94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006
SB0987

 

Introduced 2/18/2005, by Sen. Carol Ronen - Emil Jones, Jr.

 

SYNOPSIS AS INTRODUCED:
 
325 ILCS 20/11   from Ch. 23, par. 4161

    Amends the Early Intervention Services System Act. Makes a technical change in a Section concerning family service plans.


LRB094 04664 DRJ 34693 b

 

 

A BILL FOR

 

SB0987 LRB094 04664 DRJ 34693 b

1     AN ACT concerning children.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The Early Intervention Services System Act is
5 amended by changing Section 11 as follows:
 
6     (325 ILCS 20/11)  (from Ch. 23, par. 4161)
7     Sec. 11. Individualized Family Service Plans.
8     (a) Each eligible infant or toddler and and that infant's
9 or toddler's family shall receive:
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
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
22     developmental needs of the infant or toddler, and shall
23     include the identification of services appropriate to meet
24     those needs, including the frequency, intensity, and
25     method of delivering services. During and as part of the
26     initial development of the individualized family services
27     plan, and any periodic reviews of the plan, the
28     multidisciplinary team shall consult the lead agency's
29     therapy guidelines and its designated experts, if any, to
30     help determine appropriate services and the frequency and
31     intensity of those services. All services in the
32     individualized family services plan must be justified by

 

 

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1     the multidisciplinary assessment of the unique strengths
2     and needs of the infant or toddler and must be appropriate
3     to meet those needs. At the periodic reviews, the team
4     shall determine whether modification or revision of the
5     outcomes or services is necessary.
6     (b) The Individualized Family Service Plan shall be
7 evaluated once a year and the family shall be provided a review
8 of the Plan at 6 month intervals or more often where
9 appropriate based on infant or toddler and family needs. The
10 lead agency shall create a quality review process regarding
11 Individualized Family Service Plan development and changes
12 thereto, to monitor and help assure that resources are being
13 used to provide appropriate early intervention services.
14     (c) The evaluation and initial assessment and initial Plan
15 meeting must be held within 45 days after the initial contact
16 with the early intervention services system. With parental
17 consent, early intervention services may commence before the
18 completion of the comprehensive assessment and development of
19 the Plan.
20     (d) Parents must be informed that, at their discretion,
21 early intervention services shall be provided to each eligible
22 infant and toddler in the natural environment, which may
23 include the home or other community settings. Parents shall
24 make the final decision to accept or decline early intervention
25 services. A decision to decline such services shall not be a
26 basis for administrative determination of parental fitness, or
27 other findings or sanctions against the parents. Parameters of
28 the Plan shall be set forth in rules.
29     (e) The regional intake offices shall explain to each
30 family, orally and in writing, all of the following:
31         (1) That the early intervention program will pay for
32     all early intervention services set forth in the
33     individualized family service plan that are not covered or
34     paid under the family's public or private insurance plan or
35     policy and not eligible for payment through any other third
36     party payor.

 

 

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1         (2) That services will not be delayed due to any rules
2     or restrictions under the family's insurance plan or
3     policy.
4         (3) That the family may request, with appropriate
5     documentation supporting the request, a determination of
6     an exemption from private insurance use under Section
7     13.25.
8         (4) That responsibility for co-payments or
9     co-insurance under a family's private insurance plan or
10     policy will be transferred to the lead agency's central
11     billing office.
12         (5) That families will be responsible for payments of
13     family fees, which will be based on a sliding scale
14     according to income, and that these fees are payable to the
15     central billing office, and that if the family encounters a
16     catastrophic circumstance, as defined under subsection (f)
17     of Section 13 of this Act, making it unable to pay the
18     fees, the lead agency may, upon proof of inability to pay,
19     waive the fees.
20     (f) The individualized family service plan must state
21 whether the family has private insurance coverage and, if the
22 family has such coverage, must have attached to it a copy of
23 the family's insurance identification card or otherwise
24 include all of the following information:
25         (1) The name, address, and telephone number of the
26     insurance carrier.
27         (2) The contract number and policy number of the
28     insurance plan.
29         (3) The name, address, and social security number of
30     the primary insured.
31         (4) The beginning date of the insurance benefit year.
32     (g) A copy of the individualized family service plan must
33 be provided to each enrolled provider who is providing early
34 intervention services to the child who is the subject of that
35 plan.
36 (Source: P.A. 91-538, eff. 8-13-99; 92-10, eff. 6-11-01;

 

 

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1 92-307, eff. 8-9-01; 92-651, eff. 7-11-02.)