Section 240.741  Prerequisites for Automated Medication Dispenser Service


a)         Authorization for the AMD dispenser service is determined based on a participant's need for the service, including the participant's medication, medical, cognitive and physical needs that indicate the potential to benefit from the AMD service.


b)         To be authorized for the service, the participant must:


1)         meet all of the following criteria:


A)        take 5 or more long term prescription medications that are:


i)          administered 2 or more different times per day; and


ii)         complex or necessitate that the medication be taken at a set schedule to avoid complications;


B)        have the potential to benefit from the service, understand the need to take medications, respond to alerts to take medication and is physically able to take medication independently from the AMD unit;


C)        designate a responsible party to manage the AMD unit and medications as required under Section 240.741(d); and


D)        commit to using the AMD unit appropriately; and


2)         either:


A)        exhibit at least 1 of the following issues:


i)          a history of non-adherence to treatment, medication or therapy regimens;


ii)         resides alone or lacks assistance from others to assist with regular medication administration;


iii)        impaired motor function that causes difficulty in handling medication receptacles and small pills;


iv)        attempts at using less costly alternatives (e.g., pill reminders, medication organizers with alarms and telephone reminders/prompts) have failed; or


v)         recent transition from a more restrictive care setting, such as a hospital or nursing facility; or


B)        have 2 or more of the following diagnoses requiring medication therapy:


i)          cognitive impairment;


ii)         diabetes;


iii)        congestive heart failure;


iv)        hypertension;


v)         depression/mental illness; or


vi)        cancer.


c)         Other criteria may be developed by the Department to assist in determining what is the most appropriate AMD system to meet the participant's needs.


d)         The responsible party must complete documentation prescribed by the Department verifying that:


1)         the AMD unit was installed;


2)         he/she is responsible for:


A)        the management of medications of the participant, including all prescribed medications, assuring the medications are administered according to physician orders; and


B)        manually filling or arranging for the AMD unit to be filled, working with the AMD provider to program the dispenser for the initial medication schedule and subsequent changes;  


3)         the medications in the AMD unit are prescribed by a medical provider who has prescriptive authority under Illinois law;


4)         he/she is willing to serve as a point of contact for the AMD provider and is committed to acting on any notifications of missed medication doses and other system issues;


5)         he/she received and understood the instructions and demonstration given by the AMD provider for the AMD equipment; and


6)         he/she understands how to access reports about the unit and medication regimen and contact the AMD provider when medication schedules are changed.


e)         A participant/authorized representative and/or any family member/friend/acquaintance of the participant/authorized representative will be responsible for damages to or loss of the AMD equipment unless a law enforcement report of theft has been filed.


1)         The provider will document the damages/loss of equipment.


2)         One documented occurrence of damages/loss of equipment will be cause for suspension of the participant's services pending termination.  The provider will verbally advise the CCU on the same day, if possible, but not later than the next work day after the date of the occurrence.  A written report, including, at a minimum, the names of the participant and the worker and the date of the occurrence, will be submitted by the provider to the CCU within 2 work days after the date of the occurrence.  The written report may be submitted in person or through mail, facsimile or electronic means.


3)         Upon receipt of verbal notification of the documented occurrence of damages/loss of equipment within a State fiscal year, the CCU will suspend the participant's services as required in Section 240.930.  The date of suspension will be the date of the occurrence of damages to or loss of equipment.


f)         Whenever a responsible party can no longer meet these obligations, it is the responsibility of the participant/authorized representative to make a new designation and arrange for another individual to be trained by the AMD provider.  Notification of the change shall be communicated to the AMD provider and the CCU before the change is made.


g)         A responsible party cannot be an individual or entity providing other services under CCP, such as an in-home service provider.


(Source:  Amended at 42 Ill. Reg. 20653, effective January 1, 2019)