Illinois General Assembly

  Bills & Resolutions  
  Compiled Statutes  
  Public Acts  
  Legislative Reports  
  IL Constitution  
  Legislative Guide  
  Legislative Glossary  

 Search By Number
 (example: HB0001)
Search Tips

Search By Keyword

Illinois Compiled Statutes

 ILCS Listing   Public Acts  Search   Guide   Disclaimer

Information maintained by the Legislative Reference Bureau
Updating the database of the Illinois Compiled Statutes (ILCS) is an ongoing process. Recent laws may not yet be included in the ILCS database, but they are found on this site as Public Acts soon after they become law. For information concerning the relationship between statutes and Public Acts, refer to the Guide.

Because the statute database is maintained primarily for legislative drafting purposes, statutory changes are sometimes included in the statute database before they take effect. If the source note at the end of a Section of the statutes includes a Public Act that has not yet taken effect, the version of the law that is currently in effect may have already been removed from the database and you should refer to that Public Act to see the changes made to the current law.

20 ILCS 1705/54

    (20 ILCS 1705/54) (from Ch. 91 1/2, par. 100-54)
    Sec. 54. Establishment of rates for purchase of services.
    (a) It is the purpose of this Section to establish procedures for the development, calculation, and communication of rates promulgated by the Department for the purchase of services for persons with a developmental disability, and persons with mental illness; to require the promulgation of rules which specify the treatment of costs for purposes of establishing rates for various purchase care program categories; to require that rates be equitable, understandable, and established through an open, public process; and to require the delineation of where purchase care, grant-in-aid, and other payment mechanisms are most appropriately utilized. The Department's rate-setting policy should stimulate the development of cost effective, clinically appropriate, community-based residential, and other support services for recipients according to an annual statement of purchase care goals and objectives.
    (b) The Department shall establish rates in all instances where services are purchased by the Department for a specific recipient from a specific community service provider for which the Department has the responsibility for establishing payment rates. When determining rates, the Department shall take into consideration differences in the costs of doing business among the various geographic regions of the State and shall set rates that reflect those differences. The Department may, for various program categories, adopt rates that are set by other State agencies.
    (c) The Department shall perform the following duties:
        (1) Develop rate-setting methodologies for purchase
care program categories.
        (2) Promulgate rules and regulations governing
rate-setting, treatment of costs, treatment of occupancy, and payment and contracting processes for purchase care.
        (3) Collect cost and performance information from
care providers. The Department may stipulate forms, unit of service definitions, reporting procedures and reporting intervals.
        (4) Calculate purchase of care reimbursement rates
for specific providers based on the promulgated rate methodology for that program category.
        (5) Negotiate and implement purchase of care
contracts with specific providers.
        (6) Develop an annual statement of purchase care
goals and objectives detailing maximum units of service by program category to be purchased. The plan for each fiscal year shall be completed by May 1 of the previous fiscal year.
        (7) Conduct an annual review and prepare an annual
report of rates and units of service purchased, comparing the annual purchase of care statement with actual services purchased, and the actual cost of providing those services. The report shall be made available by May 1.
        (8) Establish and promulgate a process and criteria
for appealing rates.
        (9) Develop and promulgate standards and criteria by
which provider performance shall be evaluated.
        (10) Set rates based on published methodologies and
subject to the availability of funds appropriated by the General Assembly.
        (11) Establish and promulgate a policy regarding
applicability of income offsets in rate calculation or payment processes.
        (12) Develop criteria for selection of payment
mechanisms to be employed in funding community services.
    (d) The Department may investigate and employ alternative rate setting approaches and engage in demonstration projects. These approaches must be publicly articulated by the Department, identifying the purpose and scope of the alternative approach and evaluation to be conducted.
    (e) (Blank).
(Source: P.A. 89-58, eff. 1-1-96; 89-507, eff. 7-1-97; 90-423, eff. 8-15-97.)