reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 640 - PROJECTS WITH INDUSTRY › Section 640.20 - Eligibility Determinations

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 Favorable determination regarding an individual's eligibility made by an
			 approved PWI shall be reviewed by DHS-ORS.
b) Upon receipt from the PWI approved entity
			 of the eligibility determination and documentation on which the determination
			 was made, the appropriate DHS-ORS local office staff person shall review the
			 eligibility determination pursuant to the criteria in DHS rules at 89 Ill. Adm.
			 Code 553 - Eligibility. The outcome of this determination shall be:
1) the determination is found to be
			 appropriate and the individual is determined eligible to receive DHS-ORS
			 services pursuant to the criteria listed in 89 Ill. Adm. Code 553. In such
			 instance DHS-ORS will open a vocational rehabilitation case for the purposes of
			 tracking and assistance and will develop an Individualized Written
			 Rehabilitation Program (89 Ill. Adm. Code 572) for the provision of services
			 through the PWI;
2) the individual
			 is determined to be appropriate for PWI services, but not eligible for DHS-ORS
			 services. DHS-ORS will inform the PWI approved entity that the determination of
			 eligibility for PWI services is appropriate; or
3) the individual is determined to be
			 ineligible for DHS-ORS services and PWI services and DHS-ORS notifies the PWI
			 approved entity that the individual is not eligible to receive services through
			 the PWI.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 640 - PROJECTS WITH INDUSTRY › Section 640.30 - Referral to Approved PWIs by DHS-ORS

Current through Register Vol. 48, No. 28, July 12, 2024
DHS-ORS will refer a customer to a PWI when it is determined
				that:
a) the customer is eligible for
			 DHS-ORS services;
b) the customer
			 meets the DHS-ORS Order of Selection; and
c) PWI services are determined appropriate
			 for the customer.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 650 - VENDING FACILITY PROGRAM FOR THE BLIND › Section 650.30 - Rights and Responsibilities of Vendors in the Program

Current through Register Vol. 48, No. 28, July 12, 2024
a) Vendors have the following rights:
1) to grieve disciplinary actions under
			 Section
			 650.130;
2) to grieve dissatisfaction with any action
			 arising from the operation or administration of the Program under 89 Ill. Adm.
			 Code 510;
3) to participate in the
			 election of representatives to ICBV;
4) to receive the net income from the
			 management and operation of the facilities to which vendors are
			 assigned;
5) to bid on facilities
			 for which a vendor is certified under Section
			 650.70;
			 and
6) to review his/her personnel
			 file and provide comments pursuant to 89 Ill. Adm. Code
			 505.10.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 650 - VENDING FACILITY PROGRAM FOR THE BLIND › Section 650.40 - Illinois Committee of Blind Vendors

Current through Register Vol. 48, No. 28, July 12, 2024
a) DHS-DRS will provide for the biennial
			 election of an Illinois Committee of Blind Vendors that, to the extent
			 possible, shall be fully representative of all blind vendors in the Program on
			 the basis of such factors as geography and vending facility type, with a goal
			 of providing for proportional representation of blind vendors on federal
			 property and blind vendors on other property. Participation by any blind vendor
			 in any election shall not be conditioned upon the payment of dues or any other
			 fees.
b) ICBV shall:
1) Actively participate with DHS-DRS in major
			 administrative decisions and policy and program development decisions affecting
			 the overall administration of the State's vending facility program;
2) Receive and transmit to DHS-DRS grievances
			 at the request of blind vendors and serve as advocates for those vendors in
			 connection with the grievances;
3)
			 Actively participate with DHS-DRS in the development and administration of a
			 State system for the transfer and promotion of blind vendors;
4) Actively participate with DHS-DRS in the
			 development of training and retraining programs for blind vendors;
			 and
5) Sponsor, with the assistance
			 of DHS-DRS, meetings and instructional conferences for blind vendors within the
			 State.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 650 - VENDING FACILITY PROGRAM FOR THE BLIND › Section 650.50 - Program Eligibility Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
To be eligible for acceptance into, and to remain in, the
				Program an individual must:
a) be
			 legally blind, no better than 20/200 central visual acuity in the better eye
			 with correction or a limitation to the field of vision in the better eye to
			 such a degree that its widest angle subtends an angle no greater than 20
			 degrees. A vendor must submit to a visual acuity test, at DHS expense, when the
			 Administrator has information that a vendor's vision has improved. If the
			 vendor is no longer legally blind, the provisions in Section
			 650.110(g)(1)(B)
			  will apply;
b) be a citizen of the United States and a
			 resident of Illinois with proof of residency (e.g., utility bills, bank
			 statements, etc.);
c) be at least
			 21 years old;
d) have a valid State
			 of Illinois identification card, or other documents as listed in the Department
			 of Homeland Security Form I-9, Employment Eligibility Verification;
e) not be in possession of a Driver's
			 License; and
f) not be convicted of
			 a felony.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 650 - VENDING FACILITY PROGRAM FOR THE BLIND › Section 650.60 - Training

Current through Register Vol. 48, No. 28, July 12, 2024
a) To meet the
			 needs of trainees and licensed vendors, DHS will provide training or assist in
			 developing training in four areas:
1) Initial
			 Training: extended training required for any VR customer, under 89 Ill. Adm.
			 Code: Chapter IV, Subchapter b, seeking to enter the Program; provides a
			 general introduction to food services and the skills necessary to operate
			 facilities.
2) Retraining:
			 additional training in the management of facilities to enable vendors to comply
			 with the requirements for managing a facility as set forth in this
			 Part.
3) Skill Enhancement
			 Training: as required by
			 34 CFR
			 395.11 (2009), upward mobility training to
			 allow vendors to become certified to operate different types of vending
			 facilities. Vendors are required to obtain a certificate of completion for each
			 individual course or seminar taken, in which an examination is given, and
			 complete the requirements of Section
			 650.70
			 to become certified.
4) In-service
			 Training: training to improve and/or enhance a vendor's managerial and
			 operational skills; such training is optional to the vendor, although
			 attendance may meet the conditions for maintaining certification under Section
			 650.70. Vendors are required to obtain a certificate of completion or a passing
			 grade if the class is to be considered for meeting certification standards and
			 for reimbursement of costs.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 650 - VENDING FACILITY PROGRAM FOR THE BLIND › Section 650.70 - Certification of Vendors

Current through Register Vol. 48, No. 28, July 12, 2024
a) An
			 individual may be certified in one or more of the following areas: retail, food
			 service and vending.
b) DHS will
			 certify individuals who:
1) successfully
			 complete the core module and one or more specific training modules as set out
			 in Section
			 650.60;
			 and
2) demonstrate potential for
			 employment as a vendor, as determined by a Screening Committee interview with
			 the individual. This determination shall be based upon the individual's
			 personality (e.g. the individual's ability to get along with the public and
			 fellow workers), performance during on-the-job training, and motivation (e.g.
			 attendance, how well he or she accepts direction, positive customer service).
			 The Screening Committee shall be composed of the supervisor and the trainers
			 employed by DHS, and shall employ the active participation of ICBV or its
			 designee.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 650 - VENDING FACILITY PROGRAM FOR THE BLIND › Section 650.80 - Licensing of Vendors

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 Licenses permitting individuals to manage facilities will only be issued to
			 persons who:
1) are certified by DHS as
			 qualified to manage and operate a facility; and
2) satisfactorily complete a 6 month
			 probationary period performing management and operation functions in a Program
			 facility as an assigned vendor or replacement vendor. The supervisor will use
			 the criteria in Section
			 650.90(d)
			 to determine satisfactory completion of the probationary
			 period.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 650 - VENDING FACILITY PROGRAM FOR THE BLIND › Section 650.90 - Awarding of Facilities

Current through Register Vol. 48, No. 28, July 12, 2024
a) A
			 licensed vendor or a graduate of training holding appropriate certifications
			 may bid on an available facility for which he or she is certified under Section
			 650.70.
			 Before a vendor may bid on a facility, a current annual evaluation is required
			 to be on record.
b) DHS shall send
			 notification of all facility openings to all vendors and to individuals
			 certified under Section
			 650.60.
			 The bid announcement will include:
1)
			 location of the available facility;
2) type of facility (i.e., retail, food
			 service or vending machine, or combination);
3) types of certifications necessary based on
			 the make-up of the facility (e.g., retail, food service or vending);
4) requirements of the vacant position based
			 on the type of facility and the conditions contained in the permit or agreement
			 with the management of the building in which the facility is located;
5) anticipated income from the facility based
			 upon profit and loss statements for existing facilities and projections based
			 on the profit and loss statements for the previous three to six months for new
			 facilities, if available;
6) the
			 date by which the bid shall be received, which date shall be within 15 days
			 following the date of notification. Receipt shall mean the bid is received at
			 Business Enterprise Program for the Blind, Central Office, 809 Commercial Ave,
			 Springfield IL 62703 by 5:00 p.m. on the date designated in the bid;
7) a statement indicating that the vendor may
			 submit a self-analysis of his/her performance;
8) the estimated value of inventory of
			 merchandise; and
9) the Program's
			 Bid Application (IL488-2048).
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 650 - VENDING FACILITY PROGRAM FOR THE BLIND › Section 650.100 - Business Practices

Current through Register Vol. 48, No. 28, July 12, 2024
Vendors and graduates of training serving their probation shall
				be required to follow business practices set forth in this Section. Failure to
				comply with these business practices shall result in disciplinary action as
				contained within Section
				650.110
				and as shown for each practice.
a) The
			 vendor shall maintain complete and current facility manuals at the facility.
			 Failure to keep current and complete manuals shall result in an oral reprimand.
			 These manuals shall include:
1) the Location
			 Manual, which shall contain, at a minimum: commodities and equipment
			 inventories, price lists, job descriptions, a security program developed by DHS
			 and the vendor, the facility permit or contract, facility policies and
			 procedures, and the vendor agreement; and
2) the Facility Reference Manual, which
			 includes all written rules and regulations, procedures promulgated by DHS
			 and/or the nominee agency, and any other documents listed in this Part or
			 required to be included by DHS.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 650 - VENDING FACILITY PROGRAM FOR THE BLIND › Section 650.110 - Disciplinary Procedures for Vendors

Current through Register Vol. 48, No. 28, July 12, 2024
a) Disciplinary actions shall include the
			 following:
1) oral reprimand;
2) written reprimand;
3) suspension;
4) loss of facility; and
5) termination of license.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 650 - VENDING FACILITY PROGRAM FOR THE BLIND › Section 650.120 - Disciplinary Procedures for VR Customers in Initial Training

Current through Register Vol. 48, No. 28, July 12, 2024
a) Trainees who are
			 receiving initial training and vendors receiving retraining in the classroom or
			 at an on-the-job training site shall be disciplined as set out in this Section
			 for violating a rule of conduct. Any VR customer dissatisfied with any action
			 by the Department may utilize the Client Assistance Program (CAP) and may
			 grieve the action pursuant to 89 Ill. Adm. Code 510. Documentation of
			 discipline shall be kept in the individual's personnel file.
b) A trainee wishing to appeal discipline may
			 do so under 89 Ill. Adm. Code 510. A vendor wishing to appeal discipline may do
			 so under Section
			 650.130.
c) The following actions shall begin with the
			 discipline shown and progress as follows: oral reprimand or written reprimand,
			 suspension from training for one day and termination from training.
1) Leaving training during scheduled hours
			 without permission. Oral reprimand.
2) Sleeping during training. Oral
			 reprimand.
3) Failing to report any
			 injury. Oral reprimand.
4) Failing
			 to request a scheduled absence (e.g., scheduled doctor's appointment, family
			 obligation, transportation problems) 24 hours in advance from the Training
			 Director or designee. Oral reprimand.
5) Failing to obey rules of the Illinois
			 Center for Rehabilitation and Education/Community Residential Services for the
			 Blind and Visually Impaired as set forth in 89 Ill. Adm. Code 730. Reprimand or
			 disciplinary action shall be consistent with 89 Ill. Adm. Code
			 730.650.
6) Failing to notify the training staff by
			 7:00 a.m. on any day the trainee is unable to attend classroom training. Oral
			 reprimand.
7) Failing to notify the
			 training staff before the scheduled starting time of the inability to attend
			 on-the-job training. Oral reprimand.
8) Failing to wear the uniform provided
			 during training. Oral reprimand.
9)
			 Eating, drinking or smoking in class or outside designated areas. Oral
			 reprimand.
10) Disregarding safety
			 or sanitation practices (e.g., failing to report unsafe equipment, removing
			 machine parts without approval). Oral reprimand.
11) Using training equipment, machines or
			 training telephones without specific approval from the Training Director or
			 designee. Oral reprimand.
12)
			 Excessive absenteeism or tardiness (e.g., more than two unscheduled absences or
			 reporting tardy more than three times). Written reprimand.
13) Unprofessional conduct (e.g., use of
			 profane language, racist or sexist remarks, unwelcome sexual advances, verbal
			 or physical conduct of a sexual nature). Written reprimand.
14) Cheating on tests. Written
			 reprimand.
15) Damaging Program
			 property through failure to exercise proper care. Oral reprimand.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 650 - VENDING FACILITY PROGRAM FOR THE BLIND › Section 650.130 - Grievance Procedures for Vendors

Current through Register Vol. 48, No. 28, July 12, 2024
a) Dissatisfaction of a vendor with any DHS
			 action arising from the administration of the Program shall be appealed
			 pursuant to 89 Ill. Adm. Code 510. A vendor may grieve discipline pursuant to
			 the following procedures for Level I (Administrative Reviews) and Level II
			 (Evidentiary Hearings). The action of grieving a suspension, not including an
			 immediate suspension, to Level I or Level II shall stay the imposition of the
			 discipline until the administrative remedies within DHS have been exhausted. A
			 Level I Hearing is optional; a vendor may choose to go directly to a Level II
			 Hearing and follow the procedures in subsection (c)(2) of this Section. A
			 suspension shall be grieved by appealing directly to Level II.
b) Level I (Administrative Review)
In order to grieve an oral or written reprimand imposed under
				Section
				650.110,
				DHS must receive a request for a Level I Hearing within 15 days after the date
				of receipt of notification that discipline is to be imposed. The vendor shall
				give notice in writing by certified mail to the Administrator, which shall
				state the reason for the grievance and the remedy being sought.
1) If the grievance is timely, the
			 Administrator or designee shall, within five days, notify the vendor by
			 certified mail of the time and place of the Level I Hearing, to be held between
			 10 and 15 days after receipt of the vendor's notice at the Springfield
			 administrative office of DHS, 809 Commercial Drive, Springfield IL 62703. The
			 Administrator, or designee, and vendor shall meet and attempt to resolve the
			 grievance to their mutual satisfaction.
2) Within 10 days after the adjournment of
			 the meeting, the Administrator shall send the vendor a letter by certified mail
			 stating DHS' position and summarizing the results of the hearing. The letter
			 must cite:
A) a statement of the basis upon
			 which the decision was made;
B) the
			 applicable laws, rules, regulations and policies used;
C) the name and address of the DHS Hearings
			 Coordinator; and
D) a statement
			 that, if the vendor is dissatisfied with the decision, a request for a Level II
			 Hearing must be received by the Hearings Coordinator within 15 days from the
			 date of receipt of the Level I Hearing decision notice. The request shall be in
			 writing, be addressed to the DHS Hearings Coordinator at 100 South Grand Avenue
			 East, 3rd Floor, Springfield, Illinois 62762,
			 contain the reason for the Level II Hearing, and propose four acceptable dates
			 for the hearing, which dates shall be within 20 days after the
			 request.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 650 - VENDING FACILITY PROGRAM FOR THE BLIND › Section 650.140 - Set-Aside Funds

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 collection of set-aside funds shall be based on a schedule of assessment on net
			 proceeds from each facility, including direct or commission income from vending
			 machines assigned to the facility.
b) DHS may authorize the nominee agency to
			 collect set-aside funds that accrue to DHS from an assessment against the net
			 proceeds of a facility. Such charges shall be determined for use as specified
			 in
			 34 CFR
			 395.9 (2009) (i.e., maintenance and
			 replacement equipment, purchase of new equipment, pension plans, health
			 insurance contribution, etc.).
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 650 - VENDING FACILITY PROGRAM FOR THE BLIND › Section 650.160 - Vending Facilities in Rest Area

Current through Register Vol. 48, No. 28, July 12, 2024
a) It is the responsibility of the vendor to
			 maintain customer complaint/refund cards in an easily accessible area for
			 customer use. These cards shall be furnished to the vendors by DHS. These cards
			 shall be returned to DHS by the customer at an address specified by DHS on the
			 card. DHS shall contact the vendors, who will be responsible for refunding the
			 money to the customer.
b) Whenever
			 more than one complaint a day regarding the quality of services or goods, the
			 activities of the vendor or return of lost monies at rest areas is made to DHS
			 by vending customers, the vendor must make improvements in vending operations
			 to reduce complaints to below the occurrence of one per day.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 676 - PROGRAM DESCRIPTION › Subpart A - GENERAL PROGRAM PROVISIONS › Section 676.10 - Program Purpose and Types

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				Department of Human Services' (DHS) Home Services Program (HSP) is a Medicaid
				Waiver Program (
				42 CFR
				440.180 ) designed to prevent the unnecessary
				institutionalization of individuals who may instead be satisfactorily
				maintained at home at a lesser cost to the State.
b) The Medicaid Waiver for the State of
				Illinois is administered by the Illinois Department of Public Aid (DPA), as the
				State's approved Medicaid agency. The operational responsibility for HSP, with
				the exception of hearings on customer appeals (see 89 Ill. Adm. Code 510),
				rests with DHS.
c) Although DHS
				shall be responsible for ensuring that the funds available under the HSP are
				administered in accordance with all applicable laws, DHS shall not have control
				or input in the employment relationship between the customer and the personal
				assistants.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 676 - PROGRAM DESCRIPTION › Subpart A - GENERAL PROGRAM PROVISIONS › Section 676.20 - General Program Accessibility

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				All communications given or sent to a customer shall be in a language, medium,
				and at a level which the customer can understand.
b) At any time a non-English print version of
				any form or document, including the Service Plan, is used to meet the
				customer's needs and is placed in the case file, an English print copy must
				also be completed by the counselor or Case Manager and placed with the
				non-English print version in the case file.
c) All locations in which customer meetings
				are held must be accessible for the customer and afford the maximum
				confidentiality for the customer.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 676 - PROGRAM DESCRIPTION › Subpart A - GENERAL PROGRAM PROVISIONS › Section 676.40 - Service Description

Current through Register Vol. 48, No. 28, July 12, 2024
The following is a listing of the services available through
				  HSP. The service level, combination of services, and amount of services for
				  which a customer is eligible is dependent upon the needs of the customer as
				  identified during the determination of eligibility (see 89 Ill. Adm. Code
				  682).
a) Personal Assistant (PA)
				Services - services provided by an individual employed by the
				customer.
b) Adult Day Care (ADC)
				Services - direct care and monitoring of customers in a community-based setting
				for any portion of a 24-hour day for the purpose of promoting social, physical,
				and emotional health and well-being and offering an alternative to an
				institutional setting. ADC services are provided only when the social,
				emotional, and physical needs of the customer cannot be met in the home through
				other available services.
c)
				Homemaker Services - general support provided by trained and professionally
				supervised individuals to maintain, strengthen, and safeguard the functioning
				of an individual in his/her home when no responsible person is available or
				capable of monitoring those services. Homemaker services include the actual
				completion of, and the training in, completion of ADLs.
d) Maintenance Home Health Services -
				services provided for a customer, in his/her home, that are prescribed or
				recommended by a physician or other health care professional. These services
				include three basic categories of care, which are:
1) direct health care provided by a
				registered nurse (RN) and/or a licensed practical nurse (LPN);
2) direct health care provided by a Certified
				Nurse Aid (CNA) who is supervised by an RN or LPN; and
3) in-home therapy, including the areas of
				physical, occupational and speech therapy.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 676 - PROGRAM DESCRIPTION › Subpart B - CASE MANAGEMENT › Section 676.110 - Sharing of Customer Information Between HSP and Other DHS Programs

Current through Register Vol. 48, No. 28, July 12, 2024
a) All information
				received by DHS-ORS for the purpose of providing HSP services to a customer
				shall only be used for such purposes and may not be shared with any other
				program of DHS unless the individual consents to the release of such
				information and a release of information is signed by the customer authorizing
				the release.
b) No information may
				be obtained from a case file of another program of DHS by HSP for the purposes
				of providing services to a customer unless the customer consents to the release
				of such information and a release of information is signed by the customer
				authorizing the release. DHS-ORS shall only release information pursuant to the
				Health Insurance Portability and Accountability Act (
				42 USC
				1320(d) et seq.) and the
				regulations promulgated thereunder.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 676 - PROGRAM DESCRIPTION › Subpart B - CASE MANAGEMENT › Section 676.130 - Customer Signatures and Information Required to Receive Services Under the HSP

Current through Register Vol. 48, No. 28, July 12, 2024
a) In order to
				receive services, or continue to receive HSP services, for which DHS-DRS would
				pay on behalf of the customer, a customer is required to sign all forms, and
				supply any information required to complete those forms, which are necessary to
				comply with all applicable State and federal laws or the provisions of the
				Medicaid Waiver or are necessary to process payments through the Comptroller's
				Office. During the duration of Executive Order 2020-20 and any subsequent
				re-issuance and extension, and subject to federal approval, with respect to any
				DHS-DRS forms, where a signature cannot be expeditiously obtained due to the
				COVID-19 pandemic and associated social distancing, customers may take the
				following actions which will constitute a signature for immediate purposes:
1) Provide electronic approval or digital
				signature in writing via fax, email, or similar method of program-approved
				submission; or
2) Provide verbal
				assent by telephone, constituting a telephonic signature.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 676 - PROGRAM DESCRIPTION › Subpart B - CASE MANAGEMENT › Section 676.140 - Application by DHS-ORS Employees, Individuals Holding Contracts with DHS-ORS, DHS-ORS Advisory Council Members, Family Members of DHS-ORS Employees, or Close Friends of DHS-ORS Employees

Current through Register Vol. 48, No. 28, July 12, 2024
a) At any time a DHS-ORS employee, an
				individual holding a contract with DHS-ORS, a DHS-ORS Advisory Council member,
				a family member of a DHS-ORS employee, or a close friend of a DHS-ORS employee
				applies for services from DHS-ORS, and it is brought to the attention of the
				counselor, the counselor must notify his/her supervisor who shall notify the
				Home Services Administration in writing.
b) After review of the situation, the Home
				Services Administration shall make assignment of the case to an appropriate
				staff member to ensure propriety of services.
c) For the purposes of this Section, "family
				member" shall mean spouse, sibling, child, parent, parent-in-law,
				sibling-in-law, or any other blood relative who resides in the household of the
				employee or employee's spouse.
d)
				For the purpose of this Section, "close friend" shall mean any individual who
				has such a relationship with the employee that would cause a conflict of
				interest or the appearance of impropriety.
e) Any employee who knows of or suspects that
				services to another DHS-ORS employee, individual who holds a contract with
				DHS-ORS, DHS-ORS Advisory Council member, family member of a DHS-ORS employee,
				or close friend of a DHS-ORS employee have not been reported as required in
				subsection (a), above, shall report the situation to his/her immediate
				supervisor. The immediate supervisor must investigate the situation and take
				appropriate action. Appropriate action may include reassignment of the case and
				discipline of the employee violating these requirements if there is evidence
				the employee knew the individual to be an individual described in subsection
				(a), above, and failed to report the situation.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 676 - PROGRAM DESCRIPTION › Subpart B - CASE MANAGEMENT › Section 676.150 - Geographic Case Assignment

Current through Register Vol. 48, No. 28, July 12, 2024
A customer will be served by the office which is assigned the
				  geographic area of the customer's residence. Exceptions to such assignment may
				  be made only with the written approval of the Home Services Program, Chief of
				  the Bureau of Field Operations.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 676 - PROGRAM DESCRIPTION › Subpart C - VENDOR PAYMENT › Section 676.200 - Vendor Payment

Current through Register Vol. 48, No. 28, July 12, 2024
Because HCFA regulations (
				  42 CFR
				  447.10(d) ) prohibit
				  re-assignment of provider claims, no payment will be made directly to any
				  customer of the HSP. In order to ensure that HSP funds are administered
				  properly, no payment, on behalf of any customer, will be made to any vendor
				  unless the services for which the payment is to be made were approved by
				  DHS-HSP. No payment, on behalf of any customer, shall be made until after
				  service has been rendered and verified.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 676 - PROGRAM DESCRIPTION › Subpart C - VENDOR PAYMENT › Section 676.210 - Reporting and Collection of Misspent Funds

Current through Register Vol. 48, No. 28, July 12, 2024
Any funds authorized through HSP thought to have been
				  misspent shall be reported and collected, as appropriate pursuant to DHS rules
				  found at 89 Ill. Adm. Code 527 - Misspent Funds.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 676 - PROGRAM DESCRIPTION › Subpart D - REFERRAL TO DEPARTMENT ON AGING DoA › Section 676.300 - Criteria for Referral to DoA

Current through Register Vol. 48, No. 28, July 12, 2024
In accordance with the provisions of the interagency
				  agreement between DHS and DoA, individuals meeting the following criteria shall
				  be referred to DoA to receive services through DoA's Community Care Program
				  (CCP) and their HSP cases closed after the initiation of CCP services. These
				  individuals are those who:
a) are at
				least 60 years of age at the time of the referral to DoA;
b) are receiving only homemaker services,
				adult day care services, home delivered meals, or any combination of these
				services;
c) have a DON score of at
				least 15 points on Part A, which includes the 10 points from the Mini-Mental
				Status Examination (89 Ill. Adm. Code
				679.20(a)
				), if applicable, with a total score of not less than 29 points; and
d) have agreed to being referred to DoA to
				receive services.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 676 - PROGRAM DESCRIPTION › Subpart D - REFERRAL TO DEPARTMENT ON AGING DoA › Section 676.310 - Disposition of Cases not Appropriate for Referral to DoA

Current through Register Vol. 48, No. 28, July 12, 2024
Any customer not meeting the criteria for referral to DoA
				  stated in Section
				  676.300
				  shall have his/her case maintained by DHS and shall continue to receive
				  services through HSP as long as he/she continues to meet the eligibility
				  criteria established by DHS.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 677 - CUSTOMER RIGHTS AND RESPONSIBILITIES › Subpart A - CUSTOMER RIGHTS › Section 677.10 - Assurance of Customer Rights

Current through Register Vol. 48, No. 28, July 12, 2024
The Department shall assure that Customers receive an
				  explanation of their rights. A copy of the HSP Customer Bill of Rights shall be
				  provided to all Customers during the initial determination of eligibility, at
				  the annual redetermination of eligibility, change in services, case closure,
				  and upon request by the Customer.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 677 - CUSTOMER RIGHTS AND RESPONSIBILITIES › Subpart A - CUSTOMER RIGHTS › Section 677.20 - Nondiscrimination

Current through Register Vol. 48, No. 28, July 12, 2024
DHS shall not discriminate against any customer seeking or
				  receiving services through HSP on the basis of his/her race, religion, sex,
				  marital status, national origin or ancestry, age, handicap, disability,
				  military status or any other status protected by law.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 677 - CUSTOMER RIGHTS AND RESPONSIBILITIES › Subpart A - CUSTOMER RIGHTS › Section 677.30 - Confidentiality of Information

Current through Register Vol. 48, No. 28, July 12, 2024
All customer information maintained by DHS-ORS for the
				  purposes of administering the funds available under the HSP is confidential and
				  shall only be used for the purpose of the administration of HSP, pursuant to
				  the Health Insurance Portability and Accountability Act (
				  42 USC
				  1320(d) et seq.) and the
				  regulations promulgated thereunder, and DHS' rules found at 89 Ill. Adm. Code
				  505 - Confidentiality and 89 Ill. Adm. Code
				  676.110.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 677 - CUSTOMER RIGHTS AND RESPONSIBILITIES › Subpart A - CUSTOMER RIGHTS › Section 677.40 - Freedom of Choice

Current through Register Vol. 48, No. 28, July 12, 2024
Under the HSP, a Customer has the following rights; however,
				  the choices made by the Customer may affect the services available through HSP
				  for which the Customer is eligible or which might otherwise be
				  available.
a) A Customer shall have the
				right to apply for and, if eligible, receive services under the program of the
				Customer's choice. Therefore, a Customer eligible for both institutional care
				and HSP services has the right to choose one or the other but may not receive
				both at the same time. Institutional care is not available through HSP and, if
				the Customer chooses HSP services, DHS-ORS shall have the right to determine
				the waiver under which the Customer will be served and the level of the
				provider of services.
b) At any
				time, a Customer has the right not to accept those HSP services that the
				Customer has been determined eligible to receive. However, if the Customer
				chooses to terminate services, the Customer may have to reapply for services
				and undergo another determination of eligibility if the Customer later desires
				services through HSP.
c) A Customer
				has the right to choose their living arrangement, including the physical
				dwelling and persons residing in the dwelling. However, such choices may impact
				the amount or scope of the services received by the Customer. HSP will not
				impose a living arrangement on any Customer.
d) A Customer applying for, or receiving,
				services through HSP shall have the right to choose medical and non-medical
				service providers. However, payment may only be made to those service providers
				which meet the standards established by DHS as found at 89 Ill. Adm. Code 686
				and who will accept DHS' fees for a specific service approved by DHS, if DHS is
				to issue payment for the service.
e) A Customer has the right to participate in
				the service planning process during initial determination of eligibility,
				subsequent redetermination of eligibility, and when updates to the service plan
				are requested by the Customer.
f) A
				Customer has the right to select their setting from among setting options,
				including non-disability specific settings and an option for a private unit in
				a residential setting. The setting options are identified and documented in the
				person-centered service plan and are based on the individual's needs,
				preferences, and, for residential settings, resources available for room and
				board.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 677 - CUSTOMER RIGHTS AND RESPONSIBILITIES › Subpart A - CUSTOMER RIGHTS › Section 677.50 - Referral

Current through Register Vol. 48, No. 28, July 12, 2024
a) A Customer has
				the right to receive information regarding all DHS programs, including
				HSP.
b) A Customer has the right to
				be referred by HSP for other appropriate services, within and outside DHS. The
				Customer's permission must be received in writing prior to HSP making any such
				referral, pursuant to DHS rules at 89 Ill. Adm. Code 505 -
				Confidentiality.
c) All
				communications given or sent to a Customer shall be in a language, medium, and
				at a level which the Customer can understand.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 677 - CUSTOMER RIGHTS AND RESPONSIBILITIES › Subpart A - CUSTOMER RIGHTS › Section 677.60 - Application

Current through Register Vol. 48, No. 28, July 12, 2024
An individual has the right to apply for services through any
				  DHS programs and to have the application processed in an appropriate and
				  expedient manner.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 677 - CUSTOMER RIGHTS AND RESPONSIBILITIES › Subpart A - CUSTOMER RIGHTS › Section 677.70 - Notice of Action

Current through Register Vol. 48, No. 28, July 12, 2024
Every customer has the right to a written notice of the
				  disposition of any referral, application, or any denial, termination, or change
				  in services. Such a notice shall be mailed at least 15 working days prior to
				  the effective date of the action and shall include:
a) a clear statement of the action
				taken;
b) a clear statement of the
				reason for the action;
c) a clear
				and complete statement of the customer's right of appeal;
d) a statement indicating that, if an appeal
				is filed, services will continue at the level at the time the appeal is filed
				during the period of the appeal under the conditions and limitations stated at
				89 Ill. Adm. Code
				510.60.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 677 - CUSTOMER RIGHTS AND RESPONSIBILITIES › Subpart A - CUSTOMER RIGHTS › Section 677.80 - Appeal of an Action Taken by HSP

Current through Register Vol. 48, No. 28, July 12, 2024
The customer has the right to appeal an action or inaction on
				  the part of HSP, with certain limitations, as set forth at 89 Ill. Adm. Code
				  510 - Appeals and Hearings.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 677 - CUSTOMER RIGHTS AND RESPONSIBILITIES › Subpart A - CUSTOMER RIGHTS › Section 677.90 - Repayment of Assistance

Current through Register Vol. 48, No. 28, July 12, 2024
a) If the
				customer's financial status changes, DHS shall not seek repayment for the HSP
				services provided prior to the date DHS-ORS was knowledgeable of the change. At
				any time, a customer may voluntarily repay all or part of the costs associated
				with services provided to him/her.
b) DHS shall seek repayment for any and all
				services determined to have been inappropriately provided to a customer due to
				false disclosure, omission or misrepresentation of a customer's financial
				status. Reimbursement shall be sought pursuant to DHS' rules found at 89 Ill.
				Adm. Code 527 - Recovery of Misspent Funds.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 677 - CUSTOMER RIGHTS AND RESPONSIBILITIES › Subpart A - CUSTOMER RIGHTS › Section 677.100 - Customer Bill of Rights

Current through Register Vol. 48, No. 28, July 12, 2024
Customers of the Home Services Program have the right to
				  basic safety; information; choice, participation and self-determination;
				  dignity and individuality; redress grievances; and fiduciary assistance in
				  securing their rights.
a) Basic safety
				includes:
1)
the right to protection
				from physical, sexual, mental and verbal abuse, neglect and exploitation,
				including financial exploitation;
2)
the right to be served by
				providers who are properly trained and are providing services within their
				scope of practice and the scope of their certification or licensure by the
				State;
3)
the
				right to have all personal, financial and medical information kept
				confidential;
4)
the right to have the provider of home care services respect the
				personal property of the Customer to whom it provides services and, if the
				Customer reports a theft or loss of personal property, the provider shall
				investigate and shall report back to the Customer the results of the
				investigation;
and
5) the
				right to freedom from coercion and restraint.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 677 - CUSTOMER RIGHTS AND RESPONSIBILITIES › Subpart B - CUSTOMER RESPONSIBILITIES › Section 677.200 - Customer Responsibilities

Current through Register Vol. 48, No. 28, July 12, 2024
It is the responsibility of each Customer to:
a) provide information that is necessary for
				HSP to process the Customer's referral for HSP services;
b) provide a current valid street
				address;
c) provide contact
				information, including, but not limited to, a current telephone number and, if
				available, a current email address and inform the local HSP office and service
				providers of any updated contact information;
d) sign all required forms for a
				determination of eligibility to be made for HSP services;
e) assist HSP staff with gathering
				information that is necessary to determine eligibility, including, but not
				limited to, medical and financial records;
f) during the COVID-19 Gubernatorial Disaster
				Proclamations, subject to federal approval, and in accordance with 89 Ill. Adm.
				Code 676.130(a),
				sign all required forms that are necessary to comply with HSP requirements,
				applicable federal law or the provisions of the Medicaid Waiver, or that are
				necessary to process payment through the Comptroller's Office;
g) comply with all HSP requirements related
				to enrollment, employment and management of an Individual Provider. If a
				Customer utilizes an Individual Provider for services, the Customer must comply
				with all HSP requirements pertaining to Individual Provider compliance
				policies, all HSP requirements pertaining to Electronic Visit Verification
				(EVV) (see 89 Ill. Adm.Code 686, Subpart Q), and ensure all Individual
				Providers who are providing services to the Customer comply with HSP
				requirements in 89 Ill. Adm. Code 686;
h) sign the Individual Provider Payment
				Policies form (IL 488-2252), which is available at HSP local offices. Signing
				the form acknowledges the Customer's understanding of the nature of the
				employment relationship with the Individual Provider. The Customer, as the
				employer, is responsible for certain aspects of the employment relationship
				with the Individual Provider, such as locating, hiring and disciplining, and
				may, as necessary, terminate the Individual Provider;
i) report all changes in circumstances that
				may affect eligibility or continued eligibility for HSP services, as soon as
				they are known. These include changes in:
1)
				address;
2) living
				arrangement;
3) income or
				assets;
4) services provided to the
				individual at no cost to HSP;
5)
				service needs;
6) medical and/or
				psychological condition;
7) service
				providers;
8) absence of the
				individual from their home that affects service provision; and
9) residency or citizenship status;
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 679 - DETERMINATION OF NEED (DON) AND RESULTING SERVICE COST MAXIMUMS (SCMs) › Section 679.10 - General Provisions

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 DON, pursuant to 89 Ill. Adm. Code
			 676.30(d),
			 is the assessment tool used to determine an individual's non-financial
			 eligibility for HSP services based on the individual's impairment in the
			 completion of the activities of daily living (ADLs) (Part A) and the
			 individual's need for care that is not met by existing family and other
			 resources (Part B). This assessment is made to determine whether or not the
			 individual is at imminent risk of institutionalization, and therefore eligible
			 for placement in a hospital/nursing facility and/or services through
			 HSP.
b) If the individual receives
			 at least the minimum DON score to be considered eligible for institutional
			 placement or HSP services (see 89 Ill. Adm. Code 682), the DON score relates to
			 a specific Service Cost Maximum (SCM) that may be expended on services for an
			 individual who chooses HSP services as an option to institutionalization (see
			 Section
			 679.50
			 ).
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 679 - DETERMINATION OF NEED (DON) AND RESULTING SERVICE COST MAXIMUMS (SCMs) › Section 679.20 - Composition of the DON

Current through Register Vol. 48, No. 28, July 12, 2024
The DON is comprised of three sections which are:
a) the Mini-Mental Status Examination
			 section, as developed by the University of Illinois-Chicago, School of Public
			 Health, which is used to determine the individual's cognitive functioning, and
			 therefore the ability of the individual to adequately respond to the DON
			 questions about his or her functioning capacity in the completion of the DON.
			 Home Service Program staff may choose to not administer the MMSE if interaction
			 with the customer, during the interview to gather demographic information,
			 reveals no cognitive problems. The Mini-Mental Status Examination section shall
			 not be administered to individuals who:
1)
			 are 12 years of age or younger;
2)
			 manifest, or have been diagnosed with, mental retardation or a related
			 condition that results in impairment of a person's general intellectual
			 functioning; or
3) manifest
			 adaptive behavior and require services similar to an individual with mental
			 retardation.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 679 - DETERMINATION OF NEED (DON) AND RESULTING SERVICE COST MAXIMUMS (SCMs) › Section 679.30 - Scoring of the DON Except for Respite Cases

Current through Register Vol. 48, No. 28, July 12, 2024
a) An individual receiving a 14 or more on
			 the Mini-Mental Status Examination shall receive "zero" points towards his/her
			 column A score. An individual receiving less than 14 points shall receive an
			 additional "10" points added to his/her column A score for the determination of
			 eligibility and a SCM.
b) The
			 remaining two sections of the DON measure the individual's ability to complete
			 the ADLs. The ADLs are specifically: eating, bathing, grooming, dressing,
			 transferring, incontinence care, preparing meals, being alone, telephoning,
			 managing money, routine health care tasks (or those health care tasks not
			 requiring specialized training), specialized health care tasks (or those
			 requiring assistance from trained medical practitioners), necessary travel
			 outside the home, laundry, and housework.
1)
			 Part A of the DON measures the individual's need for assistance in the
			 completion of each of the ADLs on the following rating scale.
A) None ("0" points) - the individual can
			 perform all essential components of the ADL with or without an existing
			 assistive device;
B) Minimal ("1"
			 point) - the individual can perform most of the ADL, with or without an
			 existing assistive device, but requires some supervision and/or assistance to
			 ensure the task is fully completed;
C) Moderate ("2" points) - the individual
			 requires a great deal of supervision and/or assistance, with or without
			 existing assistive devices, in the completion of the essential components of
			 the task; and
D) Severe ("3"
			 points) - the individual cannot perform any of the essential components of the
			 task, with or without existing assistive devices and requires constant
			 supervision and/or assistance.