TITLE 89: SOCIAL SERVICES
CHAPTER II: DEPARTMENT ON AGING
PART 240 COMMUNITY CARE PROGRAM
SECTION 240.1570 SERVICE AVAILABILITY EXPANSION


 

Section 240.1570   Service Availability Expansion

 

a)         A Community Care Program (CCP) client may be allowed access to CCP adult day care services in a service area in which the client does not reside (outlying service area) under the following circumstances:

 

1)         the CCU has determined the needs of the client may best be served by a provider in an outlying service area; and

 

2)         the geographic area in which the client resides does not have a provider of the needed services; or

 

3)         the client may be provided services more conveniently/appropriately by a CCP provider in an outlying service area for the following reasons:

 

A)        the authorized CCP providers in the client's service area have reached the maximum capacity and have approval to not accept new clients and/or is unable to provide a service without delay and/or interruption; or

 

B)        optional service components required by the client are unavailable from the CCP authorized provider in the client's service area but are available from a CCP authorized provider in another service area; or

 

C)        transportation can be more conveniently arranged to a CCP authorized provider in another service area (adult day care only); or

 

D)        special needs of the client (e.g., language-appropriate workers) can only be met by a CCP authorized provider in another service area.

 

4)         The CCP authorized provider in the outlying service area agrees to provide the service required without delay/interruptions to the referred client.

 

b)         A Community Care Program (CCP) in-home care client may be allowed access to CCP in-home care services in a service area in which the client does not reside (outlying service area) upon receipt of written approval to the Case Coordination Unit (CCU) from the Department under the following circumstances:

 

1)         The CCU has determined that the special needs of the client (e.g., language specific workers) can only be met by a CCP authorized provider in another service area; and

 

2)         The CCP authorized provider in the outlying area agrees to provide the service required without delays/interruptions to the referred client; and

 

3)         The CCP authorized provider(s) in the client's area of residence are unable to meet the special needs of the client without delays/interruptions.

 

c)         A request by a client to receive CCP services from a provider in an outlying service area is inappropriate if the client refuses to accept CCP services deemed appropriate by the CCU in the client's service area.  In this instance, service will be denied or terminated as appropriate.

 

d)         If a provider's contract period is extended in writing by the Department, approval of the service availability expansion is also extended for the same effective period.

 

(Source:  Amended at 17 Ill. Reg. 6090, effective April 7, 1993)