TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER j: MATERNAL AND CHILD HEALTH
PART 655
PROBLEM PREGNANCY HEALTH SERVICES AND CARE PROJECTS
SECTION 655.10 GENERAL CONSIDERATIONS
Section 655.10 General
Considerations
a) For some, pregnancy can present social, emotional, financial
and/or health problems. A wide array of services which can assist women who
have problem pregnancies is not available in all communities, and in
communities where such services are available, they often are fragmented. State
policy therefore encourages the development of appropriate health, education,
and social services where they are now lacking or inadequate, and the better
coordination of existing services where they are available, in order to assist
women with problem pregnancies and to help them to become productive
independent contributors to family and community life.
b) Authorization
The Department
of Public Health will allocate funds for Problem Pregnancy Health Services and
Care Projects under authority of the Problem Pregnancy Health Services and Care
Act [410 ILCS 230].
c) Purpose
The purpose of
these projects if to assist women with problem pregnancies in obtaining
appropriate services, through provision of those services directly, or by
referral; to expand the availability of services for women with problem
pregnancies in communities which need them; and to promote innovative,
comprehensive and integrated approaches to the delivery of such services.
d) Eligibility
Public and private
nonprofit agencies and organizations are eligible for project grants if they do
not use such grants to refer or counsel for, or perform abortions; and which
coordinate and establish linkages among services, that will further the
purposes of this act and, where appropriate, will provide, supplement, or
improve the quality of such services.
(Source: Amended at 8 Ill. Reg.
25121, effective December 15, 1984)
 | TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER j: MATERNAL AND CHILD HEALTH
PART 655
PROBLEM PREGNANCY HEALTH SERVICES AND CARE PROJECTS
SECTION 655.20 POLICIES
Section 655.20 Policies
a) Content of Projects
1) Projects shall be directed toward the provision and
coordination of services which assist women with problem pregnancies or women
at risk of initial or repeat problem pregnancies in accordance with accepted
maternal and child health principles. Such services include:
A) Prenatal and Post-Partum Health Care
B) Nutrition Services
C) Social services, including counseling, financial assistance,
legal aid, day care, homemaker services and housing
D) Employment Counseling and Vocational Services
E) Education concerning Sexuality and Parenting, both
individually and community-wide
F) Mental Health Services
G) Special Services to enable pregnant adolescents to remain in
school or to continue their education
H) Residential Care for pregnant adolescents
I) Outreach and Follow-up to assure that those in need of
these services are receiving appropriate assistance.
2) Projects may also provide:
A) Technical assistance to enable other communities to develop
problem pregnancy prevention programs and problem pregnancy-related services
and
B) Training (but not including institutional training or
training assistance provided by consultants) to providers of services,
including skills and multidisciplinary approaches to problem pregnancy-related services
and in the provision of such services.
b) Priority Areas
In
approving applications for grants for problem pregnancy health services and
care projects, priority will be given to applicants who:
1) Serve an area where there is a high incidence of adolescent
and problem pregnancy;
2) Show evidence of having the ability to bring together a
wide range of needed services in comprehensive single site projects or to
establish a well integrated network of services in a community including
outreach to, and services for, problem pregnancies;
3) Will use as a base, existing programs and facilities such
as neighborhood and primary health care centers, children and youth centers,
maternity and infant care centers, designated Regional Perinatal Care facilities,
School Education Programs, Mental Health Programs, Nutrition Programs,
Recreation Programs, and other ongoing problem pregnancy-related services;
4) Make use, to the maximum extent feasible, or other federal,
state and local funds, programs, contributions, and other third party
reimbursements;
5) Can demonstrate a community commitment to the program by
making available to the project nonfederal funds, personnel, and facilities;
and
6) Have involved the community to be served, including public
and private agencies, in the planning and implementation of the project.
c) Population to be Served
1) Those eligible to receive services through these project funds
include women who are pregnant, women who have delivered in the past year,
and/or women who are at risk of becoming pregnant, and for whom the pregnancy
or parenthood represents or would represent a social, emotional, financial or
health problem. Priority shall be given to adolescents 17 years old and
younger. Adolescent fathers, families of pregnant adolescents, and families of
adolescent parents, are eligible to receive counseling services through these
projects.
2) No income eligibility requirements shall be made but
grantees shall ensure that priority is given to those persons who are not able
to obtain assistance through other means.
d) Funding
Projects will
be funded for up to one year on the basis of the State fiscal year (July 1 - June
30). Reapplications for continued funding will receive priority consideration
in succeeding years based on appropriation of funds by the General Assembly and
performance showing progress toward stated goals.
e) Matching Requirements
A grant may
cover not to exceed 70% of the cost of the project in the first and second
years. For purposes of these matching requirements, a funding period of 6
months or more shall constitute the first year of a project. Projects
initially funded for less than 6 months shall provide a minimum of 30% of total
project costs in the initial funding period, as well as in the full first and
second years of the project. In the third and each succeeding year, the
amount of the state grant shall decrease by at least 10% of the amount of the
state grant under this act in the preceding year.
| TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER j: MATERNAL AND CHILD HEALTH
PART 655
PROBLEM PREGNANCY HEALTH SERVICES AND CARE PROJECTS
SECTION 655.30 STANDARDS
Section 655.30 Standards
a) Comprehensiveness
Provisions
shall be made for the development of a care plan for each client that assures
effective interdisciplinary provision of comprehensive services. Comprehensive
means completeness to ensure that all needed services are available, and
continuity to ensure that services are received in an orderly fashion.
b) Standards for Personnel
1) Applicants shall give assurance that services will be provided
by qualified personnel. Any personnel required under State or local law to be
licensed, certified, or registered shall be appropriately licensed, certified,
or registered.
2) Recommended minimum personnel qualifications are as follows:
A) Physicians − certification by specialty board (obstetrics
and gynecology, neonatology pediatrics) or in practice to complete requirements
for examination for boards (board eligible).
B) Nurses − Certification of graduation from an approved
school of nursing and a Bachelor of Science degree in Nursing, with experience,
preferably in obstetrics or maternity nursing or in pediatric nursing.
C) Social Workers − Master's degree from an accredited
school of social work with previous experience in a health agency.
D) Nutritionists − A Bachelor's degree from an accredited 4
year college or university with a major in foods and nutrition, experience as a
nutritionist or dietician, and completion of a hospital dietetic internship, or
training and experience which meets the requirements for membership in the
American Dietetic Association.
E) Health Educators − Bachelor's degree with courses in
health education and areas of concentration in the behavioral and biological
sciences and experience in community health education.
F) Counselors − Bachelor's degree from an accredited
college or university in social work, psychology, or closely related behavioral
science discipline, and counseling experience in related area.
3) Each project shall have a full time project director.
However, the Department may approve the appointment of a project director who
is employed less than full time where the Department finds that such an
appointment is consistent with the purposes of the program.
c) Standards for Facilities
1) Hospitals to which project clients are referred shall meet the
requirements as published in the following documents:
A) Illinois Hospital Licensing Act [210 ILCS 85] and 77 Ill. Adm.
Code 250.
B) Hospital Licensing Requirements, Part XV, as promulgated by the
Illinois Department of Public Health.
2) Projects shall ensure that space is adequate to provide
separate interviewing areas which maintain privacy and preserve
confidentiality.
d) Standards for Care
1) Projects should meet standards published in the following
documents:
A) Standards for Obstetric-Gynecologic Services, American College
of Obstetricians and Gynecologists, One E. Wacker Dr., Chicago, IL 60601, and
B) Ambulatory Maternal Health Care and Family Planning Services,
Policies, Principles, Practices, American Public Health Association, available
from March of Dimes Foundation, 600 Maryland Avenue, S.W. Washington D.C.
20024.
2) Physicians and hospitals providing medical services to project
clients shall use authorized Perinatal Centers for necessary hospitalization of
high risk maternity and newborn patients.
3) Projects shall use, when necessary, specialty services
developed or recognized by the Division of Specialized Care for Children.
| TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER j: MATERNAL AND CHILD HEALTH
PART 655
PROBLEM PREGNANCY HEALTH SERVICES AND CARE PROJECTS
SECTION 655.40 USE OF PROJECT FUNDS
Section 655.40 Use of
Project Funds
a)
1) When approved in the plan and budget, funds may be used for
the direct costs of operating and maintaining the project.
2) The following direct costs may be incurred:
A) Salaries, including fringe benefits, for full or part-time
professional personnel such as physicians, nurses, social workers, counselors,
nutritionists, dieticians, physical therapists, technicians, health educators,
and nonprofessional personnel such as secretaries, typists, and clerks. The
rate for personal services shall not be more than that paid by the grantee to
other comparable employees in comparable positions, or if the grantee has no
comparable positions, the rate shall not be more than that paid for such
services elsewhere in the community. The fringe benefit rate shall not exceed
that paid to other employees of the agency.
B) Travel of personnel in carrying out the activities approved in
the plan.
3) Transportation of patients. Only payment of the usual rates
for the mode of travel that is consistent with the needs of patients shall be
included.
4) Supplies, except for oral contraceptives or other birth
control devices.
5) Rental of facilities where adequate space cannot be provided
by the grantee agency. Rental charges shall not exceed the lowest rate for
comparable space in the community.
6) Purchase of care, including hospital in-patient and
out-patient, and other services from community facilities such as homemaker and
visiting nurses. All other available sources of reimbursement shall be
exhausted first.
7) Other expenditures directly related to the operation of the
project such as telephone service, mimeographing, postage, advertising, and
other like items.
b) Project funds shall not be used to pay the following:
1) Purchase, construction, or renovation of buildings.
2) Depreciation of existing buildings or equipment.
3) Dues to societies, organizations or federations.
4) Entertainment costs.
5) General agency overhead.
6) Purchase of equipment.
7) Cost of dispensing oral contraceptives or other birth
control devices. (This does not exclude from eligibility agencies which
provide family planning services with support from other sources. Project
funds may be used for provision of counseling or education services regarding
birth control.)
8) Any other costs not approved in the plan and budget.
c) In no case may a grantee use in excess of 50% of its grant
under this act in any year to cover the cost of any single service category.
Categories of service are those listed under II.A. Technical assistance and
training each constitute a service category.
| TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER j: MATERNAL AND CHILD HEALTH
PART 655
PROBLEM PREGNANCY HEALTH SERVICES AND CARE PROJECTS
SECTION 655.50 APPLICATION CONTENT AND PROCESS
Section 655.50 Application
Content and Process
a) Applications for grants under this authority shall be made in
the format specified in the "Application and Plan for Health Services
Grant" (Form EBA 1, available from the Department of Public Health, 535
West Jefferson, Springfield, Illinois 62706).
b) Applications shall include a program narrative which
incorporates:
1) An identification of the incidence of problem pregnancy and
related problems in the area to be served by the project;
2) A description of the economic conditions and income level in the
geographic area to be served;
3) A description of existing problem pregnancy-related services
including where, how, by whom and to whom they are provided and the extent to
which they are coordinated in the geographic area to be served;
4) A description of major unmet needs for services for those
persons at risk of initial or repeat problem pregnancies, the number of persons
currently served in the area and the number of persons not being served in the
area;
5) A description of the core services to be included in the
project or provided by the grantee, to whom they will be provided, how they
will be linked, and their source of funding, to include some, but not
necessarily all, of the following:
A) Health and Mental Health Counseling
B) Vocational Counseling
C) Education services which supplement regular school programs to
help prevent adolescent pregnancy and to assist pregnant adolescents and
adolescent parents to remain in school or to continue their education
D) Primary and Preventive Health Services including Pre- and
Post-Natal Care
E) Nutrition Services and Nutrition Information and Counseling
F) social services;
6) A description of how those persons needing services other than
those provided directly by the grantee will be identified and how access and
appropriate referral to those services will be provided;
7) A description of the fee schedule, if any, to be used for any
services provided directly by the grantee and the method by which it was
derived;
8) A description of all the services and activities to be linked,
the results expected from the provision of such services and activities, and a
description of the procedures to be used for evaluating those results;
9) A description of the administrative structure of the agency or
organization and its staff, including curriculum vitae of professional staff
(including volunteer staff) of the agency who will be providing project
services;
10) Policies and procedures manual of agency; and
11) Written agreements with service providers and agencies with
which the project will be linked.
c) A detailed budget shall be submitted on the forms described
above and shall include all information and signatures required in the
instructions for their completion.
d) Applications for continuation of funding in subsequent years
shall include a detailed budget, a performance report, and a plan of activities
for the new project year. Continuation applications shall be submitted to the
Department no later than April 1 of each year.
| TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER j: MATERNAL AND CHILD HEALTH
PART 655
PROBLEM PREGNANCY HEALTH SERVICES AND CARE PROJECTS
SECTION 655.60 GENERAL REQUIREMENTS
Section 655.60 General
Requirements
a) Grantees may charge fees for services paid with funds under
this authority, but only pursuant to an approved fee schedule which bases fees
charged by the grantee on the family size and the income of the service
recipients, and an assurance that the agency takes into account
the difficulties some persons face in obtaining resources to pay for services.
b) The grantee shall implement the program within three months of
the date when authorization to proceed is given. Funds for programs not
implemented within three months shall revert to unawarded status unless a
special extension is approved. A special extension shall be approved if a
grantee has made reasonable efforts to implement the project but it is unable
to do so within three months due to circumstances beyond its control.
c) The grantee agency shall allow periodic onsite review of its
program and records by the staff of the Department of Public Health or their
authorized representatives.
d) The grantee agency shall submit quarterly and annually fiscal,
statistical, and narrative reports to the Department of Public Health within 15
days at the end of each quarter.
e) Fees collected for services provided by the project shall be
used to further the purposes of the project and shall not be used for match.
Matching funds must not have been used for matching in any other grant. In-kind
contributions may be used for match.
f) Authorization for services for which payments are made from
project funds shall be maintained by the grantee. A form for each patient
shall show the services authorized and the amounts expended for the specific
types of services approved. The method proposed for authorizing services
allowable under project policies should be outlined in the project plan.
g) Payment for inpatient services shall be based on the lesser of
reasonable cost of services or the customary charges to the general public for
such services.
h) Grantees shall not amend the plan or budget without prior approval
of the Department. The Department shall approve amendments to a project plan
or budget if such amendments are consistent with the purposes and rules of the
program and are reasonably justified.
i) The applicant shall maintain adequate records to show
disposition of all funds expended for activities for which the grant was made.
All records shall be retained for five years after the close of the fiscal year
in which the grant was made and shall be made available for audit purposes upon
request of the Department.
j) Failure by the grantee to comply with these requirements
shall be cause for discontinuance of funds or termination of the grant.
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