TITLE 89: SOCIAL SERVICES
CHAPTER II: DEPARTMENT ON AGING
PART 240 COMMUNITY CARE PROGRAM
SECTION 240.950 REASONS FOR TERMINATION


 

Section 240.950 Reasons for Termination

 

A participant shall be terminated from CCP for 1 or more of the reasons identified in this Section:

 

a) participant is deceased;

 

b) participant has been institutionalized or is otherwise not available for services for more than 60 calendar days;

 

c) participant's condition has improved and there is no longer a need for CCP services as measured by the CCP DON to determine need for long-term services and supports;

 

d) participant cannot be located;

 

e) participant/authorized representative has requested termination of services;

 

f) participant/authorized representative refuses transfer to a different vendor/CCU and the current vendor/CCU cannot provide services needed by the participant;

 

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

 

h) participant no longer meets citizenship requirements;

 

i) participant no longer meets residency requirements;

 

j) the CCU determines that an adequate person-centered plan of care cannot be developed that meets the participant's determined needs under Section 240.715.

k) the total value of a participant's non-exempt assets has increased and exceeds $17,500;

 

l) participant/authorized representative failed to report the transfer of non-exempt assets within the past 60 months for the purpose of obtaining CCP services;

m) participant/authorized representative has failed to report or refused to provide documentation of changes in circumstances, as required by Section 240.360;

 

n) participant/authorized representative refuses to sign a Participant Agreement Person-centered Plan of Care;

 

o) participant refuses to sign the Participant Agreement and Consent Form in accordance with Section 240.330; or

 

p) Participant/authorized representative refuses to apply for and, if eligible, enroll in medical assistance under Article V of the Public Aid Code, as required by Section 240.865.

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