Section 146.220  Resident Participation Requirements

a)         The SLF may admit or retain residents whose needs can be met through the services described in Section 146.230.  The following criteria shall be met prior to admission to the SLF:

1)         Be age 22 years or over with a disability (as determined by the Social Security Administration) or elderly (age 65 years or over); and

2)         Be screened by the Department or other State agency screening entity and found to be in need of nursing facility level of care and that SLF placement is appropriate to meet the needs of the individual.  A new screen is not needed for a resident who is transferring between SLFs or comes from a nursing facility with no break in service.  It is the admitting SLF's responsibility to ensure that a screening document is received from the transferring SLF or nursing facility.  Private pay individuals may choose to be admitted into the SLF when the screening assessment does not justify nursing facility level of care; and

3)         Be without a primary or secondary diagnosis of developmental disability or serious and persistent mental illness.   The developmental disability or mental illness must be determined by a qualified Department of Human Services screening agent; and

4)         Have name checked against the United States Department of Justice Dru Sjodin National Offender Public Website at www.nsopr.gov, the Illinois Sex Offender Registration website at www.isp.state.il.us and the Illinois Department of Corrections registered sex offender database at www.idoc.state.il.us.  Refer to Section 146.215 for facility requirements if a person whose name appears on either registry is admitted to an SLF.

b)         Private pay residents seeking to convert to Medicaid while residing in an SLF shall be screened by the Department using the DON prior to the point of conversion and must be found to be in need of nursing facility level of care before Medicaid payment may be authorized.

c)         Each prospective resident shall have a tuberculin skin test in accordance with the Control of Tuberculosis Code (77 Ill. Adm. Code 696). 

d)         A Medicaid resident of the SLF shall not participate in any other federal Home and Community-Based Waiver Program.

(Source:  Amended at 33 Ill. Reg. 11803, effective August 1, 2009)