(210 ILCS 55/5) (from Ch. 111 1/2, par. 2805)

(Text of Section before amendment by P.A. 103-257)

Sec. 5. (a) Each application for a home health agency provisional license as provided in Section 4 shall contain the following information: (1) name, address and location of the agency; (2) organization and governing structure of agency; (3) number and qualification of staff; (4) sources of financing of services and agency; (5) service area; (6) patient load; (7) agency utilization; (8) service charges; (9) affiliation agreements with other health care providers; and (10) such other information as the Department may require.

(b) Applications for licenses to be effective on and after March 1, 1978, shall be in accordance with departmental regulations.

(Source: P.A. 80-804.)

(Text of Section after amendment by P.A. 103-257)

Sec. 5. (a) Each application for a provisional license for a home health agency, home services agency, home nursing agency, home services placement agency, or home nursing placement agency as provided in Section 4 shall contain the following information: (1) name, address and location of the agency; (2) organization and governing structure of agency; (3) number and qualification of staff; (4) sources of financing of services and agency; (5) service area; (6) patient load; (7) agency utilization; (8) service charges; (9) affiliation agreements with other health care providers; and (10) such other information as the Department may require.

(b) Applications for licenses shall be in accordance with departmental regulations.

(Source: P.A. 103-257, eff. 1-1-24.)