XX eligible services to eligible individuals.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 130 - ADMINISTRATION OF SOCIAL SERVICE PROGRAMS › Subpart B - LOCAL INITIATIVE FUND PROGRAM › Section 130.154 - Sources of Locally Generated Funds and In-kind Contributions Used to Match Title XX Funds

Current through Register Vol. 48, No. 28, July 12, 2024
a) In-kind
				contributions or co-payment funds from private or public sources may not be
				derived from restricted federal or State funds, nor may they be used as the
				match for other federal or State programs.
b) Funds derived from this program may not be
				used as match to gain additional federal or State funds except as provided by
				law.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 130 - ADMINISTRATION OF SOCIAL SERVICE PROGRAMS › Subpart B - LOCAL INITIATIVE FUND PROGRAM › Section 130.160 - Reimbursement Process - Donations (Transferred Funds or Co-Payments)

Current through Register Vol. 48, No. 28, July 12, 2024
a) Contributing
				public or private agencies make cash transfers or establish special accounts or
				ledgers equal to 25% (10% for family planning services) of their
				contract.
b) No payment will be
				made to a provider without documentation that 25% (10% for family planning
				services) of the vouchered amount (local match) has been received by the
				provider and is in a separate account or separately identified in the
				provider's books. The service provider will then be reimbursed by the State for
				75% (90% for family planning services) of the eligible amount. All agreements
				and requirements for the reimbursement process are contained in the Community
				Services Agreement.
c) In the event
				costs are determined inappropriate for claiming:
1) The State will assume financial
				responsibility for the 75% (90% for family planning services) share when the
				Department has determined through audit procedures that the reason for the
				deferral, disallowance or costs that are determined inappropriate for claiming
				is not directly related to a violation of the Community Services Agreement by
				the service provider.
2) The
				service provider must assume full financial responsibility if a violation of
				the agreement requirements by the service provider has occurred, as determined
				by the Secretary of the Department.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 130 - ADMINISTRATION OF SOCIAL SERVICE PROGRAMS › Subpart B - LOCAL INITIATIVE FUND PROGRAM › Section 130.162 - Reimbursement Process (Certification of Expended Funds)

Current through Register Vol. 48, No. 28, July 12, 2024
a) Public agencies may certify that they made
				expenditures for Title XX eligible services to eligible clients. Certification
				of expenditures involves no cash transfer. The certifying agency provides the
				25% (10% for family planning services) match by providing for 100% of the costs
				and is then reimbursed by the State for 75% (90% for family planning services)
				of the eligible expenditures. All agreements and requirements for the
				reimbursement process are contained in the Community Services
				Agreement.
b) Financial liability
				resulting from a deferral or disallowance or a determination that costs are not
				eligible for reimbursement must be borne solely by the certifying public
				agency.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 130 - ADMINISTRATION OF SOCIAL SERVICE PROGRAMS › Subpart C - DOMESTIC VIOLENCE PROGRAM › Section 130.200 - Domestic Violence Shelter and Service Programs

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Department shall fund domestic
				violence programs from the Domestic Violence Shelter and Service Fund, General
				Revenue Fund, and the Local Initiative Fund, and other appropriated
				funds.
b) Delivery of services
				shall be provided by local private not-for-profit or public agencies throughout
				the State which:
1) Meet State and local
				health, safety and zoning requirements;
2) Can provide a broad range of quality
				services and referrals to victims of domestic violence; and
3) Assure the health and safety of victims of
				domestic violence.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 130 - ADMINISTRATION OF SOCIAL SERVICE PROGRAMS › Subpart D - DISTRIBUTION OF FEDERAL SURPLUS COMMODITIES › Section 130.300 - Program Administration

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				Department shall administer a program for the distribution of Federal
				Commodities to needy individuals and households made available in The Emergency
				Food Assistance Program (TEFAP) ( 7 CFR 250 and 251 ) by contracting with
				private, not-for-profit agencies to establish a statewide network for emergency
				feeding and commodity distribution.
b) In no instance may fees be assessed
				against recipients of commodities under the program.
c) The receipt of commodities under this
				program shall not affect an individual's or household's eligibility for
				assistance under any other program administered by the Department, and the
				commodities received shall not be considered as income in determining the level
				of assistance program benefits to which the individual or household may be
				entitled.
d) Participation in
				political or religious activities or affiliation with any organization shall
				not be made a condition of eligibility to receive commodities.
e) Individuals and households shall be
				eligible to receive Federal Commodities if they meet the following criteria:
1) reside in Illinois; and
2) have individual or household income that
				is no greater than 130% of the federal poverty income levels published annually
				in the Federal Register by the U.S. Department of Health and Human
				Services.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 130 - ADMINISTRATION OF SOCIAL SERVICE PROGRAMS › Subpart D - DISTRIBUTION OF FEDERAL SURPLUS COMMODITIES › Section 130.322 - General Program and Provider Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) Program Reports
1) The provider shall submit reports to the
				Department no later than 21 days after the end of each month.
2) The monthly report will include the
				following information:
A) a completed DHS
				3121, Foodbank Monthly Report, containing a record of all commodities received
				and dispersed, the total number of households and meals served, beginning and
				ending inventory information and a statement of total net weight pounds of
				commodities distributed;
B) a copy
				of the USDA shipping notices and/or invoices from the Department contracted
				warehouse and trucking company; and
C) a completed DHS monthly expenditure
				report.
3) Further food
				deliveries or payments may not be made if the required reports are not
				submitted within the specified time frames.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 130 - ADMINISTRATION OF SOCIAL SERVICE PROGRAMS › Subpart E - SERVICES FOR THE HOMELESS › Section 130.400 - Emergency Food and Shelter Program

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				The Department shall provide for the delivery of services to homeless persons
				(for definition of "homeless", see 89 Ill. Adm. Code
				121.7(a)(3)
				 ).
b) The services will include one or more of
				the following elements:
1) provision of
				emergency food and shelter to homeless persons;
2) provision of ancillary services (e.g.,
				counseling, job training, advocacy) to homeless persons; and
3) rehabilitation of new or existing
				buildings to create additional shelter beds or to upgrade facilities for
				homeless persons.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 130 - ADMINISTRATION OF SOCIAL SERVICE PROGRAMS › Subpart F - INCORPORATION BY REFERENCE › Section 130.500 - Incorporation By Reference

Current through Register Vol. 48, No. 28, July 12, 2024
Any rules or regulations of an agency of the United States or
				  of a nationally recognized organization or association that are incorporated by
				  reference in this Part are incorporated as of the date specified, and do not
				  include any later amendments or editions.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart A - INDIVIDUAL CARE GRANT - FAMILY SUPPORT PROGRAM › Section 139.100 - Purpose

Current through Register Vol. 48, No. 28, July 12, 2024
The Department shall administer the Individual Care Grant
				  program, hereinafter named the Family Support Program (FSP), transferred to it
				  by Section 5-5.23 of the Public Aid Code [ 305 ILCS 5 ]. The purpose of the FSP
				  is to provide family support services designed to strengthen family stability
				  and promote care in the community for qualifying youth with severe emotional
				  disturbance. The FSP provides a coordinated system of community-based and
				  residential services that vary in scope and intensity based upon availability
				  of providers and the particular needs of the youth and
				  families.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart A - INDIVIDUAL CARE GRANT - FAMILY SUPPORT PROGRAM › Section 139.105 - Incorporation by Reference

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				following materials are incorporated by reference in this Part:
American Psychiatric Association
1000 Wilson Blvd., Suite 1825, Arlington VA 22209-3901
DSM-5 - Diagnostic and Statistical Manual of Mental
				  Disorders, 5th Edition (2013)
World Health Organization
20 Avenue Apia, 1211 Geneva 27, Switzerland
ICD-10-CM - International Classification of Diseases,
				  10th Revision, Clinical Modification
b) Any rules of an agency of the
				United States or of a nationally-recognized organization or association that
				are incorporated by reference in this Part are incorporated as of the date
				specified, and do not include any later amendments or editions.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart A - INDIVIDUAL CARE GRANT - FAMILY SUPPORT PROGRAM › Section 139.115 - Family Support Program Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
The following criteria must be met in order to be eligible
				  for FSP Services:
a) The parent or
				legal guardian of the individual seeking services must demonstrate and maintain
				residence in Illinois as defined in Section 2-10 of the Illinois Public Aid
				Code;
b) The individual seeking
				services must be under the age of 18 at the time of application to be
				considered for enrollment in the FSP.
c) The individual seeking services must not
				be under the legal guardianship or in the legal custody of any unit of federal,
				State or local government;
d) The
				parent or legal guardian of the individual seeking services must agree to meet
				the responsibilities detailed in Section 139.120 and comply with Department
				policies regarding applying for services; and
e) The individual seeking services must:
1) Demonstrate a severe emotional disturbance
				(SED) by meeting the following criteria:
A)
				Have a primary mental health diagnosis from the current DSM or corresponding
				International Classification of Diseases (ICD) that was identified prior to the
				individual's 18th birthday. For the purposes of
				demonstrating an SED, the following diagnoses and diagnostic factors shall be
				excluded as acceptable qualifying primary mental health diagnoses: Adjustment
				Disorders, Intellectual/Developmental Disabilities, Learning Disabilities,
				Other Factors that May be the Focus of Clinical Attention from the DSM, and
				Supplementary Classification of Factors Influencing Health Status and Contact
				with Health Services from the ICD;
B) In the absence of treatment or other
				supports, the individual's degree of emotional and mental disturbance
				consistently prevents him or her from functioning in at least two of the
				following domains: age appropriate self-care, family life, education, community
				living, or peer relationships;
C)
				For individuals under age 6, the individual demonstrates pronounced emotional
				or behavioral symptoms, including, but not limited to: severe social
				withdrawal, symptoms of attachment disorder, or aggressive behavior in more
				than one domain;
D) The illness,
				symptoms and functional impairment identified in subsections (e)(1)(A) through
				(C) have been present for at least six months.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart A - INDIVIDUAL CARE GRANT - FAMILY SUPPORT PROGRAM › Section 139.120 - Family Support Program Parent or Legal Guardian Responsibilities

Current through Register Vol. 48, No. 28, July 12, 2024
a) In order for an
				individual seeking services to participate in the FSP, the parent or legal
				guardian of the individual must agree to:
1)
				Actively participate in the FSP youth's care throughout the course of
				treatment;
2) Be primarily
				responsible for financial obligations associated with participation in the
				program (e.g., transportation, any necessary equipment, and other fees incurred
				not included in the services covered by the Department);
3) Assist in identifying and coordinating
				funding of services from all available sources, including insurance
				coverage;
4) Assist in the
				completion of all applications for public assistance programs, including
				Medical Assistance, supplemental security income (SSI), Social Security
				benefits (SSA), and other programs as appropriate;
5) Complete and submit such forms and
				documents as may be required by the Department;
6) In the event the FSP youth requires
				treatment in a residential setting pursuant to Section 139.305:
A) Notify the Department of all assets and
				sources of public financial support of the FSP youth.
B) Make available all sources of public
				financial support for the FSP youth, including but not limited to SSA and SSI
				(see
				42 USC
				1381 ), to be applied to the costs of
				residential care, to the extent provided by law;
C) Coordinate all educational functions,
				processes and funding with the FSP youth's home school district and to ensure
				compliance with the compulsory education attendance requirements found in
				Section 26-1 of the School Code [ 105 ILCS 5 ]. Parents or legal guardians
				electing to educate their child in a private education setting or through
				homeschooling shall be responsible for coordinating all matters with their home
				school district and be responsible for all financial costs related to
				education, consistent with Illinois statute and ISBE regulations;
D) Participate in and cooperate with the
				residential facility's requirements for the FSP youth's care, treatment and
				discharge to the community;
E)
				Supply the usual and customary costs of parenthood or legal guardianship,
				including: clothing, medical, dental, personal allowance, incidentals and
				transportation costs to and from residential treatment; and
F) Accept the FSP youth back into the home or
				be solely responsible for establishing residence for the FSP youth upon
				discharge from residential treatment.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart A - INDIVIDUAL CARE GRANT - FAMILY SUPPORT PROGRAM › Section 139.125 - Application Process and Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) A parent or legal guardian may obtain an
				application packet electronically from the Department.
b) All completed application materials may be
				submitted by the parent or legal guardian to the Department. The Department's
				designated provider of mobile crisis response services for children shall
				assist the parent or legal guardian in obtaining, completing and submitting the
				application, as requested by the parent or legal guardian.
c) An application is complete and ready for
				determination when it minimally contains the following:
1) A complete program application;
2) A copy of the youth's birth certificate
				and proof of Social Security number; and
3) A copy of the court order or documentation
				defining custody or non-parental guardianship, if appropriate.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart A - INDIVIDUAL CARE GRANT - FAMILY SUPPORT PROGRAM › Section 139.130 - Application Determination Process

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Department's PRO/QIO will review
				complete applications based upon the criteria found in Sections 139.115 and
				139.120 to determine whether an application is approved or denied within 30
				days after the date the Department receives the application.
b) The Department will identify incomplete
				applications within 30 days after the date the Department receives the
				application.
1) Notification of incomplete
				applications will be made to the parent or legal guardian. In the event the FSP
				application was submitted by the Department's designated provider of mobile
				crisis response services for children, notification of an incomplete
				application shall be made to the provider to assist families in providing any
				missing application materials.
2)
				Incomplete applications must be complete within 30 days after the date of the
				notice of incomplete application.
3) If an application is not completed within
				the 30 day period and all missing materials remitted to the Department within
				that time, the application shall not be reviewed.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart A - INDIVIDUAL CARE GRANT - FAMILY SUPPORT PROGRAM › Section 139.135 - Authorization Process for Family Support Program Participation

Current through Register Vol. 48, No. 28, July 12, 2024
a) Youth determined
				eligible for the FSP shall be authorized to receive services as detailed in
				Section 139.140, for an initial period of 180 days.
b) Within the last 30 days of an FSP youth's
				initial or subsequent 180-day authorization to receive FSP services, a
				Continued Enrollment Authorization Request may be submitted to the Department.
1) The Continued Enrollment Authorization
				process shall review the FSP youth's:
A)
				Progress in treatment;
B) Updated
				Assessment and Treatment Plan;
C)
				Other updated clinical documentation, as available;
D) The FSP youth's overall clinical
				presentation to determine whether the FSP youth continues to meet the
				requirements detailed in Section 139.115; and
E) For FSP youth that are 18 years of age or
				older but have not reached 21 years of age at the time of Continued Enrollment
				Authorization:
i) Active school attendance by
				the individual; and
ii) Whether the
				individual has not graduated high school, achieved high school graduation
				equivalency, or otherwise qualified for high school graduation pursuant to
				Section 27-22 of the School Code.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart A - INDIVIDUAL CARE GRANT - FAMILY SUPPORT PROGRAM › Section 139.140 - Family Support Program Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) An
				approved application, regardless of a youth's primary source of insurance
				(e.g., private insurance, Medicaid, etc.), shall result in the FSP youth being
				eligible to receive FSP services that include, but are not limited to, service
				planning, case management and service coordination with other providers, as
				needed, and:
1) Community-based mental health
				services, such as:
A) Medically necessary
				mental health services eligible for reimbursement under the Illinois Medical
				Assistance Program; and
B) Family
				support services (see Section 139.300 ); or
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart A - INDIVIDUAL CARE GRANT - FAMILY SUPPORT PROGRAM › Section 139.145 - Family Support Program Service Planning

Current through Register Vol. 48, No. 28, July 12, 2024
a) When a youth is determined eligible for
				the FSP, the Department's designated provider of mobile crisis response
				services for children will assist the FSP youth and parent or legal guardian in
				the completion of an FSP Plan.
b)
				The FSP Plan shall include the development of a crisis safety plan, education
				on the usage of CARES, and development and review of the FSP youth's service
				recommendations in the assessment and treatment plan.
c) The FSP youth and all necessary
				stakeholders, as determined by the FSP youth and parent or legal guardian,
				shall be included in the FSP planning process as determined to be clinically
				appropriate by the FSP coordinator.
d) The FSP Plan must include:
1) The presentation, diagnosis, and treatment
				needs of the FSP youth;
2)
				Recommended services to address the treatment needs of the FSP youth;
				and
3) A clinical summary in
				support of recommended services.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart A - INDIVIDUAL CARE GRANT - FAMILY SUPPORT PROGRAM › Section 139.150 - Family Support Program Discharge

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				An FSP youth may be discharged from the FSP in any of the following
				circumstances:
1) The FSP youth is
				determined, pursuant to Section 139.135(b), to no longer be appropriate for the
				FSP;
2) The FSP youth reaches the
				age of 21;
3) The parent or legal
				guardian is no longer an Illinois resident, consistent with Section
				139.115(a);
4) Failure of the
				parent or legal guardian to comply with any of the requirements found in
				Section 139.120;
5) Legal
				guardianship or legal custody of the FSP youth is ordered by a court to a State
				or federal agency, except for the Illinois Office of State Guardian
				(OSG);
6) The FSP youth does not
				receive FSP services for any period of 90 consecutive days or more;
				or
7) The parent or legal guardian,
				or FSP youth age 18 or older, requests the discharge of the FSP
				youth.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart B - INDIVIDUAL CARE GRANT: SPECIALIZED FAMILY SUPPORT PROGRAM › Section 139.200 - Purpose

Current through Register Vol. 48, No. 28, July 12, 2024
Pursuant to the Custody Relinquishment Prevention Act, the
				  purpose of the Specialized Family Support Program (SFSP), is to identify and
				  respond to youth at risk of custody relinquishment and their families. The SFSP
				  connects those youth and their families with the most appropriate clinical
				  services, while focusing on returning the youth to the home and family by
				  delivering treatment and support services in the least restrictive
				  setting.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart B - INDIVIDUAL CARE GRANT: SPECIALIZED FAMILY SUPPORT PROGRAM › Section 139.205 - Specialized Family Support Program Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) The following criteria must be met in
				order for a youth to be enrolled in the SFSP:
1) The youth's parent or legal guardian must
				demonstrate and maintain residence in Illinois as defined in Section 2-10 of
				the Illinois Public Aid Code.
2)
				The youth must be under the age of 18 at the time of SFSP enrollment.
3) The youth must not be under the legal
				guardianship or in the legal custody of any unit of federal, State or local
				government.
4) At the time of SFSP
				enrollment:
A) The youth must be admitted to
				a hospital or similar treatment facility for the primary purpose of psychiatric
				treatment and be determined clinically appropriate for discharge in accordance
				with facility policy;
B) The
				youth's parent or legal guardian refuses to take the youth home from the
				hospital or similar treatment facility because the parent or legal guardian has
				a reasonable belief that the youth will harm himself or herself or other family
				members upon returning home.
5) The parent or legal guardian and youth
				have been referred and accepted for SFSP enrollment pursuant to Section
				139.215.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart B - INDIVIDUAL CARE GRANT: SPECIALIZED FAMILY SUPPORT PROGRAM › Section 139.210 - Specialized Family Support Program Parent or Legal Guardian Responsibilities

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				In order for a youth to participate in the SFSP, the youth's parent or legal
				guardian must agree to:
1) Meet the
				requirements of Section 139.120;
2)
				Accept and allow the SFSP youth to remain in the home or be solely responsible
				for establishing a safe alternative residence for the SFSP youth upon
				enrollment into the program;
3)
				Assist in the collection of medical, educational and other records and
				completion of all applications for treatment programs, as
				appropriate;
4) Initiate and
				coordinate all necessary educational processes with the youth's home
				educational district to meet the youth's educational and treatment needs;
				and
5) Consent to program
				participation and sign the SFSP Parent Agreement.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart B - INDIVIDUAL CARE GRANT: SPECIALIZED FAMILY SUPPORT PROGRAM › Section 139.215 - Specialized Family Support Program Referral Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
Referred youth shall be accepted for enrollment into the SFSP
				  upon completion of the following requirements:
a) The parent or legal guardian and youth
				have been reported to the DCFS Child Abuse Hotline as a youth at risk of
				custody relinquishment;
b) Existing
				crisis systems, such as the DHS Comprehensive, Community Based Youth Services
				(CCBYS) Program, have been unable to stabilize the family crisis, reunite the
				family, and eliminate the potential of custody relinquishment;
c) DCFS has determined that there is no
				evidence of abuse or neglect with respect to the report to the DCFS Child Abuse
				Hotline;
d) A referral to the
				Crisis and Referral Entry Service (CARES) Line has been made directly from DCFS
				personnel or individuals designated by DCFS and approved by the Department;
				and
e) The CARES Line has
				determined that the youth and the parent or legal guardian meet the criteria
				required in Section 139.205(a).
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart B - INDIVIDUAL CARE GRANT: SPECIALIZED FAMILY SUPPORT PROGRAM › Section 139.220 - Specialized Family Support Program Components

Current through Register Vol. 48, No. 28, July 12, 2024
a) SFSP youth will be enrolled in the SFSP
				for 90 days.
b) During enrollment
				in the SFSP, the SFSP youth shall be:
1)
				Assessed to determine his or her behavioral health needs;
2) Assigned a local SFSP coordinator from one
				of the Department's designated providers of mobile crisis response services for
				children to coordinate treatment for the SFSP youth;
3) Eligible to receive services consistent
				with Section 139.140(a)(1) and (2).
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart B - INDIVIDUAL CARE GRANT: SPECIALIZED FAMILY SUPPORT PROGRAM › Section 139.225 - Specialized Family Support Program Discharge

Current through Register Vol. 48, No. 28, July 12, 2024
At any time during SFSP enrollment that the parent or legal
				  guardian no longer meets the applicable requirements of Section 139.210, the
				  SFSP youth may:
a) Be discharged from
				the SFSP. The Department shall issue written notice of the discharge to the
				parent or legal guardian along with notice of the right to appeal and
				instructions on how to pursue appeal (see Section 139.600 ).
b) Be referred to the DCFS Child Abuse
				Hotline for the purpose of reporting the programmatic discharge.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart C - COMMUNITY AND RESIDENTIAL SERVICES › Section 139.300 - Family Support Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Family
				support services include the following:
1)
				Therapeutic support services that are time-limited, therapeutic interventions,
				or mental health services, not otherwise reimbursed under the Illinois Medical
				Assistance Program, targeted to support and stabilize individuals receiving the
				service in their home or home-like setting.
2) Individual support services are
				activities, services and goods that are intended to promote community
				stabilization and family stability, and support the treatment plan of the
				individual receiving services.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart C - COMMUNITY AND RESIDENTIAL SERVICES › Section 139.305 - Family Support Program Residential Treatment

Current through Register Vol. 48, No. 28, July 12, 2024
a) Prior authorization is necessary to access
				residential treatment consistent with Section 139.500(b) and (c).
b) Upon approval of prior authorization for
				residential treatment, the Department's designated provider of mobile crisis
				response services for children shall:
1)
				Discuss the potential facilities available for the FSP youth's placement with
				the parent or legal guardian;
2)
				Facilitate preparing and submitting referral packets and necessary consents to
				potential facilities; and
3) Upon
				admission of the FSP youth to a residential facility, update the youth's FSP
				Plan, in coordination with the residential facility (Section 139.145
				).
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart C - COMMUNITY AND RESIDENTIAL SERVICES › Section 139.310 - Specialized Family Support Program Transition Bed Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) SFSP transition
				bed services will be provided to individuals enrolled in the SFSP, at the time
				of the SFSP youth's admission to the program and upon leaving the hospital or
				similar treatment facility.
b) SFSP
				transition bed services are subject to prior authorization and shall not be
				authorized for any combination of periods or days to exceed 30 total
				days.
c) In order for an SFSP youth
				to receive an initial 7 days of transition bed services upon admission to the
				SFSP, the following requirements must be met:
1) The SFSP youth will enter transition bed
				services upon leaving the hospital or similar treatment facility;
2) A suitable bed is available to accept the
				SFSP youth within the network of available SFSP transition beds;
3) The Department's designated provider of
				mobile crisis response services for children determines that the SFSP youth can
				be stabilized through the application of community supports, but requires
				short-term use of transition bed services;
4) The SFSP youth's crisis safety plan
				indicates that the use of a transition bed will stabilize the SFSP youth's
				immediate behavioral health needs and is signed by an LPHA;
5) The SFSP youth's parent or legal guardian
				is willing to accept the SFSP youth home or be solely responsible for
				establishing an alternative residence for the SFSP youth upon discharge from
				the transition bed; and
6) The
				prior authorization has been approved for the SFSP youth to access the SFSP
				transition bed pursuant to Section 139.500(f)(1).
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart D - PROVIDERS OF FAMILY SUPPORT SERVICES › Section 139.400 - Family Support Program Residential Treatment Providers

Current through Register Vol. 48, No. 28, July 12, 2024
a) In order to participate in the FSP as a
				provider of residential treatment services, facilities must meet the following
				requirements:
1) Be licensed or certified by
				DCFS, IDPH or HFS as:
A) A child care
				institution;
B) A group
				home;
C) An independent living
				program;
D) A specialty congregate
				care program or setting;
E) A
				residential provider participating in the federal Medicaid program;
				or
F) A non-Illinois entity meeting
				equivalent credentials as detailed in this subsection (a)(1) in the state in
				which the facility operates, as accepted by the Department;
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart D - PROVIDERS OF FAMILY SUPPORT SERVICES › Section 139.405 - Specialized Family Support Program: Transition Bed Services Providers

Current through Register Vol. 48, No. 28, July 12, 2024
a) Providers of
				SFSP transition bed services must meet the following requirements:
1) Comply with Section 139.400, with the
				exception of Section 139.400(a)(5);
2) Provide SFSP transition bed services
				pursuant to Section 139.310;
3)
				Provide short-term crisis and transitional treatment to SFSP youth, not to
				exceed 30 days; and
4) Comply with
				the Department's program requirements authorizing the crisis treatment of
				individuals seeking services.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart E - UTILIZATION CONTROLS › Section 139.500 - Medical Necessity and Utilization Review of Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Utilization Review. The Department shall
				utilize its designated PRO/QIO to review clinical services provided in a
				residential setting. For services requiring prior authorization and ongoing
				continued stay authorization, payments to providers will only be made upon
				authorization of services.
1) Utilization
				review denials for clinical reasons shall be based upon physician review and
				determination.
2) Utilization
				review may consist of, but shall not be limited to, certification of need,
				prior authorization, continued stay, pre-payment, post-payment, and all other
				clinical review activities required.
3) Utilization review activities shall
				determine:
A) Whether the services being
				requested are reasonable and medically necessary for the diagnosis and
				treatment of illness;
B) The
				medical necessity, reasonableness and appropriateness of residential treatment
				requests for the individual seeking services that have demonstrated that
				community services are unable to meet his or her clinical needs;
C) The completeness, adequacy and quality of
				residential treatment, when provided;
D) Whether the quality of the services meets
				professionally recognized standards of health care; or
E) Whether those services furnished or
				proposed to be furnished are:
i) Consistent
				with the provisions of appropriate medical care; and
ii) Being delivered in the most clinically
				appropriate and cost efficient manner as determined by the PRO/QIO.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart F - APPEALS › Section 139.600 - FSP and SFSP Recipient Appeals

Current through Register Vol. 48, No. 28, July 12, 2024
For appeals by individuals or their authorized
				  representatives regarding FSP or SFSP participation or services, the following
				  shall apply:
a) The HFS rules for
				Assistance Appeals (89 Ill. Adm. Code 104.Subpart A) shall apply to all appeals
				under this Section except that:
1) Informal
				review of any appealable issue must be completed by the Department's Bureau of
				Behavioral Health pursuant to this Section before formal appeal of the issue
				may be requested by the Department's Bureau of Administrative Hearings (BAH);
				and
2) Sections 89 Ill. Adm. Code
				104.10,
				104.11,
				104.70(b),
				104.70(d),
				104.74,
				104.75
				and
				104.80 shall
				not apply.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 139 - CHILDREN'S BEHAVIORAL HEALTH › Subpart F - APPEALS › Section 139.610 - FSP and SFSP Provider Appeals

Current through Register Vol. 48, No. 28, July 12, 2024
For appeals regarding participation as a provider in the FSP
				  and the SFSP, the following shall apply:
a) The HFS rules for Medical Vendor Hearings
				(89 Ill. Adm. Code 104.Subpart C) shall apply to all appeals under this Section
				except that Sections
				104.204,
				104.205,
				104.206,
				104.207,
				104.208,
				104.210,
				104.211,
				104.213,
				104.216,
				104.217,
				104.249,
				104.260,
				104.272,
				104.273
				and
				104.274
				shall not apply.
b) A facility
				participating or seeking to participate as a provider in the FSP or SFSP may
				appeal the following:
1) Denial or
				termination of participation in the FSP as a provider of residential treatment
				services (see Section 139.400 ); or
2) Denial or termination of participation in
				the SFSP as a provider of transition bed services (see Section 139.405
				).
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 140 - MEDICAL PAYMENT › Subpart A - GENERAL PROVISIONS › Section 140.1 - Incorporation By Reference

Current through Register Vol. 48, No. 28, July 12, 2024
Any rules or regulations of an agency of the United States or
				  of a nationally recognized organization or association that are incorporated by
				  reference in this Part are incorporated as of the date specified, and do not
				  include any later amendments or editions.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 140 - MEDICAL PAYMENT › Subpart A - GENERAL PROVISIONS › Section 140.2 - Medical Assistance Programs

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Under the Medical Assistance Programs, the Department pays participating
				providers for necessary medical services, specified in Section
				140.3
				through
				140.7
				for:
1) persons eligible for financial
				assistance under the Aid to the Aged, Blind or Disabled-State Supplemental
				Payment (AABD-SSP) and Temporary Assistance to Needy Families (TANF) programs
				(Medicaid-MAG);
2) persons who
				would be eligible for financial assistance but who have resources in excess of
				the Department's eligibility standards and who have incurred medical expenses
				greater than the difference between their income and the Department's standards
				(Medicaid-MANG);
3) individuals
				under age 18 who do not qualify for TANF/TANF-MANG and infants under age one
				year (see Section 140.7);
4)
				pregnant women who would not be eligible for TANF/TANF-MANG if the child were
				born and who do not qualify as mandatory categorically needy (see Section
				140.9
				);
5) persons who are eligible for
				Title IV-E adoption assistance/foster care assistance from another State and
				who are living in Illinois;
6)
				noncitizens who have an emergency medical condition (see 89 Ill. Adm. Code
				120.310
				); however, payment is not included for care and services related to an organ
				transplant procedure;
7) persons
				eligible for medical assistance under the Aid to the Aged, Blind or Disabled
				(AABD) program who reside in specified Supportive Living Facilities (SLFs), as
				described at 89 Ill. Adm. Code 146, Subpart B;
8) persons eligible for FamilyCare as
				described in 89 Ill. Adm. Code
				120.32;
9) beginning January 1, 2014, persons
				eligible as ACA Adults as described in 89 Ill. Adm. Code
				120.10(h);
				and
10) beginning January 1, 2014,
				persons eligible as Former Foster Care as described in 89 Ill. Adm. Code
				120.10(i).
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 140 - MEDICAL PAYMENT › Subpart A - GENERAL PROVISIONS › Section 140.3 - Covered Services Under Medical Assistance Programs

Current through Register Vol. 48, No. 28, July 12, 2024
a) As described in this Section, medical
				services shall be covered for:
1) recipients
				of financial assistance under the AABD (Aid to the Aged, Blind or Disabled),
				TANF (Temporary Assistance to Needy Families), or Refugee/Entrant/Repatriate
				program;
2) recipients of medical
				assistance only under the AABD program (AABD-MANG);
3) recipients of medical assistance only
				under the TANF program (TANF-MANG);
4) individuals under age 18 not eligible for
				TANF (see Section
				140.7),
				pregnant women who would be eligible if the child were born and pregnant women
				and children under age eight who do not qualify as mandatory categorically
				needy (see Section
				140.9);
5) disabled persons under age 21 who may
				qualify for Medicaid or in-home care under the Illinois Home and
				Community-Based Services Waiver for Medically Fragile Technology Dependent
				Children;
6) individuals 19 years
				of age or older eligible under the KidCare Parent Coverage Waiver described at
				89 Ill. Adm. Code
				120.32, except
				for services provided only through a waiver approved under section 1915(c) of
				the Social Security Act (42 U.S.C.
				1396n(c));
7) beginning January 1, 2014, ACA Adults as
				described in 89 Ill. Adm. Code
				120.10(h).
				Notwithstanding any rule to the contrary in Title 89, the services that shall
				be covered are services for which the Department obtains federal approval and
				receives federal matching funds; and
8) beginning January 1, 2014, Former Foster
				Care as described in 89 Ill. Adm. Code
				120.10(i).