Section 240.1960  Care Coordination Fixed Unit Reimbursement Rates

Care Coordination  Units under contract with the Department shall be uniformly reimbursed for the provision of CCP care coordination services at the rates established by the Department.  The reimbursable CCP care coordination service activities  subsequent to a procurement conducted under 89 Ill. Adm. Code 220.610 through 220.675 as follows:

a)         completion of each initial eligibility determination for CCP services;

b)         completion of each redetermination of CCP eligibility not to exceed 1 redetermination per month per participant;

c)         completion of each face-to-face screening of a participant;

d)         completion of each HFS Interagency Certification of Results – Determination of Imminent Risk form, following prescreening by Choices for Care screeners;

e)         completion of each HFS OBRA-1 (Level I ID Screen);

f)         availability to receive participant inquiries and requests, by telephone or in person, and to respond to those requests and inquiries for each active participant per month;

g)         completion of each Deinstitutionalization assessment;

h)         completion of one face-to-face visit between initial assessment and annual reassessment that is to occur between 4 and 8 months after the last determination or redetermination of eligibility.

(Source:  Amended at 42 Ill. Reg. 20653, effective January 1, 2019)