Section 240.950  Reasons for Termination

A client shall be terminated from the Community Care Program (CCP) for one or more of the reasons identified in this Section:

a)         client is deceased;

b)         client is an in-patient of any institution or is otherwise not available for services for more than 60 calendar days;

c)         client's condition has improved and there is no longer a need for CCP services as measured by the CCP Determination of Need (DON);

d)         client cannot be located;

e)         client has requested termination of services;

f)          client refuses transfer to a different vendor/Case Coordination Unit (CCU) and the current vendor/CCU cannot provide services needed by the client;

g)         client has failed to cooperate with the Department/CCU/vendor as required and as specified in Section 240.350;

h)         client no longer meets citizenship requirements;

i)          client no longer meets residency requirements;

j)          a plan of care cannot be developed that adequately meets the client's determined needs in accordance with Section 240.715.

1)         Such determination shall be sought first through the Physician/Nurse Practitioner/Registered Nurse/Christian Science Practitioner endorsement. Failure to obtain the endorsement shall be so documented.

2)         If the Physician/Nurse Practitioner/Registered Nurse/Christian Science Practitioner fails to provide the supportive endorsement, the CCU shall make the determination that an adequate plan of care (see Section 240.730(d)) cannot be developed;

k)         client's non-exempt assets have increased and exceed $17,500;

l)          client failed to report the transfer of non-exempt assets as required by Section 240.820;

m)        client, initially determined eligible prior to July 6, 1982 (see Section 240.800(a) and (b)), who has had continuous service since that time, refuses to declare income/assets upon redetermination;

n)         client has failed to report or refused to provide documentation of changes in circumstances as required by Section 240.360;

o)         client refuses to sign a Client Agreement – Plan of Care (see Section 240.855(c));

p)         client rejects CCP services under Section 240.330 and has so indicated on the Client's Vendor Selection form; or

q)         a client, whose CCP services were discontinued for non-payment of incurred expense for care, has not made payment for the indebtedness, and has not received CCP services for more than one  year (see Section 240.935(e)).

(Source:  Amended at 32 Ill. Reg. 17929, effective November 10, 2008)