Illinois Administrative Code

Section 572.90 Notice of Changes to the IPE Notification of any DHS-DRS-initiated change to the IPE must be provided to the customer. Such notification must be made in writing at least 15 work days prior to the effective date of change unless the customer has signed the IPE indic…

Section 595.10 General Applicability a) Rules contained within this Part are applicable to all closures of customers' cases in the DHS-DRS Vocational Rehabilitation (VR) program. b) Closure of a customer's case shall be done: 1) any time in the VR process when the counselor has d…

Section 595.20 Closure Prior to Determination of Eligibility A case may be closed, prior to making an eligibility determination, if the customer declines to participate or is unable to complete an assessment for determining eligibility and priority for services. DHS-DRS shall mak…

Section 595.30 Non-Rehabilitation Closure A customer's case may be closed any time the counselor has determined that any of the following are present: a) the customer is no longer interested in receiving services; b) the customer cannot be located, is otherwise unavailable for se…

Section 595.40 Closure of a Customer Who has Achieved the Employment Outcome of the IPE A determination that the customer has achieved an employment outcome must meet all the following criteria: a) The customer has achieved the employment outcome described in the customer's IPE a…

Section 595.50 Employment Outcomes Employment outcomes, as defined in 89 Ill. Adm. Code 521.20, must be consistent with an individual's unique strengths, resources, priorities, concerns, abilities, capabilities, interests and informed choice. The following may be considered as em…

Section 640.10 General Provisions Pursuant to Sections 621 and 622 of the Rehabilitation Act Amendments of 1992 (P.L. 102-569) which amend the Rehabilitation Act of 1973, Department of Human Services – Office of Rehabilitation Services (DHS-ORS) shall cooperate with the Rehabilit…

Section 640.20 Eligibility Determinations 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 determinat…

Section 640.30 Referral to Approved PWIs by DHS-ORS 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 cu…

Section 650.10 Definitions "Active participation" means involvement of the Illinois Committee of Blind Vendors, and negotiation between the Department of Human Services-Division of Rehabilitation Services (DHS-DRS) and ICBV in administrative matters of a major type. "Active parti…

Section 650.100 Business Practices 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 6…

Section 650.110 Disciplinary Procedures for Vendors a) Disciplinary actions shall include the following: 1) oral reprimand; 2) written reprimand; 3) suspension; 4) loss of facility; and 5) termination of license. b) Any time discipline is imposed, the vendor shall be advised of t…

Section 650.120 Disciplinary Procedures for VR Customers in Initial Training 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 …

Section 650.130 Grievance Procedures for Vendors 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 …

Section 650.140 Set-Aside Funds 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 col…

Section 650.150 Leaves of Absence a) Medical Leaves 1) Medical leaves of five facility business days or less do not require medical documentation; however, the vendor is responsible for ensuring that a trained replacement is operating at the facility. 2) Medical leaves over five …

Section 650.160 Vending Facilities in Rest Area 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 c…

Section 650.20 Rights and Responsibilities of DHS-DRS as State Licensing Agency DHS-DRS, as State licensing agency, shall: a) develop policies with the active participation of ICBV, implement policies and procedures, and provide staff, funds, and any Program servicing agreement n…

Section 650.30 Rights and Responsibilities of Vendors in the Program 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 Il…

Section 650.40 Illinois Committee of Blind Vendors 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…

Section 650.50 Program Eligibility Requirements 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 b…

Section 650.60 Training 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…

Section 650.70 Certification of Vendors 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 650.80 Licensing of Vendors 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 managemen…

Section 650.90 Awarding of Facilities 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 re…

Section 679.10 General Provisions 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 (ADL…

Section 679.20 Composition of the DON 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, a…

Section 679.30 Scoring of the DON Except for Respite Cases 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…

Section 679.40 Scoring the DON for Respite Cases In order to be eligible for respite services, the individual must receive 29 points in Part A of the DON, which includes the 10 points from the Mini-Mental Status Examination, as appropriate. No points are necessary in Part B as re…

Section 679.50 Service Cost Maximums (SCMs) a) For each individual meeting the minimum required DON scores for eligibility (see 89 Ill. Adm. Code 682), there is a corresponding Service Cost Maximum (SCM) for his/her DON score which is the maximum amount that may be expended for s…

Section 681.10 Who Must be Prescreened Per Department of Public Aid (DPA) rules found at 89 Ill. Adm. Code 140.642, certain individuals ages 18 through 59 who are not determined to be developmentally disabled or classified with severe mental illness as determined through completi…

Section 681.20 DHS Prescreening Responsibilities a) Pursuant to Section 2-201.5 of the Nursing Home Care Act [210 ILCS 45], DHS must prescreen any individual, as described in Section 681.10, who seeks admission to a nursing facility. b) DHS Home Services Program does not prescree…

Section 681.30 Prescreening Process The Prescreening process is the completion of the DON and reporting of the results. The DON, completed by the counselor or appropriate representative of a cooperating social service agency/hospital who has been trained by DHS or DoA, measures t…

Section 681.35 Assessment Validity Period and Customer Rights A prescreening shall be valid for a period of 90 calendar days from the date of completion. The individual who is prescreened shall be informed of: a) the availability of services through the Home Services Program, if …

Section 681.40 Time Frames a) If a request for a prescreening is received by DHS from a social service agency/hospital which is providing DHS with customer information including a DON score, the counselor must act on the request within 2 working days. b) If a request for prescree…

Section 681.50 Outcome of Prescreening Process As a result of the Prescreening, the individual will be determined as: a) eligible for nursing facility placement and therefore eligible to consider HSP as an alternative to institutional care; or b) ineligible for nursing facility p…

Section 681.60 Certification of Prescreening Results a) After the prescreening is completed, if the customer has chosen institutional placement, the counselor must complete an Inter-Agency Certification of Screening Results For Long Term Care (DPA:2536) form and an OBRA 1 ID Scre…

Section 681.70 Necessity of Prescreening It is not required that an individual undergo prescreening to apply for HSP services. Prescreening is only required when institutionalization is being considered as a placement for the individual.

Section 684.10 Service Plan a) All services provided to a Customer through HSP must be necessary to meet an unmet care need of the individual or to provide relief to the caregiver for Customers eligible for respite care services and listed on an HSP Service Plan that is developed…

Section 684.100 Denial or Termination of HSP Services HSP services shall be denied or terminated and case closure initiated at any time the Customer: a) moves from the State of Illinois or cannot be located or contacted; b) is determined to have a projected service cost above tha…

Section 684.20 Procuring an Appropriate Service Provider a) The counselor is responsible for identifying the appropriate level of service provider based on the Customer's level of service need, the Customer's ability to manage service delivery and the Customer's approval of the i…

Section 684.30 Family Members as Service Providers a) The following individuals shall not be paid through HSP to be a Customer's service provider. 1) The Customer's legally responsible family members (89 Ill. Adm. Code 676.30), including the Customer's spouse, a parent of a child…

Section 684.40 Distribution of the Service Plan A copy of the approved HSP Service Plan for the Customer must be given to the Customer and each service provider, and a copy must be retained for the Customer's case file. (Source: Amended at 41 Ill. Reg. 8446, effective August 1, 2…

Section 684.50 Service Plan Content The HSP Service Plan shall include: a) the type of services to be provided to the Customer; b) the specific tasks involved; c) the frequency with which the specific tasks are to be provided; d) the number of hours each task is to be provided pe…

Section 684.60 Provision of Services a) Except as provided in subsection (b) services shall not be provided to an eligible individual when he/she is: 1) hospitalized; 2) in a skilled nursing facility or intermediate care facility; 3) not residing in his/her home or non-institutio…

Section 684.70 Service Planning Limitations a) For customers served under a Medicaid Waiver program administered by DHS-DRS, all services listed on the Service Plan must be necessary to meet an unmet care need of the individual or, for respite cases, to provide relief to the care…

Section 684.75 Required Physician's Certification of HSP Service Plan (Repealed) (Source: Repealed at 38 Ill. Reg. 16973, effective July 25, 2014)

Section 684.80 Interim Services Prior to determination of eligibility (see 89 Ill. Adm. Code 682), the customer may receive interim services while an official determination of eligibility (see 89 Ill. Adm. Code 682) is being completed if enough information exists to presumptively…

Section 684.90 Coordination of HSP and Other Services a) No HSP services may be provided to an individual who is a student under the age of 21 during the hours covered by the individual's Individualized Education Plan (IEP). Services for which the customer is determined eligible …

Section 688.10 Authority and Purpose a) In conjunction with the Illinois Department on Aging, the Illinois Department of Insurance, and the Illinois Department of Public Aid, this Part is promulgated pursuant to Public Act 87-163, the Partnership for Long-Term Care Act. b) The pu…