Section 240.270  Alternative Provider

a)         An alternative provider is defined as an individual or an agency selected by the client, assisted by the Case Coordination Unit (CCU) and authorized by the Department to provide Community Care Program services to a client only if the following criteria are met:

1)         a contractual provider has failed to provide the services as required by the plan of care; and

2)         there is no contractual provider available to provide the services as required by the plan of care.

b)         Alternative providers may be supervised by the client or agency providing the services, as required by the plan of care.  The service components and hours of service to be provided, as required by the plan of care, shall conform to the service components as defined in Section 240.210.

c)         The appropriate CCU shall be responsible for monitoring of alternative provider services.

d)         An alternative provider shall be authorized by the Department prior to provision of services to the client.

e)         Unit of Service

1)         One unit of alternative homemaker service is one hour of direct service provided to the client while in the client's home, while providing transportation/escort to the client to medical facilities, or while performing essential errands/shopping or conducting essential client business with or on behalf of the client.

2)         For services which the provider was unable to provide due to either the client's absence without prior provider notification or refusal to admit the worker into the home to provide service (see Section 240.350), 1 unit of documented homemaker service per occurrence with be reimbursed to the alternative homemaker provider to a maximum of 2 units per client per State fiscal year.

(Source:  Amended at 18 Ill. Reg. 609, effective February 1, 1994)