Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 641 - SCHOOL-BASED/LINKED HEALTH CENTERS › Section 641.15 - Certification/Re-certification

Current through Register Vol. 48, No. 28, July 12, 2024
a) A Center may be
			 certified and re-certified by the Department as set forth in this
			 Part.
b) Center Certification
1) A sponsoring agency's request for
			 certification shall be in writing and submitted to the Illinois Department of
			 Public Health.
2) Applicants for
			 certification will be accepted from programs or parent organizations of
			 programs that have a history of providing comprehensive school health
			 services.
3) Applicants shall
			 submit evidence that they are in compliance with all applicable Department
			 audit requirements as specified in 89 Ill. Adm. Code 507.
4) Prior to certification, the Department
			 shall conduct an on-site inspection.
5) Based upon the on-site inspection, the
			 Department will certify the program if the Department determines that:
A) the applicant has proven that it meets the
			 standards as set forth in this Part;
B) the sponsoring agency operating the
			 program is fiscally sound and responsible;
C) the program management is experienced in
			 business and in the delivery of comprehensive school health services.
6) The Department shall notify the
			 sponsoring agency of certification or denial of certification within 60
			 calendar days.
A) Approval of Certification
If the Department certifies the program, it shall include the
				HFS Medicaid enrollment forms with the letter of certification.
B) Denial of Certification
If the Department is not able to certify the program based on
				the criteria outlined in this Part, the Department shall notify the applicant
				in writing, describing those deficiencies that will result in a denial of the
				certification. The applicant has 60 days after receipt of the notice to correct
				the deficiencies and supply the new information to the Department. If the new
				information indicates that the program meets the criteria of this Part, the
				Department shall certify the applicant. If the program continues to fail to
				meet the requirements of this Part, the Department shall deny the application
				for certification. If certification is denied, the applicant may appeal the
				Department's decision and request a hearing pursuant to 89 Ill. Adm. Code 508
				(Administrative Hearings).
7) Certification shall be effective on the
			 date of approval by the Department and shall remain in effect for two years
			 provided the Center continues to meet the requirements outlined in this Part.
			 Upon certification, the Center may deliver services to Medicaid recipients that
			 will be reimbursable after the applicant completes the HFS Medicaid enrollment
			 procedure. The Center is responsible for complying with all Medicaid policies
			 (89 Ill. Adm. Code 140). Should a Center's ownership change, a new
			 certification must be obtained within 60 days.
8) Re-certification
A) To be eligible for re-certification, a
			 Center shall be in compliance with all provisions of this Part.
B) To be eligible for re-certification, a
			 Center that receives funding from the Department shall be in compliance with
			 all applicable Department audit requirements specified in 89 Ill. Adm. Code
			 507.
C) The Department shall review
			 all documents and the results of the last inspection and shall re-certify based
			 on the standards set forth in this Part.
9) Denial of Re-certification
If the Department is not able to re-certify the Center based on
				its review and inspection, the Department shall notify the applicant in
				writing, describing those deficiencies that will result in a denial of
				re-certification. The applicant has 45 calendar days after receipt of the
				notice to correct the deficiencies and supply the new information to the
				Department. If the new information indicates that the Center meets the criteria
				of this Part, the Department shall re-certify the Center. If the Center
				continues to fail to meet the requirements of this Part, the Department shall
				deny the application for re-certification and shall notify the applicant in
				writing, giving the reasons for the denial. The provider may appeal the
				Department's decision and request a hearing pursuant to 77 Ill. Adm. Code 100
				(Practice and Procedure in Administrative Hearings).