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1 | AN ACT concerning children.
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2 | Be it enacted by the People of the State of Illinois, | |||||||||||||||||||
3 | represented in the General Assembly:
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4 | Section 5. The Early Intervention Services System Act is | |||||||||||||||||||
5 | amended by changing Section 11 as follows:
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6 | (325 ILCS 20/11) (from Ch. 23, par. 4161)
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7 | Sec. 11. Individualized Family Service Plans.
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8 | (a) Each eligible infant or toddler and
and that infant's | |||||||||||||||||||
9 | or toddler's family
shall receive:
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10 | (1) timely, comprehensive, multidisciplinary | |||||||||||||||||||
11 | assessment of the unique
needs of each eligible infant and | |||||||||||||||||||
12 | toddler, and assessment of the concerns
and priorities of | |||||||||||||||||||
13 | the families to appropriately assist them in meeting
their | |||||||||||||||||||
14 | needs and identify services to meet those needs; and
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15 | (2) a written Individualized Family Service Plan | |||||||||||||||||||
16 | developed by a
multidisciplinary team which includes the | |||||||||||||||||||
17 | parent or guardian. The
individualized family service plan | |||||||||||||||||||
18 | shall be based on the
multidisciplinary team's assessment | |||||||||||||||||||
19 | of the resources, priorities,
and concerns of the family | |||||||||||||||||||
20 | and its identification of the supports
and services | |||||||||||||||||||
21 | necessary to enhance the family's capacity to meet the
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22 | developmental needs of the infant or toddler, and shall | |||||||||||||||||||
23 | include the
identification of services appropriate to meet |
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1 | those needs, including the
frequency, intensity, and | ||||||
2 | method of delivering services. During and as part of
the | ||||||
3 | initial development of the individualized family services | ||||||
4 | plan, and any
periodic reviews of the plan, the | ||||||
5 | multidisciplinary team shall consult the lead
agency's | ||||||
6 | therapy guidelines and its designated experts, if any, to | ||||||
7 | help
determine appropriate services and the frequency and | ||||||
8 | intensity of those
services. All services in the | ||||||
9 | individualized family services plan must be
justified by | ||||||
10 | the multidisciplinary assessment of the unique strengths | ||||||
11 | and
needs of the infant or toddler and must be appropriate | ||||||
12 | to meet those needs.
At the periodic reviews, the team | ||||||
13 | shall determine whether modification or
revision of the | ||||||
14 | outcomes or services is necessary.
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15 | (b) The Individualized Family Service Plan shall be | ||||||
16 | evaluated once a year
and the family shall be provided a review | ||||||
17 | of the Plan at 6 month intervals or
more often where | ||||||
18 | appropriate based on infant or toddler and family needs.
The | ||||||
19 | lead agency shall create a quality review process regarding | ||||||
20 | Individualized
Family Service Plan development and changes | ||||||
21 | thereto, to monitor
and help assure that resources are being | ||||||
22 | used to provide appropriate early
intervention services.
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23 | (c) The evaluation and initial assessment and initial
Plan | ||||||
24 | meeting must be held within 45 days after the initial
contact | ||||||
25 | with the early intervention services system. With parental | ||||||
26 | consent,
early intervention services may commence before the |
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1 | completion of the
comprehensive assessment and development of | ||||||
2 | the Plan.
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3 | (d) Parents must be informed that, at their discretion, | ||||||
4 | early
intervention
services shall be provided to each eligible | ||||||
5 | infant and toddler in the natural
environment, which may | ||||||
6 | include the home or other community settings. Parents
shall | ||||||
7 | make
the final decision to accept or decline
early intervention | ||||||
8 | services. A decision to decline such services shall
not be a | ||||||
9 | basis for administrative determination of parental fitness, or
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10 | other findings or sanctions against the parents. Parameters of | ||||||
11 | the Plan
shall be set forth in rules.
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12 | (e) The regional intake offices shall explain to each | ||||||
13 | family, orally and
in
writing, all of the following:
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14 | (1) That the early intervention program will pay for | ||||||
15 | all early
intervention services set forth in the | ||||||
16 | individualized family service plan that
are not
covered or | ||||||
17 | paid under the family's public or private insurance plan or | ||||||
18 | policy
and not
eligible for payment through any other third | ||||||
19 | party payor.
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20 | (2) That services will not be delayed due to any rules | ||||||
21 | or restrictions
under the family's insurance plan or | ||||||
22 | policy.
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23 | (3) That the family may request, with appropriate | ||||||
24 | documentation
supporting the request, a
determination of | ||||||
25 | an exemption from private insurance use under
Section | ||||||
26 | 13.25.
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1 | (4) That responsibility for co-payments or
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2 | co-insurance under a family's private insurance
plan or | ||||||
3 | policy will be transferred to the lead
agency's central | ||||||
4 | billing office.
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5 | (5) That families will be responsible
for payments of | ||||||
6 | family fees,
which will be based on a sliding scale
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7 | according to income, and that these fees
are payable to the | ||||||
8 | central billing office,
and that if the family encounters a
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9 | catastrophic circumstance, as defined under subsection (f) | ||||||
10 | of Section 13 of
this Act, making it unable
to pay the | ||||||
11 | fees, the lead agency may, upon
proof of inability to pay, | ||||||
12 | waive the fees.
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13 | (f) The individualized family service plan must state | ||||||
14 | whether the family
has private insurance coverage and, if the | ||||||
15 | family has such coverage, must
have attached to it a copy of | ||||||
16 | the family's insurance identification card or
otherwise
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17 | include all of the following information:
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18 | (1) The name, address, and telephone number of the | ||||||
19 | insurance
carrier.
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20 | (2) The contract number and policy number of the | ||||||
21 | insurance plan.
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22 | (3) The name, address, and social security number of | ||||||
23 | the primary
insured.
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24 | (4) The beginning date of the insurance benefit year.
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25 | (g) A copy of the individualized family service plan must | ||||||
26 | be provided to
each enrolled provider who is providing early |
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1 | intervention services to the
child
who is the subject of that | ||||||
2 | plan.
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3 | (Source: P.A. 91-538, eff. 8-13-99; 92-10, eff. 6-11-01; | ||||||
4 | 92-307, eff. 8-9-01;
92-651, eff. 7-11-02.)
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