Section 240.1110  Participant Transfer Request − Vendor to Vendor − No Change in Service

a)         The Department, a CCU or a participant/authorized representative may request a transfer for provision of CCP services from 1 vendor to another vendor, within the same service area, and without any change in service needs.  The transfer request may be initiated by verbally advising the CCU of the desired change in vendor.  The CCU shall verbally advise the participant of the vendor choices available.  The CCU shall complete a new Participant Agreement and Consent Form – Person-Centered Plan of Care, including choice of vendor based upon that verbal advice from the participant/authorized representative as to his/her selection.

b)         Reasons for the CCU to authorize a vendor to vendor transfer with no change in services provided may include:

1)         the needs of a participant are not being met by the current vendor; or

2)         the participant has exercised his/her right of freedom of choice and requested transfer.

c)         Within 5 work days after the date of receipt of a verbal request to effect a transfer, the CCU shall forward a new Participant Agreement and Consent Form and new CCP Participant Agreement to the participant/authorized representative for signature.

d)         Within 30 calendar days after the date of receipt of the signed Participant Agreement and Consent Form:

1)         the CCU shall:

A)        complete a person-centered plan of care establishing the effective date of transfer; and

B)        forward:

i)          the person-centered plan of care to the participant/authorized representative;

ii)         a copy of the Participant Agreement − Person-Centered Plan of Care to the receiving vendor on the same day the Participant Agreement − Person-Centered Plan of Care is sent to the participant; and

iii)        a copy of the Participant Agreement − Person-Centered Plan of Care to transferring vendor.

2)         upon receipt of the vendor's signature on the Participant Agreement – Plan of Care, the CCU shall place a copy of the executed Participant Agreement – Plan of Care in the CCU's participant file and a copy shall be forwarded to the participant/authorized representative.

e)         The effective date of the transfer shall be within 15 calendar days after the date of the Participant Agreement − Person-Centered Plan of Care and service shall be initiated by the receiving vendor without service interruption.

f)         If a delay in any of the time frames established in this Section is caused by the documented action or inaction of the participant/authorized representative, time frames shall be extended by the number of calendar days of the delay.

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