Section 641.90  Student Identification

The Center must develop a collaborative relationship with other health care providers, insurers, managed care entities, the school health program, students and parents/guardians with the goal of reducing duplication of services, fragmentation and discontinuous of care.

a)         The enrollment and registration processes must provide for effective collection of information regarding third-party billing resources and the identity of primary care providers.  The Center may not deny access to care to students without insurance.

b)         At the point of initial contact and/or any subsequent contacts with the student/family, efforts must be made to obtain current information on whether the student is a member of an MCE and/or recipient of services provided through a school-based/linked health center.  This may be accomplished in the following ways:

1)         contact with the primary care physician;

2)         a question appears on the application;

3)         the service provider solicits the information from the student at the time of contact;

4)         a copy of the Medical Assistance Program Card or other insurance card, is requested;

5)         the parent is contacted (school or home visit);

6)         the parent and/or child consent (child release vs. parental release) to the Center obtaining the information (See 410 ILCS 210/1, 2, 3 and 4);

7)         written policies are on-site regarding parental consent for treatment for easy reference by Center staff;

8)         the Illinois Department of Healthcare and Family Services hotline (800-226-0768) may be contacted regarding assignment; the child's name, date of birth, address and Medical Assistance program number (if known) will be necessary in order for the hotline staff to make the determination of assignment.