Section 240.1110  Individual Transfer Request – Vendor to Vendor – No Change in Service

a)         The Department, a Case Coordination Unit (CCU) or a client/authorized representative may request a transfer for provision of Community Care Program (CCP) services from one 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 client of the vendor choices available.  The CCU shall complete a new Client Agreement – Plan of Care and Client's Vendor Selection forms based upon that verbal advice from the client 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 client are not being met by the current vendor; or

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

c)         Within five (5) work days from the date of receipt of a verbal request to effect a transfer, the CCU shall forward a Client's Vendor Selection form and new Client Agreement to the client/authorized representative for signature.

d)         Within thirty (30) calendar days from the date of receipt of the signed Client's Vendor Selection form and Client Agreement, the CCU shall:

1)         complete a Case Action Notice establishing the effective date of transfer; and

2)         forward:

A)        the original Case Action Notice to the client/authorized representative;

B)        a copy of the Case Action Notice, the original Client Agreement and a copy of the Case Documentation for Determination of Need to the receiving vendor on the same day the original Case Action Notice is sent to the client;

C)        a copy of the Case Action Notice to transferring vendor.

3)         Upon receipt of the vendor's signature on the Client Agreement – Plan of Care, a copy of the executed Client Agreement – Plan of Care shall be placed in the CCU's client file and a copy shall be forwarded to the client.

e)         The effective date of the transfer shall be within fifteen (15) calendar days from the date of the Case Action Notice and service shall be initiated by the receiving vendor without service interruption.

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

g)         If a client has any outstanding incurred expense due to the transferring vendor, such incurred expense must be paid in full in accordance with Section 240.935 and Section 240.1130, subsection (d)(4)(B).

(Source:  Added at 13 Ill. Reg. 11193, effective July 1, 1989)