reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart K - TRANSFERS › Section 240.1110 - Participant Transfer Request - Vendor to Vendor - No Change in Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Department,
				a CCU or a participant /authorized representative may request a transfer for
				provision of CCP services from 1 vendor to another vendor, within the same
				service area, and without any change in service needs. The transfer request may
				be initiated by verbally advising the CCU of the desired change in vendor. The
				CCU shall verbally advise the participant of the vendor choices available. The
				CCU shall complete a new Participant Agreement and Consent Form -
				Person-Centered Plan of Care, including choice of vendor based upon that verbal
				advice from the participant/authorized representative as to his/her
				selection.
b) Reasons for the CCU
				to authorize a vendor to vendor transfer with no change in services provided
				may include:
1) the needs of a participant
				are not being met by the current vendor; or
2) the participant has exercised his/her
				right of freedom of choice and requested transfer.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart K - TRANSFERS › Section 240.1120 - Participant Transfer Request - Vendor to Vendor - With Change in Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) A request for
				transfer of a CCP participant from 1 vendor to another vendor within the same
				service area that requires a change in the services provided shall be completed
				by the CCU following a redetermination of need. The request may be initiated by
				the Department, CCU, the vendor, or the participant/authorized representative
				verbally or in writing to the CCU. The CCU shall complete the redetermination
				of need, including obtaining a completed and signed Participant Agreement and
				Consent Form - Person-Centered Plan of Care from the participant/authorized
				representative, within 30 calendar days after the date of the request unless
				delayed by the participant/authorized representative.
b) Reasons for a vendor to vendor transfer
				with a required change in service may include:
1) a change in the participant's condition;
				and
2) the vendor's inability to
				meet the service needs of the participant, as required by the person-centered
				plan of care.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart K - TRANSFERS › Section 240.1130 - Participant Transfers - Care Coordination Unit to Care Coordination Unit

Current through Register Vol. 48, No. 28, July 12, 2024
a) A CCP
				participant may transfer from 1CCU service area to another CCU service area
				with continuous eligibility pending a redetermination of eligibility by the
				receiving CCU. The transfer may be requested by the Department, a CCU, or the
				participant/authorized representative verbally or in writing.
b) A reason for transfer from CCU to CCU
				shall be a geographic change in the participant's residence.
c) The effective date of transfer shall be
				within 15 calendar days after the date of the Participant Agreement -
				Person-Centered Plan of Care and services shall be initiated by the receiving
				vendor without service interruption.
d) To implement the transfer, the
				transferring CCU, within 5 work days after the date of a request or notice of
				need to transfer, or 5 work days prior to the effective date of transfer,
				whichever provides the most notification to the receiving CCU, shall:
1) notify the receiving CCU of the impending
				transfer and the desired date of transfer;
2) forward to the receiving CCU the original
				case record of the transferring participant; and
3) forward the Participant Agreement -
				Person-Centered Plan of Care to the participant/authorized representative and a
				copy to the transferring vendor.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart K - TRANSFERS › Section 240.1140 - Transfers of Pending Requests for Services

Current through Register Vol. 48, No. 28, July 12, 2024
If a transfers of pending requests for services occur, the
				  purpose of thosetransfers shall be to assure that the participants maintain
				  their status and to assure that appropriate action will be completed as
				  specified in Section
				  240.610.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart K - TRANSFERS › Section 240.1150 - Interagency Transfers

Current through Register Vol. 48, No. 28, July 12, 2024
Participants from the DHS-Division of Rehabilitation Services
				  (DHS-DORS) may transfer to the Department on Aging if in accordance with the
				  interagency agreement executed between both Departments and if the participant
				  meets eligibility requirements established by the Department on Aging for
				  CCP.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart K - TRANSFERS › Section 240.1160 - Temporary Transfers - Care Coordination Unit to Care Coordination Unit

Current through Register Vol. 48, No. 28, July 12, 2024
a) A CCP
				participant/authorized representative may request a transfer from the
				participant's CCU service area to another CCU service area for a temporary
				period of time, not to exceed 31 calendar days, when the participant is
				temporarily residing with a relative, or other responsible individual, but
				intends to return to the participant's permanent residence. When the temporary
				transfer exceeds 31 calendar days, the transfer is considered to be permanent
				(see Section
				240.1130
				).
b) The managing CCU shall retain
				primary responsibility for the participant and maintenance of the participant's
				original records.
c) To implement
				the temporary transfer, the managing CCU, within 5 work days after the date of
				request or notice of need to transfer, shall:
1) notify the temporary CCU of the impending
				transfer, the participant's name, temporary address and telephone number, the
				anticipated length of stay and the type and amount of CCP service to be
				provided, and whether the participant has an authorized
				representative;
2) obtain from the
				temporary CCU, and provide to the participant/authorized representative, a list
				of authorized and appropriate vendors in the temporary CCU's service
				area;
3) complete a Participant
				Agreement and Consent Form and obtain signatures from the
				participant/authorized representative;
4) complete a new Participant Agreement -
				Person-Centered Plan of Care, obtain signatures and forward copies as
				appropriate;
5) provide the
				temporary CCU with a copy of the Case Documentation for Determination of
				Need;
6) prepare and forward a
				Participant Agreement - Person-centered Plan of Care;
7) authorize the temporary vendor to receive
				payment for CCP services provided, beginning on the effective service
				date;
8) provide the temporary
				vendor with information required for billing for CCP services provided to the
				participant.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart K - TRANSFERS › Section 240.1170 - Caseload Transfer - Vendor to Vendor

Current through Register Vol. 48, No. 28, July 12, 2024
a) A caseload transfer shall occur when the
				serving vendor's contract for provision of CCP services has been terminated by
				either party to the contract.
b)
				The Department shall notify the appropriate CCU of the impending transfer and
				the effective termination date, and forward a copy of each notification to the
				respective transferring and receiving vendors.
c) The participant/authorized representative
				shall complete the Participant Agreement and Consent Form and forward it to the
				CCU by the date specified in the Department notice (no later than 15 calendar
				days after the date of mailing by the Department).
d) Within 5 work days after the date
				specified by the Department in subsection (c), the CCU shall identify the
				receiving vendor for each participant in the caseload, using the completed
				Participant Agreement and Consent Form or the approved rotation plan, if a
				Participant Agreement and Consent Form has not been received.
e) Upon adequate notification by the
				Department of the vendor's intent to terminate its contract, the CCU shall:
1) advise the receiving vendor verbally of
				the impending transfer of the participants and the date that service must be
				initiated for each participant to prevent interruption of service;
2) send written notification to the
				participants/authorized representatives giving the date of initiation of
				service by the receiving vendor; and
3) send a new Participant Agreement -
				Person-Centered Plan of Care and applicable pages of the comprehensive
				assessment for each transferring participant to the appropriate receiving
				vendor.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart K - TRANSFERS › Section 240.1180 - Caseload Transfer - Care Coordination Unit to Care Coordination Unit

Current through Register Vol. 48, No. 28, July 12, 2024
a) A caseload
				transfer shall occur when the authorized CCU's contract for provision of CCP
				care coordination services has been terminated by either party to the
				contract.
b) The transferring CCU
				shall:
1) transfer each participant's
				original case record file to the receiving CCU no later than the termination
				date of transferring CCU's contract;
2) the transferring CCU shall retain all
				records relating to requests for payment and receipt thereof and any documents
				peculiar to that agency.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart L - ADMINISTRATIVE SERVICE CONTRACT › Section 240.1210 - Administrative Service Contract

Current through Register Vol. 48, No. 28, July 12, 2024
The Department shall designate, through purchase of service
				  contracts, individuals/agencies to carry out administrative duties in support
				  of the Community Care Program. Specific responsibilities are delineated in the
				  Administrative Service Contract.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart M - CARE COORDINATION UNITS AND PROVIDERS › Section 240.1310 - Standard Contractual Requirements for Care Coordination Units and Providers

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				contract shall be an agreement between the Department and the CCU or provider
				agency as evidence of the terms and conditions of the contract. The terms and
				conditions shall, at a minimum, include the following:
1) the contractual agreement between the
				Department and the CCU/provider may be terminated without cause by either party
				upon 60 calendar days written notice;
2) the contractual agreement between the
				Department and the CCU/provider may be amended, with the mutual consent of both
				parties, at any time during the term of the contract; and
3) all program and financial records,
				reports, and related information and documentation, including participant
				files, that are generated as a result of the agreement shall be considered the
				property of the Department.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart M - CARE COORDINATION UNITS AND PROVIDERS › Section 240.1320 - Vendor or Care Coordination Unit Fraud/Illegal or Criminal Acts

Current through Register Vol. 48, No. 28, July 12, 2024
a) Reporting of
				Illegal Acts
1) Any entity involved in the
				administration of the CCP or in the provision of CCP services, upon receipt of
				any report of or evidence of an improper or unlawful act having been committed
				by their employees, for the purpose of illegally obtaining money or extorting
				payment for care, goods, services or supplies, shall immediately:
A) inform the appropriate law enforcement
				authorities; and
B) report to the
				Department, including any documentation which may have been obtained, regarding
				any alleged theft or missing items having value over $50.00 or such unlawful
				activities which result in a police report.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart M - CARE COORDINATION UNITS AND PROVIDERS › Section 240.1399 - Termination of a Vendor or Care Coordination Unit (CCU)

Current through Register Vol. 48, No. 28, July 12, 2024
In the event conditions warrant termination of an Agreement
				  or a Contract, termination shall be in accord with provisions in the Agreement
				  or Contract.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart N - CARE COORDINATION UNITS › Section 240.1400 - Community Care Program Care Coordination

Current through Register Vol. 48, No. 28, July 12, 2024
a) A designated CCU, as outlined in 89 Ill.
				Adm. Code
				220.600
				through
				220.675,
				shall be contracted with as a CCU by the Department for a specific geographic
				area by executing a contract for the provision of CCP care coordination
				services.
b) All providers of CCP
				care coordination services shall meet all standards promulgated by the
				Department relating to the services provided, upon completion of the
				procurement as specified in 89 Ill. Adm. Code
				220.610
				through
				220.675
				All Department funded CCUs must adhere to the equal opportunity requirements of
				the Illinois Department of Human Rights and the contract executed between the
				CCU and the Department.
c) Care
				coordination services shall be purchased only from providers determined capable
				and competent by the Department to provide those services, as described in 89
				Ill. Adm. Code
				220.600
				through
				220.675
				once a procurement has occurred under 89 Ill. Adm. Code
				220.610
				through 220.675.
d) CCU contracts
				with the Department to provide CCP care coordination services shall not be
				assigned.
e) CCUs shall not
				subcontract for the direct provision of CCP care coordination services unless
				prior written approval has been obtained from the Department.
f) A CCP provider may not serve as a CCU in
				the same contract service area except temporarily to provide for the orderly
				transition of duties while the Department seeks a replacement CCU or the
				Department seeks a replacement provider, as indicated in the particular case.
				In no instance shall that arrangement exist for longer than a 3 month
				period.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart N - CARE COORDINATION UNITS › Section 240.1410 - Care Case Coordination Unit Administrative Minimum Standards

Current through Register Vol. 48, No. 28, July 12, 2024
a) A CCU must meet
				the Standard Contractual Requirements of Section
				240.1310.
b) A CCU shall be open for business at least
				7 hours each weekday (Monday through Friday) and shall have and utilize an
				alternative method approved by the Department, and on file at the CCU, for
				receiving requests from participants on any weekdays (excluding holidays) when
				the CCU is not open for business.
c) All program records, reports, and related
				information and documentation, including participant files, that are generated
				in support of the contract between the CCU and the Department shall be
				considered the property of the Department.
1)
				The CCU shall submit, upon demand, or otherwise make available at the option of
				the Department, all such records, information and documentation to the
				Department/Department authorized designee.
2) All the records, information and
				documentation shall be maintained by the CCU in accordance with provisions of
				89 Ill. Adm. Code
				220.100.
3) All records, case notes or other
				information maintained on persons served under the contract shall be
				confidential and shall be protected by the CCU from unauthorized disclosure as
				required by 89 Ill. Adm. Code
				220.100 and Section
				240.340
				of this Part.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart N - CARE COORDINATION UNITS › Section 240.1420 - Care Coordination Unit Responsibilities

Current through Register Vol. 48, No. 28, July 12, 2024
CCUs, in the performance of their CCP contract, shall have
				  the following responsibilities for purposes of care coordination:
a) intake to address public inquiries
				regarding services and supports and making preliminary decisions regarding need
				for a home visit for a comprehensive assessment.
b) Determine functional and financial
				eligibility for services, including:
1)
				scheduling a face-to-face meeting between a certified Care Coordinator and a
				participant/authorized representative;
2) utilizing the comprehensive assessment
				tool, or any successor assessment tool used to determine need for long-term
				services and supports authorized by the Department, including all addenda, to
				assess the participant's functional needs, cognitive, psychological, and social
				well-being, including but not limited to participant demographics, physical
				health history and assessment, behavioral health, medications, nutritional
				screening, caregiver, transportation, environment, financial, legal status, and
				person-centered goals of care, as well as other factors contributing to quality
				of life and the ability to live independently in the community;
3)reporting alleged or suspected abuse,
				neglect, financial exploitation, or self-neglect; assisting with investigations
				conducted under the Adult Protective Services Program; and making referrals to
				the State/Regional Long Term Care Ombudsman Programs.
4)identifying existing informal and formal
				support systems and the need for further evaluation by other disciplines,
				and/or services that would assist the participant in maintaining independent
				living and coordinating available resources to assist the
				participant/authorized representative to gain access to and receive needed
				services and supports, whether paid or unpaid, that will assist the participant
				to achieve identified goals, including distributing and assisting with
				completion of applications and forms required to access services identified in
				the goals of care; and
5)maintaining relationships with DHS, HFS,
				managed care entities, physicians, hospital discharge personnel, and
				providers/vendors for the purpose of receiving input that may be beneficial to
				the CCU in exercising these responsibilities.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart N - CARE COORDINATION UNITS › Section 240.1430 - Care Coordinator Staff Positions, Qualifications and Responsibilities

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				A CCU shall have specified staff to carry out the following functions:
1) care coordination; and
2) supervision of care
				coordinators.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart N - CARE COORDINATION UNITS › Section 240.1440 - Training Requirements For Care Coordination Supervisors and Case Coordinators

Current through Register Vol. 48, No. 28, July 12, 2024
CCUs in the performance of their CCPcontracts, shall adhere
				  to the following training requirements immediately upon adoption of this
				  Section regardless of whether a procurement has occurred pursuant to 89 Ill.
				  Adm. Code
				  220.610
				  through
				  220.675.
a) Care Coordination Supervisors
1) Either prior to or within 60 calendar days
				after the date of employment with the CCU, each care coordination supervisor
				shall successfully complete:
A) Department
				sponsored CCP training on the DON eligibility determination, care planning,
				Choices for Care screening, and OBRA-1 (Level I ID Screen).
B) Successful completion of this training
				shall be established by certification.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1505 - Administrative Requirements for Certification

Current through Register Vol. 48, No. 28, July 12, 2024
a) In order to qualify for certification as a
				provider of CCP services, a provider agency must, to the satisfaction of the
				Department, meet the following administrative requirements:
1) Serve an entire CCP geographic area.
A) Other than in Cook County, the geographic
				area will be the county.
B) In Cook
				County outside the City of Chicago, the geographic area will be the
				township.
C) Within the City of
				Chicago, the geographic area will be the following subareas, defined by Zip
				Code:
i) 60626, 60640, 60645, 60659,
				60660
ii) 60625, 60630, 60631,
				60646, 60656
iii) 60634, 60639,
				60641
iv) 60613, 60614, 60618,
				60647, 60657
v) 60601, 60602,
				60603, 60604, 60605, 60606, 60607, 60610, 60611, 60622, 60642, 60654,
				60661
vi) 60615, 60616, 60637,
				60649, 60653
vii) 60609, 60623,
				60629, 60632, 60638
viii)
				60619
ix) 60620, 60621, 60636,
				60643, 60652, 60655
x) 60608,
				60612, 60624, 60644, 60651.
xi)
				60628
xii) 60617, 60633,
				60827.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1510 - Provider Administrative Minimum Standards

Current through Register Vol. 48, No. 28, July 12, 2024
The provider shall establish and comply with written policies
				  and procedures. Provider policies shall include the following:
a) Confidentiality of participant records is
				maintained as required by Section
				240.340,
				including:
1) Ensure access to participant
				records is limited to specific areas within the office and only available to
				personnel with need for the information.
2) Establish and maintain current and
				archived files in a secure and confidential manner.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1520 - Provider Responsibilities

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				CCP services shall be purchased only from providers certified by the Department
				to provide those services.
b)
				Providers shall carry occurrence based general liability insurance in the
				single limit minimum amount of $1,000,000 per occurrence, $3,000,000 in the
				aggregate.
c) Providers shall also
				carry the following insurance coverages:
1)
				worker's compensation for direct service staff;
2) volunteer protection equivalent to
				employees' coverage, including coverage for volunteer drivers/escorts, if
				applicable; and
3) motor vehicle
				liability, uninsured motorist and medical payments, if agency staff transport
				participants in agency vehicles, or proof of minimum motor vehicle liability,
				uninsured motorist and medical payments, if agency staff transport participants
				in the staffs' own vehicles.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1525 - Standard Requirements for In-home Service Providers

Current through Register Vol. 48, No. 28, July 12, 2024
a) In-home service providers shall maintain a
				physical facility in each Planning and Service Area (PSA) in which service is
				provided or have a facility in a neighboring PSA of sufficient capacity to
				serve all contiguous areas. The facility must be located in a properly zoned
				location for a business, cannot be operated from a private residence, and must
				have all of the following:
1) a designated
				locked storage space for participant records;
2) accessibility of records for all
				participants served in the PSA when required by Department review staff or
				designees;
3) a primary business
				telephone listed under the name of the business locally that allows for
				reliable, dependable and accessible communication;
4) internet, facsimile and email access;
				and
5) sufficient office space,
				office equipment and office support to fulfill the requirements of the Provider
				Agreement.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1530 - General In-home Service Staffing Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each in-home
				service provider shall have specified staff adequate in number to comply with
				Section
				240.1520(f)
				to carry out the following functions:
1) A
				designated individual who has responsibility for administration of the CCP
				in-home service program.
2)
				Qualified in-home service staff to meet the needs of all cases referred for the
				provision of in-home services. In determining what services are sufficient, the
				Department shall look to whether in-home services are adequate. Inadequate
				in-home services are characterized by delays or interruptions in the provision
				of in-home services or by failure to provide in-home services as required by
				the person-centered plan of care.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1531 - Electronic Visit Verification (EVV) Requirements for In-home Service Providers

Current through Register Vol. 48, No. 28, July 12, 2024
a) EVV is
				based on global positioning systems or other cost-effective technology and
				secure applications for monitoring work schedules of homecare aides supplied by
				and paid for by the in-home service provider agency, including:
1) cellular phone or other mobile devices
				with activated global positioning systems;
2) Telephony/Integrated Voice Recognition
				(IVR); or
3) an alternative
				auditable technology when a phone is not available in the participant's home,
				such as, but not limited to, a fixed visit verification device installed in the
				participant's home.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1535 - In-home Service Staff Positions, Qualifications, Training and Responsibilities

Current through Register Vol. 48, No. 28, July 12, 2024
a) Homecare
				Supervisor
1) Activities of a homecare
				supervisor shall include:
A) documenting
				participant contacts and activities related to participant services in the
				participant's file;
B) preparing or
				reviewing reports and service calendars;
C) monitoring receipt procedures in the
				conduct of essential shopping and errands as stated in the person-centered plan
				of care;
D) providing input to the
				care coordinator on the services that are needed for each participant as a
				result of conferences with the homecare aide or in-home visits;
E) planning, preparing and documenting
				contact and quarterly conferences with each assigned homecare aide;
F) evaluating each assigned homecare aide
				annually;
G) coordinating the
				homecare aide's activities with other components of the person-centered plan of
				care as required;
H) making and
				documenting semi-annual in-home supervisory visits to a participant's home for
				each assigned homecare aide;
I)
				making home visits, as necessary, to provide hands-on training and assistance;
				and
J) initiating and/or
				participating in participant staffing discussions with the case manager, as
				necessary.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1541 - Minimum Equipment Specifications for Emergency Home Response Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) All EHRS
				equipment must be tested, approved and listed to meet Underwriters Laboratories
				safety standards for home health care signaling equipment, UL 1637 (available
				from Underwriters Laboratories, 2600 N.W. Lake Rd., Camas WA 98607-8542,
				877/854-3577; October 26, 1998, no later amendments or editions included), and
				digital alarm communicator systems units, UL 1635 (January 31, 1996, no later
				amendments or editions included), if applicable.
b) All home units must be capable of
				signaling from both the activation device remote and the base unit.
c) Activation Device Specifications
1) The activation device must be a portable
				and waterproof type of wireless remote configured with:
A) a crystal or Surface Acoustic Wave (SAW)
				resonator controlled transmitter frequency for long-term reliability;
B) digital encoding capability for at least
				10 combinations sufficient for high density situations;
C) a minimum transmission range of 300
				feet;
D) an internal battery
				capable of operating as a power source for a minimum 5 years;
E) a low battery charge signal; and
F) components certified as appropriate by the
				Federal Communications Commission under 47 CFR 15 (2008).
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1542 - Administrative Requirements for Emergency Home Response Service Providers

Current through Register Vol. 48, No. 28, July 12, 2024
a) In order to
				qualify for certification, a provider agency must, to the satisfaction of the
				Department:
1) meet the administrative
				requirements under Section
				240.1505;
2) meet the certification requirements under
				Section
				240.1600 or
				240.1605;
3) provide assurance that its equipment and
				support center are in continual compliance with the technology requirements
				imposed on provider agencies under Section
				240.1541;
4) maintain adequate records for
				administration, audit, budgeting, evaluation, operation and planning efforts by
				the Department in offering EHRS as a service through the CCP, including
				participant records, which shall include, but are not limited to:
A) dates and times of all signaling, and the
				name of the emergency responder for each signaling;
B) dates and times of all equipment tests;
				and
C) disposition of all emergency
				signaling;
5) comply
				with the following requirements:
A) this
				Part;
B) Underwriters Laboratories
				safety standards for home health care signaling equipment, UL 1637;
				and
C) Underwriters Laboratories
				safety standards for digital alarm communicator systems units, UL
				1635.
6)complete
				management training provided by the Department or its designee:
A)Training shall be completed by management
				staff (e.g., managers, supervisors, billing agents) of the EHRS provider prior
				to the award of a CCP EHRS contract from the Department;
B)At a minimum, the individual responsible
				for administration of the CCP EHRS program at the provider agency shall
				complete this training;
C)The
				Department is authorized to charge a reasonable fee for this training to cover
				related administrative costs.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1543 - Minimum Equipment Specifications for Automated Medication Dispenser Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) An AMD
				unit/equipment must be capable of portability to be temporarily transferred to
				another non-institutional residence in Illinois without additional
				fees.
b) AMD Unit Specifications
1) The AMD unit must be a portable mechanical
				system configured with:
A) all the cords and
				interfaces needed for installation;
B) an internal battery:
i) capable of operating as a power source for
				a minimum of 3 years;
ii) that
				automatically charges whenever the base unit is powered; and
iii) maintains a charge for at least 12 hours
				when the electric power to the base unit is interrupted;
C) the ability to verify whether the
				batteries on the base unit are charged and when the battery charge is
				low;
D) components certified as
				appropriate by the Federal Communications Commission (FCC) under 47 CFR 15 and
				68;
E) appropriate Underwriters
				Laboratories (UL) safety standards (UL 60950 and 60950-1) certification for
				battery powered technology equipment;
F) an integrated unit that connects to either
				a telephone line or wireless/cellular system that does not interfere with the
				normal use of the telephone or other devices using the telephone line, such as
				Emergency Home Response Service;
G)
				an Underwriters Laboratory (UL) approved plug as the connector to a standard
				residential electrical outlet for its power supply; and
H) transmission capability to signal the
				support center or notify the participant/authorized representative/assisting
				party if the base unit battery fails or has a low charge, or if electric power
				to the base unit is interrupted.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1544 - Administrative Requirements for Automated Medication Dispenser Service Providers

Current through Register Vol. 48, No. 28, July 12, 2024
a) In order
				to qualify for certification, an Automated Medication Dispenser (AMD) provider
				must, to the satisfaction of the Department, meet and comply with all
				applicable rules, including but not limited to:
1) meet the administrative requirements and
				minimum administrative standards under Sections
				240.1505
				and
				240.1510;
2) meet the applicable responsibilities
				imposed on provider agencies under the Community Care Program (CCP) set forth
				in Section
				240.1520;
3) meet the certification requirements under
				Sections
				240.1600 or
				240.1605;
4) provide assurance that its equipment and
				support center are in continual compliance with the business and technology
				requirements imposed on provider agencies under Section
				240.1543;
5) provide assurance that its business
				operations comply with the service, staffing and training requirements under
				Section
				240.237;
6) attend and complete management training
				provided by the Department or its designee:
A) Training shall be attended and completed
				by management staff (e.g., managers, supervisors, billing agents) of the AMD
				provider prior to the award of a CCP AMD contract from the
				Department;
B) At a minimum, the
				individual responsible for administration of the CCP AMD program at the
				provider agency shall attend and complete this training;
C) The Department is authorized to charge a
				reasonable fee for this training to cover related administrative
				costs;
7) accept all
				correspondence from the Department and maintain adequate records for
				administration, audit, budgeting, evaluation, operation and planning efforts by
				the Department in offering the AMD service through the CCP, which shall
				include, but are not limited to:
A) records
				of all referrals, including the disposition of each referral;
B) participant records, which shall include,
				but are not limited to:
i) applicable forms
				required by the Department;
ii)
				dates and times of all AMD notifications and communications with the
				participant/authorized representative/assisting party or designees;
iii) disposition of all
				participant/authorized representative/assisting party or designees
				communications;
iv) dates and times
				of all equipment tests and system interruptions; and
C) administrative records, including but not
				limited to:
i) service statistics;
ii) complaint resolution;
iii) billing and payment information plus the
				underlying documentation to support the units of service submitted to the
				Department for reimbursement; and
8) comply with all applicable federal, State
				and local laws, regulations, rules, service standards and policies or
				procedures pertaining to the AMD provider in its business operations and to the
				services provided under the CCP.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1550 - Standard Requirements for Adult Day Service Providers

Current through Register Vol. 48, No. 28, July 12, 2024
a) An adult day service provider shall have
				on file and utilize written procedures to manage storage and administration of
				medications, including:
1) storing and
				locking medications;
2) labeling
				medications brought to the adult day service provider's site; and
3) ensuring that:
A) prescribed medication is administered by
				an appropriately licensed professional to those adult day service participants
				who are determined to be unable to self-administer medications;
B) judgment of a participant's inability to
				self-administer medications shall be documented by a physician's order or the
				CCU person-centered plan of care and/or the adult day service person-centered
				plan of care addendum by the program nurse;
C) administration of all medications
				administered by the adult day service provider staff (prescription and
				non-prescription) are recorded in the participant's case record; and
D) physician orders for medication are
				utilized and filed in the participant's case record.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1555 - General Adult Day Service Staffing Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) A separate and identifiable staff must be
				designated for sole use by the adult day service program.
b) Each adult day service provider shall have
				at the adult day service site adequate personnel in number and skill to comply
				with subsection (c) of this Section and Section
				240.1520(f)
				and to provide for:
1) program and fiscal
				administration;
2) nursing and
				personal care services;
3)
				nutritional services;
4) planned
				therapeutic/recreational activities;
5) obtaining prompt services of emergency
				personnel and hospitalization, if needed;
6) immediately notifying the participant's
				authorized representative or family member of any illness, accident or injury
				to the participant;
7)
				provision/arrangement of transportation services to and from the adult day
				service site;
8) record
				keeping;
9) development,
				implementation and semi-annual review of individualized person-centered plans
				of care;
10) program evaluation and
				marketing;
11) supervision and
				evaluation of staff;
12) monitoring
				and meeting staff training needs; and
13) maintenance of a clean and safe physical
				environment.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1560 - Adult Day Service Staff

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				following staff qualifications shall be required throughout the term of the
				contract of all adult day service providers (with specified exceptions):
1) An Adult Day Service Program Administrator
				shall:
A) Meet the following qualifications:
i) have a bachelor's degree in a health or
				human services or related field (including social or health sciences, public
				administration or physical education) or be a Registered Nurse or Health
				Services Administrator; or
ii)
				demonstrate 2 years of progressively responsible supervisory experience in a
				program serving the elderly for each year of education being replaced (up to 4)
				in the disciplines defined in subsection (a)(1)(A)(i).
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1565 - Adult Day Service Satellite Sites

Current through Register Vol. 48, No. 28, July 12, 2024
a) A contracted adult day service provider
				shall request, in writing, authorization from the Department to develop a
				satellite site.
b) The provider
				shall submit a proposal for the satellite site and shall notify the Department
				when the provision of service will begin at the satellite site.
c) The Department or its designee will
				conduct an on-site review of the satellite site in accordance with Sections
				240.1510,
				240.1520,
				240.1550,
				240.1555
				and
				240.1560.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1570 - Service Availability Expansion

Current through Register Vol. 48, No. 28, July 12, 2024
a) A CCP participant may be allowed access to
				CCP adult day services in a service area in which the participant does not
				reside (outlying service area) under the following circumstances:
1) the CCU has determined the needs of the
				participant may best be served by a provider in an outlying service
				area;
2) either:
A) the geographic area in which the
				participant resides does not have a provider of the needed services;
				or
B) the participant may be
				provided services more conveniently/appropriately by a CCP provider in an
				outlying service area for the following reasons:
i) the authorized CCP providers in the
				participant's service area have reached the maximum capacity and have approval
				to not accept new participants and/or is unable to provide a service without
				delay and/or interruption;
ii)
				optional service components required by the participant are unavailable from
				the CCP authorized provider in the participant's service area but are available
				from a CCP authorized provider in another service area;
iii) transportation can be more conveniently
				arranged to a CCP authorized provider in another service area (adult day
				service only); or
iv) special needs
				of the participant (e.g., language-appropriate workers) can only be met by a
				CCP authorized provider in another service area; and
3) The CCP authorized provider in
				the outlying service area agrees to provide the service required without
				delay/interruptions to the referred participant.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1575 - Adult Day ServiceCare Site Relocation

Current through Register Vol. 48, No. 28, July 12, 2024
Any CCP adult day service provider intending to relocate its
				  primary or satellite site shall obtain written approval of the new facility
				  from the Department.
a) For all
				reasons for relocation except an emergency:
1)
				the provider shall file a letter of intent to relocate, providing detailed
				information including the reason for the relocation, the proposed relocation
				site and assurance that requirements specified in subsections (a)(2)(A) and
				(a)(2)(B) are met.
2) the letter of
				intent to relocate shall be received by the Department at least 30 calendar
				days prior to the anticipated date of the proposed relocation.
A) The proposed facility shall meet all CCP
				standards, and federal, State and local codes, as set forth in Section
				240.1550.
B) The provider shall assure the Department
				that service to the provider's CCP participants will be
				uninterrupted.
C) A request for a
				contract amendment may be made by the provider if the relocation affects the
				designated address to which the Department mails its correspondence, etc., to
				the provider.
3) upon
				receipt and approval of the letter of intent to relocate, the Department shall
				issue a temporary authorization to provide service in the new
				location.
4) final approval of the
				relocation shall be based upon on-site review of the facility by the Department
				(see Section 240.1550).
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart O - PROVIDERS › Section 240.1580 - Standards for Alternative Providers

Current through Register Vol. 48, No. 28, July 12, 2024
a) In the event that CCP services are not
				provided to an eligible participant within the time limit specified in Section
				240.910,
				the eligible participant may arrange to receive CCP in-home services from an
				individual or a home care agency of the eligible participant's choice 15
				calendar days after the date of the notice of eligibility. The CCU shall
				approve the participant's choice of individual or home care agency for in-home
				services to be provided.
b) If
				there is an interruption of services provided to a participant due to the
				failure of a contractual provider to provide those services, the CCU shall
				assist the participant in locating an individual or home care agency.
c) The Department shall authorize the
				individual or home care agency and shall guarantee a minimum of 15 calendar
				days of service provided by the alternative provider, if at the request of the
				alternative provider. A home care agency whose previously held CCP contract was
				terminated for cause shall not be authorized as an alternative
				provider.
d) The Department shall
				make payment on a monthly basis for the services at the rate that would have
				been paid an individual provider, if an individual is selected by the eligible
				participant; or at the usual and customary rate of the home care
				agency/provider chosen by the eligible participant to provide this service, if
				a home care agency is selected by the eligible participant.
e) Payment shall continue in accordance with
				subsection (c), and only until the Department's contractual provider initiates
				provision of CCP services to the participant, at which time service by the
				alternative provider shall be immediately terminated. The CCU shall verbally
				notify the alternative provider and the participant of the date upon which
				service shall be initiated by the Department's contractual provider.
f) Request for payment for services rendered
				by an individual alternative provider shall be submitted to the Department by
				the individual providing the service.
g) Payment for services rendered by a home
				care agency of the eligible participant's choice shall be made by the
				Department following submittal by the agency and processing by the Department
				of billing forms provided to the agency by the Department.
h) Payment shall be authorized in compliance
				with the State Prompt Payments Act [ 30 ILCS 540 ].
i) The Department shall be liable for its
				share of the cost of CCP services, as determined in accordance with Sections
				240.855
				and
				240.870.
j) The payment for the monthly expense for
				care incurred by the participant for CCP alternative provider services shall be
				the responsibility of the participant as set forth in Section
				240.875.