Rep. Jaime M. Andrade, Jr.

Filed: 3/5/2019





10100HB2776ham001LRB101 08277 KTG 56527 a


2    AMENDMENT NO. ______. Amend House Bill 2776 by replacing
3everything after the enacting clause with the following:
4    "Section 5. The Illinois Act on the Aging is amended by
5changing Section 4.02 as follows:
6    (20 ILCS 105/4.02)  (from Ch. 23, par. 6104.02)
7    Sec. 4.02. Community Care Program. The Department shall
8establish a program of services to prevent unnecessary
9institutionalization of persons age 60 and older in need of
10long term care or who are established as persons who suffer
11from Alzheimer's disease or a related disorder under the
12Alzheimer's Disease Assistance Act, thereby enabling them to
13remain in their own homes or in other living arrangements. Such
14preventive services, which may be coordinated with other
15programs for the aged and monitored by area agencies on aging
16in cooperation with the Department, may include, but are not



10100HB2776ham001- 2 -LRB101 08277 KTG 56527 a

1limited to, any or all of the following:
2        (a) (blank);
3        (b) (blank);
4        (c) home care aide services;
5        (d) personal assistant services;
6        (e) adult day services;
7        (f) home-delivered meals;
8        (g) education in self-care;
9        (h) personal care services;
10        (i) adult day health services;
11        (j) habilitation services;
12        (k) respite care;
13        (k-5) community reintegration services;
14        (k-6) flexible senior services;
15        (k-7) medication management;
16        (k-8) emergency home response;
17        (l) other nonmedical social services that may enable
18    the person to become self-supporting; or
19        (m) clearinghouse for information provided by senior
20    citizen home owners who want to rent rooms to or share
21    living space with other senior citizens.
22    The Department shall establish eligibility standards for
23such services. In determining the amount and nature of services
24for which a person may qualify, consideration shall not be
25given to the value of cash, property or other assets held in
26the name of the person's spouse pursuant to a written agreement



10100HB2776ham001- 3 -LRB101 08277 KTG 56527 a

1dividing marital property into equal but separate shares or
2pursuant to a transfer of the person's interest in a home to
3his spouse, provided that the spouse's share of the marital
4property is not made available to the person seeking such
6    Beginning January 1, 2008, the Department shall require as
7a condition of eligibility that all new financially eligible
8applicants apply for and enroll in medical assistance under
9Article V of the Illinois Public Aid Code in accordance with
10rules promulgated by the Department.
11    The Department shall, in conjunction with the Department of
12Public Aid (now Department of Healthcare and Family Services),
13seek appropriate amendments under Sections 1915 and 1924 of the
14Social Security Act. The purpose of the amendments shall be to
15extend eligibility for home and community based services under
16Sections 1915 and 1924 of the Social Security Act to persons
17who transfer to or for the benefit of a spouse those amounts of
18income and resources allowed under Section 1924 of the Social
19Security Act. Subject to the approval of such amendments, the
20Department shall extend the provisions of Section 5-4 of the
21Illinois Public Aid Code to persons who, but for the provision
22of home or community-based services, would require the level of
23care provided in an institution, as is provided for in federal
24law. Those persons no longer found to be eligible for receiving
25noninstitutional services due to changes in the eligibility
26criteria shall be given 45 days notice prior to actual



10100HB2776ham001- 4 -LRB101 08277 KTG 56527 a

1termination. Those persons receiving notice of termination may
2contact the Department and request the determination be
3appealed at any time during the 45 day notice period. The
4target population identified for the purposes of this Section
5are persons age 60 and older with an identified service need.
6Priority shall be given to those who are at imminent risk of
7institutionalization. The services shall be provided to
8eligible persons age 60 and older to the extent that the cost
9of the services together with the other personal maintenance
10expenses of the persons are reasonably related to the standards
11established for care in a group facility appropriate to the
12person's condition. These non-institutional services, pilot
13projects or experimental facilities may be provided as part of
14or in addition to those authorized by federal law or those
15funded and administered by the Department of Human Services.
16The Departments of Human Services, Healthcare and Family
17Services, Public Health, Veterans' Affairs, and Commerce and
18Economic Opportunity and other appropriate agencies of State,
19federal and local governments shall cooperate with the
20Department on Aging in the establishment and development of the
21non-institutional services. The Department shall require an
22annual audit from all personal assistant and home care aide
23vendors contracting with the Department under this Section. The
24annual audit shall assure that each audited vendor's procedures
25are in compliance with Department's financial reporting
26guidelines requiring an administrative and employee wage and



10100HB2776ham001- 5 -LRB101 08277 KTG 56527 a

1benefits cost split as defined in administrative rules. The
2audit is a public record under the Freedom of Information Act.
3The Department shall execute, relative to the nursing home
4prescreening project, written inter-agency agreements with the
5Department of Human Services and the Department of Healthcare
6and Family Services, to effect the following: (1) intake
7procedures and common eligibility criteria for those persons
8who are receiving non-institutional services; and (2) the
9establishment and development of non-institutional services in
10areas of the State where they are not currently available or
11are undeveloped. On and after July 1, 1996, all nursing home
12prescreenings for individuals 60 years of age or older shall be
13conducted by the Department.
14    As part of the Department on Aging's routine training of
15case managers and case manager supervisors, the Department may
16include information on family futures planning for persons who
17are age 60 or older and who are caregivers of their adult
18children with developmental disabilities. The content of the
19training shall be at the Department's discretion.
20    The Department is authorized to establish a system of
21recipient copayment for services provided under this Section,
22such copayment to be based upon the recipient's ability to pay
23but in no case to exceed the actual cost of the services
24provided. Additionally, any portion of a person's income which
25is equal to or less than the federal poverty standard shall not
26be considered by the Department in determining the copayment.



10100HB2776ham001- 6 -LRB101 08277 KTG 56527 a

1The level of such copayment shall be adjusted whenever
2necessary to reflect any change in the officially designated
3federal poverty standard.
4    The Department, or the Department's authorized
5representative, may recover the amount of moneys expended for
6services provided to or in behalf of a person under this
7Section by a claim against the person's estate or against the
8estate of the person's surviving spouse, but no recovery may be
9had until after the death of the surviving spouse, if any, and
10then only at such time when there is no surviving child who is
11under age 21 or blind or who has a permanent and total
12disability. This paragraph, however, shall not bar recovery, at
13the death of the person, of moneys for services provided to the
14person or in behalf of the person under this Section to which
15the person was not entitled; provided that such recovery shall
16not be enforced against any real estate while it is occupied as
17a homestead by the surviving spouse or other dependent, if no
18claims by other creditors have been filed against the estate,
19or, if such claims have been filed, they remain dormant for
20failure of prosecution or failure of the claimant to compel
21administration of the estate for the purpose of payment. This
22paragraph shall not bar recovery from the estate of a spouse,
23under Sections 1915 and 1924 of the Social Security Act and
24Section 5-4 of the Illinois Public Aid Code, who precedes a
25person receiving services under this Section in death. All
26moneys for services paid to or in behalf of the person under



10100HB2776ham001- 7 -LRB101 08277 KTG 56527 a

1this Section shall be claimed for recovery from the deceased
2spouse's estate. "Homestead", as used in this paragraph, means
3the dwelling house and contiguous real estate occupied by a
4surviving spouse or relative, as defined by the rules and
5regulations of the Department of Healthcare and Family
6Services, regardless of the value of the property.
7    The Department shall increase the effectiveness of the
8existing Community Care Program by:
9        (1) ensuring that in-home services included in the care
10    plan are available on evenings and weekends;
11        (2) ensuring that care plans contain the services that
12    eligible participants need based on the number of days in a
13    month, not limited to specific blocks of time, as
14    identified by the comprehensive assessment tool selected
15    by the Department for use statewide, not to exceed the
16    total monthly service cost maximum allowed for each
17    service; the Department shall develop administrative rules
18    to implement this item (2);
19        (3) ensuring that the participants have the right to
20    choose the services contained in their care plan and to
21    direct how those services are provided, based on
22    administrative rules established by the Department;
23        (4) ensuring that the determination of need tool is
24    accurate in determining the participants' level of need; to
25    achieve this, the Department, in conjunction with the Older
26    Adult Services Advisory Committee, shall institute a study



10100HB2776ham001- 8 -LRB101 08277 KTG 56527 a

1    of the relationship between the Determination of Need
2    scores, level of need, service cost maximums, and the
3    development and utilization of service plans no later than
4    May 1, 2008; findings and recommendations shall be
5    presented to the Governor and the General Assembly no later
6    than January 1, 2009; recommendations shall include all
7    needed changes to the service cost maximums schedule and
8    additional covered services;
9        (5) ensuring that homemakers can provide personal care
10    services that may or may not involve contact with clients,
11    including but not limited to:
12            (A) bathing;
13            (B) grooming;
14            (C) toileting;
15            (D) nail care;
16            (E) transferring;
17            (F) respiratory services;
18            (G) exercise; or
19            (H) positioning;
20        (6) ensuring that homemaker program vendors are not
21    restricted from hiring homemakers who are family members of
22    clients or recommended by clients; the Department may not,
23    by rule or policy, require homemakers who are family
24    members of clients or recommended by clients to accept
25    assignments in homes other than the client;
26        (7) ensuring that the State may access maximum federal



10100HB2776ham001- 9 -LRB101 08277 KTG 56527 a

1    matching funds by seeking approval for the Centers for
2    Medicare and Medicaid Services for modifications to the
3    State's home and community based services waiver and
4    additional waiver opportunities, including applying for
5    enrollment in the Balance Incentive Payment Program by May
6    1, 2013, in order to maximize federal matching funds; this
7    shall include, but not be limited to, modification that
8    reflects all changes in the Community Care Program services
9    and all increases in the services cost maximum;
10        (8) ensuring that the determination of need tool
11    accurately reflects the service needs of individuals with
12    Alzheimer's disease and related dementia disorders;
13        (9) ensuring that services are authorized accurately
14    and consistently for the Community Care Program (CCP); the
15    Department shall implement a Service Authorization policy
16    directive; the purpose shall be to ensure that eligibility
17    and services are authorized accurately and consistently in
18    the CCP program; the policy directive shall clarify service
19    authorization guidelines to Care Coordination Units and
20    Community Care Program providers no later than May 1, 2013;
21        (10) working in conjunction with Care Coordination
22    Units, the Department of Healthcare and Family Services,
23    the Department of Human Services, Community Care Program
24    providers, and other stakeholders to make improvements to
25    the Medicaid claiming processes and the Medicaid
26    enrollment procedures or requirements as needed,



10100HB2776ham001- 10 -LRB101 08277 KTG 56527 a

1    including, but not limited to, specific policy changes or
2    rules to improve the up-front enrollment of participants in
3    the Medicaid program and specific policy changes or rules
4    to insure more prompt submission of bills to the federal
5    government to secure maximum federal matching dollars as
6    promptly as possible; the Department on Aging shall have at
7    least 3 meetings with stakeholders by January 1, 2014 in
8    order to address these improvements;
9        (11) requiring home care service providers to comply
10    with the rounding of hours worked provisions under the
11    federal Fair Labor Standards Act (FLSA) and as set forth in
12    29 CFR 785.48(b) by May 1, 2013;
13        (12) implementing any necessary policy changes or
14    promulgating any rules, no later than January 1, 2014, to
15    assist the Department of Healthcare and Family Services in
16    moving as many participants as possible, consistent with
17    federal regulations, into coordinated care plans if a care
18    coordination plan that covers long term care is available
19    in the recipient's area; and
20        (13) maintaining fiscal year 2014 rates at the same
21    level established on January 1, 2013.
22    By January 1, 2009 or as soon after the end of the Cash and
23Counseling Demonstration Project as is practicable, the
24Department may, based on its evaluation of the demonstration
25project, promulgate rules concerning personal assistant
26services, to include, but need not be limited to,



10100HB2776ham001- 11 -LRB101 08277 KTG 56527 a

1qualifications, employment screening, rights under fair labor
2standards, training, fiduciary agent, and supervision
3requirements. All applicants shall be subject to the provisions
4of the Health Care Worker Background Check Act.
5    The Department shall develop procedures to enhance
6availability of services on evenings, weekends, and on an
7emergency basis to meet the respite needs of caregivers.
8Procedures shall be developed to permit the utilization of
9services in successive blocks of 24 hours up to the monthly
10maximum established by the Department. Workers providing these
11services shall be appropriately trained.
12    Beginning on the effective date of this amendatory Act of
131991, no person may perform chore/housekeeping and home care
14aide services under a program authorized by this Section unless
15that person has been issued a certificate of pre-service to do
16so by his or her employing agency. Information gathered to
17effect such certification shall include (i) the person's name,
18(ii) the date the person was hired by his or her current
19employer, and (iii) the training, including dates and levels.
20Persons engaged in the program authorized by this Section
21before the effective date of this amendatory Act of 1991 shall
22be issued a certificate of all pre- and in-service training
23from his or her employer upon submitting the necessary
24information. The employing agency shall be required to retain
25records of all staff pre- and in-service training, and shall
26provide such records to the Department upon request and upon



10100HB2776ham001- 12 -LRB101 08277 KTG 56527 a

1termination of the employer's contract with the Department. In
2addition, the employing agency is responsible for the issuance
3of certifications of in-service training completed to their
5    The Department is required to develop a system to ensure
6that persons working as home care aides and personal assistants
7receive increases in their wages when the federal minimum wage
8is increased by requiring vendors to certify that they are
9meeting the federal minimum wage statute for home care aides
10and personal assistants. An employer that cannot ensure that
11the minimum wage increase is being given to home care aides and
12personal assistants shall be denied any increase in
13reimbursement costs.
14    The Community Care Program Advisory Committee is created in
15the Department on Aging. The Director shall appoint individuals
16to serve in the Committee, who shall serve at their own
17expense. Members of the Committee must abide by all applicable
18ethics laws. The Committee shall advise the Department on
19issues related to the Department's program of services to
20prevent unnecessary institutionalization. The Committee shall
21meet on a bi-monthly basis and shall serve to identify and
22advise the Department on present and potential issues affecting
23the service delivery network, the program's clients, and the
24Department and to recommend solution strategies. Persons
25appointed to the Committee shall be appointed on, but not
26limited to, their own and their agency's experience with the



10100HB2776ham001- 13 -LRB101 08277 KTG 56527 a

1program, geographic representation, and willingness to serve.
2The Director shall appoint members to the Committee to
3represent provider, advocacy, policy research, and other
4constituencies committed to the delivery of high quality home
5and community-based services to older adults. Representatives
6shall be appointed to ensure representation from community care
7providers including, but not limited to, adult day service
8providers, homemaker providers, case coordination and case
9management units, emergency home response providers, statewide
10trade or labor unions that represent home care aides and direct
11care staff, area agencies on aging, adults over age 60,
12membership organizations representing older adults, and other
13organizational entities, providers of care, or individuals
14with demonstrated interest and expertise in the field of home
15and community care as determined by the Director.
16    Nominations may be presented from any agency or State
17association with interest in the program. The Director, or his
18or her designee, shall serve as the permanent co-chair of the
19advisory committee. One other co-chair shall be nominated and
20approved by the members of the committee on an annual basis.
21Committee members' terms of appointment shall be for 4 years
22with one-quarter of the appointees' terms expiring each year. A
23member shall continue to serve until his or her replacement is
24named. The Department shall fill vacancies that have a
25remaining term of over one year, and this replacement shall
26occur through the annual replacement of expiring terms. The



10100HB2776ham001- 14 -LRB101 08277 KTG 56527 a

1Director shall designate Department staff to provide technical
2assistance and staff support to the committee. Department
3representation shall not constitute membership of the
4committee. All Committee papers, issues, recommendations,
5reports, and meeting memoranda are advisory only. The Director,
6or his or her designee, shall make a written report, as
7requested by the Committee, regarding issues before the
9    The Department on Aging and the Department of Human
10Services shall cooperate in the development and submission of
11an annual report on programs and services provided under this
12Section. Such joint report shall be filed with the Governor and
13the General Assembly on or before September 30 each year.
14    The requirement for reporting to the General Assembly shall
15be satisfied by filing copies of the report as required by
16Section 3.1 of the General Assembly Organization Act and filing
17such additional copies with the State Government Report
18Distribution Center for the General Assembly as is required
19under paragraph (t) of Section 7 of the State Library Act.
20    Those persons previously found eligible for receiving
21non-institutional services whose services were discontinued
22under the Emergency Budget Act of Fiscal Year 1992, and who do
23not meet the eligibility standards in effect on or after July
241, 1992, shall remain ineligible on and after July 1, 1992.
25Those persons previously not required to cost-share and who
26were required to cost-share effective March 1, 1992, shall



10100HB2776ham001- 15 -LRB101 08277 KTG 56527 a

1continue to meet cost-share requirements on and after July 1,
21992. Beginning July 1, 1992, all clients will be required to
3meet eligibility, cost-share, and other requirements and will
4have services discontinued or altered when they fail to meet
5these requirements.
6    For the purposes of this Section, "flexible senior
7services" refers to services that require one-time or periodic
8expenditures including, but not limited to, respite care, home
9modification, assistive technology, housing assistance, and
11    The Department shall implement an electronic service
12verification based on global positioning systems or other
13cost-effective technology for the Community Care Program no
14later than January 1, 2014.
15    The Department shall require, as a condition of
16eligibility, enrollment in the medical assistance program
17under Article V of the Illinois Public Aid Code (i) beginning
18August 1, 2013, if the Auditor General has reported that the
19Department has failed to comply with the reporting requirements
20of Section 2-27 of the Illinois State Auditing Act; or (ii)
21beginning June 1, 2014, if the Auditor General has reported
22that the Department has not undertaken the required actions
23listed in the report required by subsection (a) of Section 2-27
24of the Illinois State Auditing Act.
25    The Department shall delay Community Care Program services
26until an applicant is determined eligible for medical



10100HB2776ham001- 16 -LRB101 08277 KTG 56527 a

1assistance under Article V of the Illinois Public Aid Code (i)
2beginning August 1, 2013, if the Auditor General has reported
3that the Department has failed to comply with the reporting
4requirements of Section 2-27 of the Illinois State Auditing
5Act; or (ii) beginning June 1, 2014, if the Auditor General has
6reported that the Department has not undertaken the required
7actions listed in the report required by subsection (a) of
8Section 2-27 of the Illinois State Auditing Act.
9    The Department shall implement co-payments for the
10Community Care Program at the federally allowable maximum level
11(i) beginning August 1, 2013, if the Auditor General has
12reported that the Department has failed to comply with the
13reporting requirements of Section 2-27 of the Illinois State
14Auditing Act; or (ii) beginning June 1, 2014, if the Auditor
15General has reported that the Department has not undertaken the
16required actions listed in the report required by subsection
17(a) of Section 2-27 of the Illinois State Auditing Act.
18    The Department shall provide a bi-monthly report on the
19progress of the Community Care Program reforms set forth in
20this amendatory Act of the 98th General Assembly to the
21Governor, the Speaker of the House of Representatives, the
22Minority Leader of the House of Representatives, the President
23of the Senate, and the Minority Leader of the Senate.
24    The Department shall conduct a quarterly review of Care
25Coordination Unit performance and adherence to service
26guidelines. The quarterly review shall be reported to the



10100HB2776ham001- 17 -LRB101 08277 KTG 56527 a

1Speaker of the House of Representatives, the Minority Leader of
2the House of Representatives, the President of the Senate, and
3the Minority Leader of the Senate. The Department shall collect
4and report longitudinal data on the performance of each care
5coordination unit. Nothing in this paragraph shall be construed
6to require the Department to identify specific care
7coordination units.
8    In regard to community care providers, failure to comply
9with Department on Aging policies shall be cause for
10disciplinary action, including, but not limited to,
11disqualification from serving Community Care Program clients.
12Each provider, upon submission of any bill or invoice to the
13Department for payment for services rendered, shall include a
14notarized statement, under penalty of perjury pursuant to
15Section 1-109 of the Code of Civil Procedure, that the provider
16has complied with all Department policies.
17    The Director of the Department on Aging shall make
18information available to the State Board of Elections as may be
19required by an agreement the State Board of Elections has
20entered into with a multi-state voter registration list
21maintenance system.
22    Within 30 days after July 6, 2017 (the effective date of
23Public Act 100-23), rates shall be increased to $18.29 per
24hour, for the purpose of increasing, by at least $.72 per hour,
25the wages paid by those vendors to their employees who provide
26homemaker services. The Department shall pay an enhanced rate



10100HB2776ham001- 18 -LRB101 08277 KTG 56527 a

1under the Community Care Program to those in-home service
2provider agencies that offer health insurance coverage as a
3benefit to their direct service worker employees consistent
4with the mandates of Public Act 95-713. For State fiscal years
52018 and 2019, the enhanced rate shall be $1.77 per hour. The
6rate shall be adjusted using actuarial analysis based on the
7cost of care, but shall not be set below $1.77 per hour. The
8Department shall adopt rules, including emergency rules under
9subsections (y) and (bb) of Section 5-45 of the Illinois
10Administrative Procedure Act, to implement the provisions of
11this paragraph.
12    In order to provide funding to cover the mandated increased
13costs of wages and related benefits in Chicago and Cook County
14as well as to offset the impact of wage compaction elsewhere in
15the State, the rates and minimum mandated wage increases for
16homemaker services shall be, at a minimum, for the State Fiscal
17Year beginning on July 1, 2019, a rate of $21.64 per hour for a
18minimum wage of $13 per hour. Rates in future State fiscal
19years shall be no lower than the rates in effect on July 1,
202019. In-home service provider agencies shall be required to
21certify to the Department that they are in compliance with the
22mandated wage increase for direct service workers. Fringe
23benefits, including, but not limited to, any paid time off,
24payment for training, health insurance, travel, or
25transportation payment, shall not be reduced in relation to the
26rate increase described in this paragraph.



10100HB2776ham001- 19 -LRB101 08277 KTG 56527 a

1    The General Assembly finds it necessary to authorize an
2aggressive Medicaid enrollment initiative designed to maximize
3federal Medicaid funding for the Community Care Program which
4produces significant savings for the State of Illinois. The
5Department on Aging shall establish and implement a Community
6Care Program Medicaid Initiative. Under the Initiative, the
7Department on Aging shall, at a minimum: (i) provide an
8enhanced rate to adequately compensate care coordination units
9to enroll eligible Community Care Program clients into
10Medicaid; (ii) use recommendations from a stakeholder
11committee on how best to implement the Initiative; and (iii)
12establish requirements for State agencies to make enrollment in
13the State's Medical Assistance program easier for seniors.
14    The Community Care Program Medicaid Enrollment Oversight
15Subcommittee is created as a subcommittee of the Older Adult
16Services Advisory Committee established in Section 35 of the
17Older Adult Services Act to make recommendations on how best to
18increase the number of medical assistance recipients who are
19enrolled in the Community Care Program. The Subcommittee shall
20consist of all of the following persons who must be appointed
21within 30 days after the effective date of this amendatory Act
22of the 100th General Assembly:
23        (1) The Director of Aging, or his or her designee, who
24    shall serve as the chairperson of the Subcommittee.
25        (2) One representative of the Department of Healthcare
26    and Family Services, appointed by the Director of



10100HB2776ham001- 20 -LRB101 08277 KTG 56527 a

1    Healthcare and Family Services.
2        (3) One representative of the Department of Human
3    Services, appointed by the Secretary of Human Services.
4        (4) One individual representing a care coordination
5    unit, appointed by the Director of Aging.
6        (5) One individual from a non-governmental statewide
7    organization that advocates for seniors, appointed by the
8    Director of Aging.
9        (6) One individual representing Area Agencies on
10    Aging, appointed by the Director of Aging.
11        (7) One individual from a statewide association
12    dedicated to Alzheimer's care, support, and research,
13    appointed by the Director of Aging.
14        (8) One individual from an organization that employs
15    persons who provide services under the Community Care
16    Program, appointed by the Director of Aging.
17        (9) One member of a trade or labor union representing
18    persons who provide services under the Community Care
19    Program, appointed by the Director of Aging.
20        (10) One member of the Senate, who shall serve as
21    co-chairperson, appointed by the President of the Senate.
22        (11) One member of the Senate, who shall serve as
23    co-chairperson, appointed by the Minority Leader of the
24    Senate.
25        (12) One member of the House of Representatives, who
26    shall serve as co-chairperson, appointed by the Speaker of



10100HB2776ham001- 21 -LRB101 08277 KTG 56527 a

1    the House of Representatives.
2        (13) One member of the House of Representatives, who
3    shall serve as co-chairperson, appointed by the Minority
4    Leader of the House of Representatives.
5        (14) One individual appointed by a labor organization
6    representing frontline employees at the Department of
7    Human Services.
8    The Subcommittee shall provide oversight to the Community
9Care Program Medicaid Initiative and shall meet quarterly. At
10each Subcommittee meeting the Department on Aging shall provide
11the following data sets to the Subcommittee: (A) the number of
12Illinois residents, categorized by planning and service area,
13who are receiving services under the Community Care Program and
14are enrolled in the State's Medical Assistance Program; (B) the
15number of Illinois residents, categorized by planning and
16service area, who are receiving services under the Community
17Care Program, but are not enrolled in the State's Medical
18Assistance Program; and (C) the number of Illinois residents,
19categorized by planning and service area, who are receiving
20services under the Community Care Program and are eligible for
21benefits under the State's Medical Assistance Program, but are
22not enrolled in the State's Medical Assistance Program. In
23addition to this data, the Department on Aging shall provide
24the Subcommittee with plans on how the Department on Aging will
25reduce the number of Illinois residents who are not enrolled in
26the State's Medical Assistance Program but who are eligible for



10100HB2776ham001- 22 -LRB101 08277 KTG 56527 a

1medical assistance benefits. The Department on Aging shall
2enroll in the State's Medical Assistance Program those Illinois
3residents who receive services under the Community Care Program
4and are eligible for medical assistance benefits but are not
5enrolled in the State's Medicaid Assistance Program. The data
6provided to the Subcommittee shall be made available to the
7public via the Department on Aging's website.
8    The Department on Aging, with the involvement of the
9Subcommittee, shall collaborate with the Department of Human
10Services and the Department of Healthcare and Family Services
11on how best to achieve the responsibilities of the Community
12Care Program Medicaid Initiative.
13    The Department on Aging, the Department of Human Services,
14and the Department of Healthcare and Family Services shall
15coordinate and implement a streamlined process for seniors to
16access benefits under the State's Medical Assistance Program.
17    The Subcommittee shall collaborate with the Department of
18Human Services on the adoption of a uniform application
19submission process. The Department of Human Services and any
20other State agency involved with processing the medical
21assistance application of any person enrolled in the Community
22Care Program shall include the appropriate care coordination
23unit in all communications related to the determination or
24status of the application.
25    The Community Care Program Medicaid Initiative shall
26provide targeted funding to care coordination units to help



10100HB2776ham001- 23 -LRB101 08277 KTG 56527 a

1seniors complete their applications for medical assistance
2benefits. On and after July 1, 2019, care coordination units
3shall receive no less than $200 per completed application.
4    The Community Care Program Medicaid Initiative shall cease
5operation 5 years after the effective date of this amendatory
6Act of the 100th General Assembly, after which the Subcommittee
7shall dissolve.
8(Source: P.A. 99-143, eff. 7-27-15; 100-23, eff. 7-6-17;
9100-587, eff. 6-4-18; 100-1148, eff. 12-10-18.)
10    Section 99. Effective date. This Act takes effect July 1,