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1 | | AN ACT concerning State government.
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2 | | Be it enacted by the People of the State of Illinois,
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3 | | represented in the General Assembly:
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4 | | Section 5. The Illinois Act on the Aging is amended by |
5 | | changing Section 4.02 as follows:
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6 | | (20 ILCS 105/4.02) (from Ch. 23, par. 6104.02)
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7 | | Sec. 4.02. Community Care Program. The Department shall |
8 | | establish a program of services to
prevent unnecessary |
9 | | institutionalization of persons age 60 and older in
need of |
10 | | long term care or who are established as persons who suffer |
11 | | from
Alzheimer's disease or a related disorder under the |
12 | | Alzheimer's Disease
Assistance Act, thereby enabling them
to |
13 | | remain in their own homes or in other living arrangements. Such
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14 | | preventive services, which may be coordinated with other |
15 | | programs for the
aged and monitored by area agencies on aging |
16 | | in cooperation with the
Department, may include, but are not |
17 | | limited to, any or all of the following:
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18 | | (a) (blank);
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19 | | (b) (blank);
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20 | | (c) home care aide services;
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21 | | (d) personal assistant services;
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22 | | (e) adult day services;
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23 | | (f) home-delivered meals;
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1 | | (g) education in self-care;
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2 | | (h) personal care services;
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3 | | (i) adult day health services;
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4 | | (j) habilitation services;
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5 | | (k) respite care;
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6 | | (k-5) community reintegration services;
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7 | | (k-6) flexible senior services; |
8 | | (k-7) medication management; |
9 | | (k-8) emergency home response;
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10 | | (l) other nonmedical social services that may enable |
11 | | the person
to become self-supporting; or
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12 | | (m) clearinghouse for information provided by senior |
13 | | citizen home owners
who want to rent rooms to or share |
14 | | living space with other senior citizens.
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15 | | The Department shall establish eligibility standards for |
16 | | such
services. In determining the amount and nature of services
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17 | | for which a person may qualify, consideration shall not be |
18 | | given to the
value of cash, property or other assets held in |
19 | | the name of the person's
spouse pursuant to a written agreement |
20 | | dividing marital property into equal
but separate shares or |
21 | | pursuant to a transfer of the person's interest in a
home to |
22 | | his spouse, provided that the spouse's share of the marital
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23 | | property is not made available to the person seeking such |
24 | | services.
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25 | | Beginning January 1, 2008, the Department shall require as |
26 | | a condition of eligibility that all new financially eligible |
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1 | | applicants apply for and enroll in medical assistance under |
2 | | Article V of the Illinois Public Aid Code in accordance with |
3 | | rules promulgated by the Department.
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4 | | The Department shall, in conjunction with the Department of |
5 | | Public Aid (now Department of Healthcare and Family Services),
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6 | | seek appropriate amendments under Sections 1915 and 1924 of the |
7 | | Social
Security Act. The purpose of the amendments shall be to |
8 | | extend eligibility
for home and community based services under |
9 | | Sections 1915 and 1924 of the
Social Security Act to persons |
10 | | who transfer to or for the benefit of a
spouse those amounts of |
11 | | income and resources allowed under Section 1924 of
the Social |
12 | | Security Act. Subject to the approval of such amendments, the
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13 | | Department shall extend the provisions of Section 5-4 of the |
14 | | Illinois
Public Aid Code to persons who, but for the provision |
15 | | of home or
community-based services, would require the level of |
16 | | care provided in an
institution, as is provided for in federal |
17 | | law. Those persons no longer
found to be eligible for receiving |
18 | | noninstitutional services due to changes
in the eligibility |
19 | | criteria shall be given 45 days notice prior to actual
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20 | | termination. Those persons receiving notice of termination may |
21 | | contact the
Department and request the determination be |
22 | | appealed at any time during the
45 day notice period. The |
23 | | target
population identified for the purposes of this Section |
24 | | are persons age 60
and older with an identified service need. |
25 | | Priority shall be given to those
who are at imminent risk of |
26 | | institutionalization. The services shall be
provided to |
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1 | | eligible persons age 60 and older to the extent that the cost
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2 | | of the services together with the other personal maintenance
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3 | | expenses of the persons are reasonably related to the standards
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4 | | established for care in a group facility appropriate to the |
5 | | person's
condition. These non-institutional services, pilot |
6 | | projects or
experimental facilities may be provided as part of |
7 | | or in addition to
those authorized by federal law or those |
8 | | funded and administered by the
Department of Human Services. |
9 | | The Departments of Human Services, Healthcare and Family |
10 | | Services,
Public Health, Veterans' Affairs, and Commerce and |
11 | | Economic Opportunity and
other appropriate agencies of State, |
12 | | federal and local governments shall
cooperate with the |
13 | | Department on Aging in the establishment and development
of the |
14 | | non-institutional services. The Department shall require an |
15 | | annual
audit from all personal assistant
and home care aide |
16 | | vendors contracting with
the Department under this Section. The |
17 | | annual audit shall assure that each
audited vendor's procedures |
18 | | are in compliance with Department's financial
reporting |
19 | | guidelines requiring an administrative and employee wage and |
20 | | benefits cost split as defined in administrative rules. The |
21 | | audit is a public record under
the Freedom of Information Act. |
22 | | The Department shall execute, relative to
the nursing home |
23 | | prescreening project, written inter-agency
agreements with the |
24 | | Department of Human Services and the Department
of Healthcare |
25 | | and Family Services, to effect the following: (1) intake |
26 | | procedures and common
eligibility criteria for those persons |
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1 | | who are receiving non-institutional
services; and (2) the |
2 | | establishment and development of non-institutional
services in |
3 | | areas of the State where they are not currently available or |
4 | | are
undeveloped. On and after July 1, 1996, all nursing home |
5 | | prescreenings for
individuals 60 years of age or older shall be |
6 | | conducted by the Department.
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7 | | As part of the Department on Aging's routine training of |
8 | | case managers and case manager supervisors, the Department may |
9 | | include information on family futures planning for persons who |
10 | | are age 60 or older and who are caregivers of their adult |
11 | | children with developmental disabilities. The content of the |
12 | | training shall be at the Department's discretion. |
13 | | The Department is authorized to establish a system of |
14 | | recipient copayment
for services provided under this Section, |
15 | | such copayment to be based upon
the recipient's ability to pay |
16 | | but in no case to exceed the actual cost of
the services |
17 | | provided. Additionally, any portion of a person's income which
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18 | | is equal to or less than the federal poverty standard shall not |
19 | | be
considered by the Department in determining the copayment. |
20 | | The level of
such copayment shall be adjusted whenever |
21 | | necessary to reflect any change
in the officially designated |
22 | | federal poverty standard.
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23 | | The Department, or the Department's authorized |
24 | | representative, may
recover the amount of moneys expended for |
25 | | services provided to or in
behalf of a person under this |
26 | | Section by a claim against the person's
estate or against the |
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1 | | estate of the person's surviving spouse, but no
recovery may be |
2 | | had until after the death of the surviving spouse, if
any, and |
3 | | then only at such time when there is no surviving child who
is |
4 | | under age 21 or blind or who has a permanent and total |
5 | | disability. This
paragraph, however, shall not bar recovery, at |
6 | | the death of the person, of
moneys for services provided to the |
7 | | person or in behalf of the person under
this Section to which |
8 | | the person was not entitled;
provided that such recovery shall |
9 | | not be enforced against any real estate while
it is occupied as |
10 | | a homestead by the surviving spouse or other dependent, if no
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11 | | claims by other creditors have been filed against the estate, |
12 | | or, if such
claims have been filed, they remain dormant for |
13 | | failure of prosecution or
failure of the claimant to compel |
14 | | administration of the estate for the purpose
of payment. This |
15 | | paragraph shall not bar recovery from the estate of a spouse,
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16 | | under Sections 1915 and 1924 of the Social Security Act and |
17 | | Section 5-4 of the
Illinois Public Aid Code, who precedes a |
18 | | person receiving services under this
Section in death. All |
19 | | moneys for services
paid to or in behalf of the person under |
20 | | this Section shall be claimed for
recovery from the deceased |
21 | | spouse's estate. "Homestead", as used
in this paragraph, means |
22 | | the dwelling house and
contiguous real estate occupied by a |
23 | | surviving spouse
or relative, as defined by the rules and |
24 | | regulations of the Department of Healthcare and Family |
25 | | Services, regardless of the value of the property.
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26 | | The Department shall increase the effectiveness of the |
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1 | | existing Community Care Program by: |
2 | | (1) ensuring that in-home services included in the care |
3 | | plan are available on evenings and weekends; |
4 | | (2) ensuring that care plans contain the services that |
5 | | eligible participants
need based on the number of days in a |
6 | | month, not limited to specific blocks of time, as |
7 | | identified by the comprehensive assessment tool selected |
8 | | by the Department for use statewide, not to exceed the |
9 | | total monthly service cost maximum allowed for each |
10 | | service; the Department shall develop administrative rules |
11 | | to implement this item (2); |
12 | | (3) ensuring that the participants have the right to |
13 | | choose the services contained in their care plan and to |
14 | | direct how those services are provided, based on |
15 | | administrative rules established by the Department; |
16 | | (4) ensuring that the determination of need tool is |
17 | | accurate in determining the participants' level of need; to |
18 | | achieve this, the Department, in conjunction with the Older |
19 | | Adult Services Advisory Committee, shall institute a study |
20 | | of the relationship between the Determination of Need |
21 | | scores, level of need, service cost maximums, and the |
22 | | development and utilization of service plans no later than |
23 | | May 1, 2008; findings and recommendations shall be |
24 | | presented to the Governor and the General Assembly no later |
25 | | than January 1, 2009; recommendations shall include all |
26 | | needed changes to the service cost maximums schedule and |
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1 | | additional covered services; |
2 | | (5) ensuring that homemakers can provide personal care |
3 | | services that may or may not involve contact with clients, |
4 | | including but not limited to: |
5 | | (A) bathing; |
6 | | (B) grooming; |
7 | | (C) toileting; |
8 | | (D) nail care; |
9 | | (E) transferring; |
10 | | (F) respiratory services; |
11 | | (G) exercise; or |
12 | | (H) positioning; |
13 | | (6) ensuring that homemaker program vendors are not |
14 | | restricted from hiring homemakers who are family members of |
15 | | clients or recommended by clients; the Department may not, |
16 | | by rule or policy, require homemakers who are family |
17 | | members of clients or recommended by clients to accept |
18 | | assignments in homes other than the client; |
19 | | (7) ensuring that the State may access maximum federal |
20 | | matching funds by seeking approval for the Centers for |
21 | | Medicare and Medicaid Services for modifications to the |
22 | | State's home and community based services waiver and |
23 | | additional waiver opportunities, including applying for |
24 | | enrollment in the Balance Incentive Payment Program by May |
25 | | 1, 2013, in order to maximize federal matching funds; this |
26 | | shall include, but not be limited to, modification that |
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1 | | reflects all changes in the Community Care Program services |
2 | | and all increases in the services cost maximum; |
3 | | (8) ensuring that the determination of need tool |
4 | | accurately reflects the service needs of individuals with |
5 | | Alzheimer's disease and related dementia disorders; |
6 | | (9) ensuring that services are authorized accurately |
7 | | and consistently for the Community Care Program (CCP); the |
8 | | Department shall implement a Service Authorization policy |
9 | | directive; the purpose shall be to ensure that eligibility |
10 | | and services are authorized accurately and consistently in |
11 | | the CCP program; the policy directive shall clarify service |
12 | | authorization guidelines to Care Coordination Units and |
13 | | Community Care Program providers no later than May 1, 2013; |
14 | | (10) working in conjunction with Care Coordination |
15 | | Units, the Department of Healthcare and Family Services, |
16 | | the Department of Human Services, Community Care Program |
17 | | providers, and other stakeholders to make improvements to |
18 | | the Medicaid claiming processes and the Medicaid |
19 | | enrollment procedures or requirements as needed, |
20 | | including, but not limited to, specific policy changes or |
21 | | rules to improve the up-front enrollment of participants in |
22 | | the Medicaid program and specific policy changes or rules |
23 | | to insure more prompt submission of bills to the federal |
24 | | government to secure maximum federal matching dollars as |
25 | | promptly as possible; the Department on Aging shall have at |
26 | | least 3 meetings with stakeholders by January 1, 2014 in |
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1 | | order to address these improvements; |
2 | | (11) requiring home care service providers to comply |
3 | | with the rounding of hours worked provisions under the |
4 | | federal Fair Labor Standards Act (FLSA) and as set forth in |
5 | | 29 CFR 785.48(b) by May 1, 2013; |
6 | | (12) implementing any necessary policy changes or |
7 | | promulgating any rules, no later than January 1, 2014, to |
8 | | assist the Department of Healthcare and Family Services in |
9 | | moving as many participants as possible, consistent with |
10 | | federal regulations, into coordinated care plans if a care |
11 | | coordination plan that covers long term care is available |
12 | | in the recipient's area; and |
13 | | (13) maintaining fiscal year 2014 rates at the same |
14 | | level established on January 1, 2013. |
15 | | By January 1, 2009 or as soon after the end of the Cash and |
16 | | Counseling Demonstration Project as is practicable, the |
17 | | Department may, based on its evaluation of the demonstration |
18 | | project, promulgate rules concerning personal assistant |
19 | | services, to include, but need not be limited to, |
20 | | qualifications, employment screening, rights under fair labor |
21 | | standards, training, fiduciary agent, and supervision |
22 | | requirements. All applicants shall be subject to the provisions |
23 | | of the Health Care Worker Background Check Act.
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24 | | The Department shall develop procedures to enhance |
25 | | availability of
services on evenings, weekends, and on an |
26 | | emergency basis to meet the
respite needs of caregivers. |
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1 | | Procedures shall be developed to permit the
utilization of |
2 | | services in successive blocks of 24 hours up to the monthly
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3 | | maximum established by the Department. Workers providing these |
4 | | services
shall be appropriately trained.
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5 | | Beginning on the effective date of this amendatory Act of |
6 | | 1991, no person
may perform chore/housekeeping and home care |
7 | | aide services under a program
authorized by this Section unless |
8 | | that person has been issued a certificate
of pre-service to do |
9 | | so by his or her employing agency. Information
gathered to |
10 | | effect such certification shall include (i) the person's name,
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11 | | (ii) the date the person was hired by his or her current |
12 | | employer, and
(iii) the training, including dates and levels. |
13 | | Persons engaged in the
program authorized by this Section |
14 | | before the effective date of this
amendatory Act of 1991 shall |
15 | | be issued a certificate of all pre- and
in-service training |
16 | | from his or her employer upon submitting the necessary
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17 | | information. The employing agency shall be required to retain |
18 | | records of
all staff pre- and in-service training, and shall |
19 | | provide such records to
the Department upon request and upon |
20 | | termination of the employer's contract
with the Department. In |
21 | | addition, the employing agency is responsible for
the issuance |
22 | | of certifications of in-service training completed to their
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23 | | employees.
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24 | | The Department is required to develop a system to ensure |
25 | | that persons
working as home care aides and personal assistants
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26 | | receive increases in their
wages when the federal minimum wage |
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1 | | is increased by requiring vendors to
certify that they are |
2 | | meeting the federal minimum wage statute for home care aides
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3 | | and personal assistants. An employer that cannot ensure that |
4 | | the minimum
wage increase is being given to home care aides and |
5 | | personal assistants
shall be denied any increase in |
6 | | reimbursement costs. On July 1, 2018, rates shall be increased |
7 | | to $19.89 per hour, for the purpose of increasing, by at least |
8 | | $1 per hour, the wages paid by those vendors to their employees |
9 | | who provide homemaker services. This wage increase shall be a |
10 | | new wage increase implemented on July 1, 2018. On July 1, 2019, |
11 | | rates shall be increased to $21.49 per hour, for the purpose of |
12 | | increasing, by at least $1 per hour, the wages paid by those |
13 | | vendors to their employees who provide homemaker services. This |
14 | | wage increase shall be a new wage increase implemented on July |
15 | | 1, 2019. On July 1, 2020, rates shall be increased to $23.09 |
16 | | per hour, for the purpose of increasing, by at least $1 per |
17 | | hour, the wages paid by those vendors to their employees who |
18 | | provide homemaker services. This wage increase shall be a new |
19 | | wage increase implemented on July 1, 2020. On July 1, 2021, |
20 | | rates shall be increased to $24.69 per hour, for the purpose of |
21 | | increasing, by at least $1 per hour, the wages paid by those |
22 | | vendors to their employees who provide homemaker services. This |
23 | | wage increase shall be a new wage increase implemented on July |
24 | | 1, 2021. Fringe benefits, including, but not limited to, any |
25 | | paid time off or payments for training, health insurance, |
26 | | travel, or transportation shall not be reduced in relation to |
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1 | | the rate increases established in this paragraph.
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2 | | The Community Care Program Advisory Committee is created in |
3 | | the Department on Aging. The Director shall appoint individuals |
4 | | to serve in the Committee, who shall serve at their own |
5 | | expense. Members of the Committee must abide by all applicable |
6 | | ethics laws. The Committee shall advise the Department on |
7 | | issues related to the Department's program of services to |
8 | | prevent unnecessary institutionalization. The Committee shall |
9 | | meet on a bi-monthly basis and shall serve to identify and |
10 | | advise the Department on present and potential issues affecting |
11 | | the service delivery network, the program's clients, and the |
12 | | Department and to recommend solution strategies. Persons |
13 | | appointed to the Committee shall be appointed on, but not |
14 | | limited to, their own and their agency's experience with the |
15 | | program, geographic representation, and willingness to serve. |
16 | | The Director shall appoint members to the Committee to |
17 | | represent provider, advocacy, policy research, and other |
18 | | constituencies committed to the delivery of high quality home |
19 | | and community-based services to older adults. Representatives |
20 | | shall be appointed to ensure representation from community care |
21 | | providers including, but not limited to, adult day service |
22 | | providers, homemaker providers, case coordination and case |
23 | | management units, emergency home response providers, statewide |
24 | | trade or labor unions that represent home care
aides and direct |
25 | | care staff, area agencies on aging, adults over age 60, |
26 | | membership organizations representing older adults, and other |
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1 | | organizational entities, providers of care, or individuals |
2 | | with demonstrated interest and expertise in the field of home |
3 | | and community care as determined by the Director. |
4 | | Nominations may be presented from any agency or State |
5 | | association with interest in the program. The Director, or his |
6 | | or her designee, shall serve as the permanent co-chair of the |
7 | | advisory committee. One other co-chair shall be nominated and |
8 | | approved by the members of the committee on an annual basis. |
9 | | Committee members' terms of appointment shall be for 4 years |
10 | | with one-quarter of the appointees' terms expiring each year. A |
11 | | member shall continue to serve until his or her replacement is |
12 | | named. The Department shall fill vacancies that have a |
13 | | remaining term of over one year, and this replacement shall |
14 | | occur through the annual replacement of expiring terms. The |
15 | | Director shall designate Department staff to provide technical |
16 | | assistance and staff support to the committee. Department |
17 | | representation shall not constitute membership of the |
18 | | committee. All Committee papers, issues, recommendations, |
19 | | reports, and meeting memoranda are advisory only. The Director, |
20 | | or his or her designee, shall make a written report, as |
21 | | requested by the Committee, regarding issues before the |
22 | | Committee.
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23 | | The Department on Aging and the Department of Human |
24 | | Services
shall cooperate in the development and submission of |
25 | | an annual report on
programs and services provided under this |
26 | | Section. Such joint report
shall be filed with the Governor and |
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1 | | the General Assembly on or before
September 30 each year.
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2 | | The requirement for reporting to the General Assembly shall |
3 | | be satisfied
by filing copies of the report with the Speaker, |
4 | | the Minority Leader and
the Clerk of the House of |
5 | | Representatives and the President, the Minority
Leader and the |
6 | | Secretary of the Senate and the Legislative Research Unit,
as |
7 | | required by Section 3.1 of the General Assembly Organization |
8 | | Act and
filing such additional copies with the State Government |
9 | | Report Distribution
Center for the General Assembly as is |
10 | | required under paragraph (t) of
Section 7 of the State Library |
11 | | Act.
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12 | | Those persons previously found eligible for receiving |
13 | | non-institutional
services whose services were discontinued |
14 | | under the Emergency Budget Act of
Fiscal Year 1992, and who do |
15 | | not meet the eligibility standards in effect
on or after July |
16 | | 1, 1992, shall remain ineligible on and after July 1,
1992. |
17 | | Those persons previously not required to cost-share and who |
18 | | were
required to cost-share effective March 1, 1992, shall |
19 | | continue to meet
cost-share requirements on and after July 1, |
20 | | 1992. Beginning July 1, 1992,
all clients will be required to |
21 | | meet
eligibility, cost-share, and other requirements and will |
22 | | have services
discontinued or altered when they fail to meet |
23 | | these requirements. |
24 | | For the purposes of this Section, "flexible senior |
25 | | services" refers to services that require one-time or periodic |
26 | | expenditures including, but not limited to, respite care, home |
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1 | | modification, assistive technology, housing assistance, and |
2 | | transportation.
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3 | | The Department shall implement an electronic service |
4 | | verification based on global positioning systems or other |
5 | | cost-effective technology for the Community Care Program no |
6 | | later than January 1, 2014. |
7 | | The Department shall require, as a condition of |
8 | | eligibility, enrollment in the medical assistance program |
9 | | under Article V of the Illinois Public Aid Code (i) beginning |
10 | | August 1, 2013, if the Auditor General has reported that the |
11 | | Department has failed
to comply with the reporting requirements |
12 | | of Section 2-27 of
the Illinois State Auditing Act; or (ii) |
13 | | beginning June 1, 2014, if the Auditor General has reported |
14 | | that the
Department has not undertaken the required actions |
15 | | listed in
the report required by subsection (a) of Section 2-27 |
16 | | of the
Illinois State Auditing Act. |
17 | | The Department shall delay Community Care Program services |
18 | | until an applicant is determined eligible for medical |
19 | | assistance under Article V of the Illinois Public Aid Code (i) |
20 | | beginning August 1, 2013, if the Auditor General has reported |
21 | | that the Department has failed
to comply with the reporting |
22 | | requirements of Section 2-27 of
the Illinois State Auditing |
23 | | Act; or (ii) beginning June 1, 2014, if the Auditor General has |
24 | | reported that the
Department has not undertaken the required |
25 | | actions listed in
the report required by subsection (a) of |
26 | | Section 2-27 of the
Illinois State Auditing Act. |
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1 | | The Department shall implement co-payments for the |
2 | | Community Care Program at the federally allowable maximum level |
3 | | (i) beginning August 1, 2013, if the Auditor General has |
4 | | reported that the Department has failed
to comply with the |
5 | | reporting requirements of Section 2-27 of
the Illinois State |
6 | | Auditing Act; or (ii) beginning June 1, 2014, if the Auditor |
7 | | General has reported that the
Department has not undertaken the |
8 | | required actions listed in
the report required by subsection |
9 | | (a) of Section 2-27 of the
Illinois State Auditing Act. |
10 | | The Department shall provide a bi-monthly report on the |
11 | | progress of the Community Care Program reforms set forth in |
12 | | this amendatory Act of the 98th General Assembly to the |
13 | | Governor, the Speaker of the House of Representatives, the |
14 | | Minority Leader of the House of Representatives, the
President |
15 | | of the
Senate, and the Minority Leader of the Senate. |
16 | | The Department shall conduct a quarterly review of Care |
17 | | Coordination Unit performance and adherence to service |
18 | | guidelines. The quarterly review shall be reported to the |
19 | | Speaker of the House of Representatives, the Minority Leader of |
20 | | the House of Representatives, the
President of the
Senate, and |
21 | | the Minority Leader of the Senate. The Department shall collect |
22 | | and report longitudinal data on the performance of each care |
23 | | coordination unit. Nothing in this paragraph shall be construed |
24 | | to require the Department to identify specific care |
25 | | coordination units. |
26 | | In regard to community care providers, failure to comply |
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1 | | with Department on Aging policies shall be cause for |
2 | | disciplinary action, including, but not limited to, |
3 | | disqualification from serving Community Care Program clients. |
4 | | Each provider, upon submission of any bill or invoice to the |
5 | | Department for payment for services rendered, shall include a |
6 | | notarized statement, under penalty of perjury pursuant to |
7 | | Section 1-109 of the Code of Civil Procedure, that the provider |
8 | | has complied with all Department policies. |
9 | | The Director of the Department on Aging shall make |
10 | | information available to the State Board of Elections as may be |
11 | | required by an agreement the State Board of Elections has |
12 | | entered into with a multi-state voter registration list |
13 | | maintenance system. |
14 | | Within 30 days after the effective date of this amendatory |
15 | | Act of the 100th General Assembly, rates shall be increased to |
16 | | $18.29 per hour, for the purpose of increasing, by at least |
17 | | $.72 per hour, the wages paid by those vendors to their |
18 | | employees who provide homemaker services. The Department shall |
19 | | pay an enhanced rate under the Community Care Program to those |
20 | | in-home service provider agencies that offer health insurance |
21 | | coverage as a benefit to their direct service worker employees |
22 | | consistent with the mandates of Public Act 95-713. For State |
23 | | fiscal year 2018, the enhanced rate shall be $1.77 per hour. |
24 | | The rate shall be adjusted using actuarial analysis based on |
25 | | the cost of care, but shall not be set below $1.77 per hour. |
26 | | The Department shall adopt rules, including emergency rules |