95TH GENERAL ASSEMBLY
State of Illinois
2007 and 2008
SB0920

 

Introduced 2/8/2007, by Sen. James T. Meeks - 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.


LRB095 05713 DRJ 25803 b

 

 

A BILL FOR

 

SB0920 LRB095 05713 DRJ 25803 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

 

 

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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.
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.
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.
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
10 other findings or sanctions against the parents. Parameters of
11 the Plan shall be set forth in rules.
12     (e) The regional intake offices shall explain to each
13 family, orally and in writing, all of the following:
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.
20         (2) That services will not be delayed due to any rules
21     or restrictions under the family's insurance plan or
22     policy.
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
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.
5         (5) That families will be responsible for payments of
6     family fees, which will be based on a sliding scale
7     according to income, and that these fees are payable to the
8     central billing office, and that if the family encounters a
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.
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
17 include all of the following information:
18         (1) The name, address, and telephone number of the
19     insurance carrier.
20         (2) The contract number and policy number of the
21     insurance plan.
22         (3) The name, address, and social security number of
23     the primary insured.
24         (4) The beginning date of the insurance benefit year.
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.
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.)