Illinois General Assembly - Full Text of HB4919
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Full Text of HB4919  103rd General Assembly

HB4919 103RD GENERAL ASSEMBLY

 


 
103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB4919

 

Introduced 2/7/2024, by Rep. Marcus C. Evans, Jr.

 

SYNOPSIS AS INTRODUCED:
 
20 ILCS 105/4.02

    Amends the Illinois Act on the Aging. In a provision requiring the Department on Aging to require an annual audit from all personal assistant and home care aide vendors contracting with the Department, provides that the annual audit shall assure that each audited vendor's procedures are in compliance with the Department's financial reporting guidelines requiring an 80% or higher employee wage and benefits cost split and an administrative cost split of no more than 20% (rather than an administrative and employee wage and benefits cost split as defined in administrative rules). Provides that subject to federal approval, on and after January 1, 2025, rates for homemaker services shall be increased to $32.75 to sustain a minimum wage of $20 per hour for direct service workers. Provides that rates in subsequent State fiscal years shall be no lower than $32.75 upon federal approval. Requires providers of in-home services to be required to certify to the Department that they remain in compliance with the mandated wage increase for direct service workers. Provides that fringe benefits, including, but not limited to, paid time off and payment for training, health insurance, travel, or transportation, shall not be reduced in relation to the rate increases. Provides that subject to federal approval, on and after January 1, 2025, the Department shall pay a rate add-on under the Community Care Program to those in-home service provider agencies that attest and document their direct service workers attend paid, quarterly, in-person training sessions to fulfill the in-service training requirements. Provides that the add-on shall be 1% of the homemaker services rate. Requires the Department to adopt rules.


LRB103 37397 KTG 67519 b

 

 

A BILL FOR

 

HB4919LRB103 37397 KTG 67519 b

1    AN ACT concerning State government.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Act on the Aging is amended by
5changing Section 4.02 as follows:
 
6    (20 ILCS 105/4.02)
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.
14Such preventive 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
17limited to, any or all of the following:
18        (a) (blank);
19        (b) (blank);
20        (c) home care aide services;
21        (d) personal assistant services;
22        (e) adult day services;
23        (f) home-delivered meals;

 

 

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1        (g) education in self-care;
2        (h) personal care services;
3        (i) adult day health services;
4        (j) habilitation services;
5        (k) respite care;
6        (k-5) community reintegration services;
7        (k-6) flexible senior services;
8        (k-7) medication management;
9        (k-8) emergency home response;
10        (l) other nonmedical social services that may enable
11    the person to become self-supporting; or
12        (m) clearinghouse for information provided by senior
13    citizen home owners who want to rent rooms to or share
14    living space with other senior citizens.
15    The Department shall establish eligibility standards for
16such services. In determining the amount and nature of
17services for which a person may qualify, consideration shall
18not be given to the value of cash, property, or other assets
19held in the name of the person's spouse pursuant to a written
20agreement dividing marital property into equal but separate
21shares or pursuant to a transfer of the person's interest in a
22home to his spouse, provided that the spouse's share of the
23marital property is not made available to the person seeking
24such services.
25    Beginning January 1, 2008, the Department shall require as
26a condition of eligibility that all new financially eligible

 

 

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1applicants apply for and enroll in medical assistance under
2Article V of the Illinois Public Aid Code in accordance with
3rules promulgated by the Department.
4    The Department shall, in conjunction with the Department
5of Public Aid (now Department of Healthcare and Family
6Services), seek appropriate amendments under Sections 1915 and
71924 of the Social Security Act. The purpose of the amendments
8shall be to extend eligibility for home and community based
9services under Sections 1915 and 1924 of the Social Security
10Act to persons who transfer to or for the benefit of a spouse
11those amounts of income and resources allowed under Section
121924 of the Social Security Act. Subject to the approval of
13such amendments, the Department shall extend the provisions of
14Section 5-4 of the Illinois Public Aid Code to persons who, but
15for the provision of home or community-based services, would
16require the level of care provided in an institution, as is
17provided for in federal law. Those persons no longer found to
18be eligible for receiving noninstitutional services due to
19changes in the eligibility criteria shall be given 45 days
20notice prior to actual termination. Those persons receiving
21notice of termination may contact the Department and request
22the determination be appealed at any time during the 45 day
23notice period. The target population identified for the
24purposes of this Section are persons age 60 and older with an
25identified service need. Priority shall be given to those who
26are at imminent risk of institutionalization. The services

 

 

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1shall be provided to eligible persons age 60 and older to the
2extent that the cost of the services together with the other
3personal maintenance expenses of the persons are reasonably
4related to the standards established for care in a group
5facility appropriate to the person's condition. These
6non-institutional services, pilot projects, or experimental
7facilities may be provided as part of or in addition to those
8authorized by federal law or those funded and administered by
9the Department of Human Services. The Departments of Human
10Services, Healthcare and Family Services, Public Health,
11Veterans' Affairs, and Commerce and Economic Opportunity and
12other appropriate agencies of State, federal, and local
13governments shall cooperate with the Department on Aging in
14the establishment and development of the non-institutional
15services. The Department shall require an annual audit from
16all personal assistant and home care aide vendors contracting
17with the Department under this Section. The annual audit shall
18assure that each audited vendor's procedures are in compliance
19with the Department's financial reporting guidelines requiring
20an 80% or higher employee wage and benefits cost split and an
21administrative cost split of no more than 20% an
22administrative and employee wage and benefits cost split as
23defined in administrative rules. The audit is a public record
24under the Freedom of Information Act. The Department shall
25execute, relative to the nursing home prescreening project,
26written inter-agency agreements with the Department of Human

 

 

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

 

 

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

 

 

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1by the rules and regulations of the Department of Healthcare
2and Family Services, regardless of the value of the property.
3    The Department shall increase the effectiveness of the
4existing Community Care Program by:
5        (1) ensuring that in-home services included in the
6    care plan are available on evenings and weekends;
7        (2) ensuring that care plans contain the services that
8    eligible participants need based on the number of days in
9    a month, not limited to specific blocks of time, as
10    identified by the comprehensive assessment tool selected
11    by the Department for use statewide, not to exceed the
12    total monthly service cost maximum allowed for each
13    service; the Department shall develop administrative rules
14    to implement this item (2);
15        (3) ensuring that the participants have the right to
16    choose the services contained in their care plan and to
17    direct how those services are provided, based on
18    administrative rules established by the Department;
19        (4) ensuring that the determination of need tool is
20    accurate in determining the participants' level of need;
21    to achieve this, the Department, in conjunction with the
22    Older Adult Services Advisory Committee, shall institute a
23    study of the relationship between the Determination of
24    Need scores, level of need, service cost maximums, and the
25    development and utilization of service plans no later than
26    May 1, 2008; findings and recommendations shall be

 

 

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1    presented to the Governor and the General Assembly no
2    later than January 1, 2009; recommendations shall include
3    all needed changes to the service cost maximums schedule
4    and additional covered services;
5        (5) ensuring that homemakers can provide personal care
6    services that may or may not involve contact with clients,
7    including, but not limited to:
8            (A) bathing;
9            (B) grooming;
10            (C) toileting;
11            (D) nail care;
12            (E) transferring;
13            (F) respiratory services;
14            (G) exercise; or
15            (H) positioning;
16        (6) ensuring that homemaker program vendors are not
17    restricted from hiring homemakers who are family members
18    of clients or recommended by clients; the Department may
19    not, by rule or policy, require homemakers who are family
20    members of clients or recommended by clients to accept
21    assignments in homes other than the client;
22        (7) ensuring that the State may access maximum federal
23    matching funds by seeking approval for the Centers for
24    Medicare and Medicaid Services for modifications to the
25    State's home and community based services waiver and
26    additional waiver opportunities, including applying for

 

 

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

 

 

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

 

 

HB4919- 11 -LRB103 37397 KTG 67519 b

1provisions of the Health Care Worker Background Check Act.
2    The Department shall develop procedures to enhance
3availability of services on evenings, weekends, and on an
4emergency basis to meet the respite needs of caregivers.
5Procedures shall be developed to permit the utilization of
6services in successive blocks of 24 hours up to the monthly
7maximum established by the Department. Workers providing these
8services shall be appropriately trained.
9    Beginning on September 23, 1991 (the effective date of
10Public Act 87-729) this amendatory Act of 1991, no person may
11perform chore/housekeeping and home care aide services under a
12program authorized by this Section unless that person has been
13issued a certificate of pre-service to do so by his or her
14employing agency. Information gathered to effect such
15certification shall include (i) the person's name, (ii) the
16date the person was hired by his or her current employer, and
17(iii) the training, including dates and levels. Persons
18engaged in the program authorized by this Section before the
19effective date of this amendatory Act of 1991 shall be issued a
20certificate of all pre-service pre- and in-service training
21from his or her employer upon submitting the necessary
22information. The employing agency shall be required to retain
23records of all staff pre-service pre- and in-service training,
24and shall provide such records to the Department upon request
25and upon termination of the employer's contract with the
26Department. In addition, the employing agency is responsible

 

 

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1for the issuance of certifications of in-service training
2completed to their employees.
3    The Department is required to develop a system to ensure
4that persons working as home care aides and personal
5assistants receive increases in their wages when the federal
6minimum wage is increased by requiring vendors to certify that
7they are meeting the federal minimum wage statute for home
8care aides and personal assistants. An employer that cannot
9ensure that the minimum wage increase is being given to home
10care aides and personal assistants shall be denied any
11increase in reimbursement costs.
12    The Community Care Program Advisory Committee is created
13in the Department on Aging. The Director shall appoint
14individuals to serve in the Committee, who shall serve at
15their own expense. Members of the Committee must abide by all
16applicable ethics laws. The Committee shall advise the
17Department on issues related to the Department's program of
18services to prevent unnecessary institutionalization. The
19Committee shall meet on a bi-monthly basis and shall serve to
20identify and advise the Department on present and potential
21issues affecting the service delivery network, the program's
22clients, and the Department and to recommend solution
23strategies. Persons appointed to the Committee shall be
24appointed on, but not limited to, their own and their agency's
25experience with the program, geographic representation, and
26willingness to serve. The Director shall appoint members to

 

 

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

 

 

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1assistance and staff support to the committee. Department
2representation shall not constitute membership of the
3committee. All Committee papers, issues, recommendations,
4reports, and meeting memoranda are advisory only. The
5Director, or his or her designee, shall make a written report,
6as requested by the Committee, regarding issues before the
7Committee.
8    The Department on Aging and the Department of Human
9Services shall cooperate in the development and submission of
10an annual report on programs and services provided under this
11Section. Such joint report shall be filed with the Governor
12and the General Assembly on or before March 31 of the following
13fiscal year.
14    The requirement for reporting to the General Assembly
15shall be satisfied by filing copies of the report as required
16by Section 3.1 of the General Assembly Organization Act and
17filing such 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

 

 

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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,
9home modification, assistive technology, housing assistance,
10and transportation.
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
20requirements of Section 2-27 of the Illinois State Auditing
21Act; or (ii) beginning June 1, 2014, if the Auditor General has
22reported that the Department has not undertaken the required
23actions listed in the report required by subsection (a) of
24Section 2-27 of the Illinois State Auditing Act.
25    The Department shall delay Community Care Program services
26until an applicant is determined eligible for medical

 

 

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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
11level (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
16the required actions listed in the report required by
17subsection (a) of Section 2-27 of the Illinois State Auditing
18Act.
19    The Department shall continue to provide other Community
20Care Program reports as required by statute.
21    The Department shall conduct a quarterly review of Care
22Coordination Unit performance and adherence to service
23guidelines. The quarterly review shall be reported to the
24Speaker of the House of Representatives, the Minority Leader
25of the House of Representatives, the President of the Senate,
26and the Minority Leader of the Senate. The Department shall

 

 

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

 

 

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1with the mandates of Public Act 95-713. For State fiscal years
22018 and 2019, the enhanced rate shall be $1.77 per hour. The
3rate shall be adjusted using actuarial analysis based on the
4cost of care, but shall not be set below $1.77 per hour. The
5Department shall adopt rules, including emergency rules under
6subsections (y) and (bb) of Section 5-45 of the Illinois
7Administrative Procedure Act, to implement the provisions of
8this paragraph.
9    Subject to federal approval, beginning on January 1, 2024,
10rates for adult day services shall be increased to $16.84 per
11hour and rates for each way transportation services for adult
12day services shall be increased to $12.44 per unit
13transportation.
14    Subject to federal approval, on and after January 1, 2024,
15rates for homemaker services shall be increased to $28.07 to
16sustain a minimum wage of $17 per hour for direct service
17workers. Rates in subsequent State fiscal years shall be no
18lower than the rates put into effect upon federal approval.
19Providers of in-home services shall be required to certify to
20the Department that they remain in compliance with the
21mandated wage increase for direct service workers. Fringe
22benefits, including, but not limited to, paid time off and
23payment for training, health insurance, travel, or
24transportation, shall not be reduced in relation to the rate
25increases described in this paragraph.
26    Subject to federal approval, on and after January 1, 2025,

 

 

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1rates for homemaker services shall be increased to $32.75 to
2sustain a minimum wage of $20 per hour for direct service
3workers. Rates in subsequent State fiscal years shall be no
4lower than $32.75 upon federal approval. Providers of in-home
5services shall be required to certify to the Department that
6they remain in compliance with the mandated wage increase for
7direct service workers. Fringe benefits, including, but not
8limited to, paid time off and payment for training, health
9insurance, travel, or transportation, shall not be reduced in
10relation to the rate increases described in this paragraph.
11    Subject to federal approval, on and after January 1, 2025,
12the Department shall pay a rate add-on under the Community
13Care Program to those in-home service provider agencies that
14attest and document their direct service workers attend paid,
15quarterly, in-person training sessions to fulfill the
16in-service training requirements under this Section. The
17add-on shall be 1% of the homemaker services rate. The
18Department shall adopt rules to implement the provisions of
19this paragraph.
20    The General Assembly finds it necessary to authorize an
21aggressive Medicaid enrollment initiative designed to maximize
22federal Medicaid funding for the Community Care Program which
23produces significant savings for the State of Illinois. The
24Department on Aging shall establish and implement a Community
25Care Program Medicaid Initiative. Under the Initiative, the
26Department on Aging shall, at a minimum: (i) provide an

 

 

HB4919- 20 -LRB103 37397 KTG 67519 b

1enhanced rate to adequately compensate care coordination units
2to enroll eligible Community Care Program clients into
3Medicaid; (ii) use recommendations from a stakeholder
4committee on how best to implement the Initiative; and (iii)
5establish requirements for State agencies to make enrollment
6in the State's Medical Assistance program easier for seniors.
7    The Community Care Program Medicaid Enrollment Oversight
8Subcommittee is created as a subcommittee of the Older Adult
9Services Advisory Committee established in Section 35 of the
10Older Adult Services Act to make recommendations on how best
11to increase the number of medical assistance recipients who
12are enrolled in the Community Care Program. The Subcommittee
13shall consist of all of the following persons who must be
14appointed within 30 days after June 4, 2018 (the effective
15date of Public Act 100-587) this amendatory Act of the 100th
16General Assembly:
17        (1) The Director of Aging, or his or her designee, who
18    shall serve as the chairperson of the Subcommittee.
19        (2) One representative of the Department of Healthcare
20    and Family Services, appointed by the Director of
21    Healthcare and Family Services.
22        (3) One representative of the Department of Human
23    Services, appointed by the Secretary of Human Services.
24        (4) One individual representing a care coordination
25    unit, appointed by the Director of Aging.
26        (5) One individual from a non-governmental statewide

 

 

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

 

 

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1    Human Services.
2    The Subcommittee shall provide oversight to the Community
3Care Program Medicaid Initiative and shall meet quarterly. At
4each Subcommittee meeting the Department on Aging shall
5provide the following data sets to the Subcommittee: (A) the
6number of Illinois residents, categorized by planning and
7service area, who are receiving services under the Community
8Care Program and are enrolled in the State's Medical
9Assistance Program; (B) the number of Illinois residents,
10categorized by planning and service area, who are receiving
11services under the Community Care Program, but are not
12enrolled in the State's Medical Assistance Program; and (C)
13the number of Illinois residents, categorized by planning and
14service area, who are receiving services under the Community
15Care Program and are eligible for benefits under the State's
16Medical Assistance Program, but are not enrolled in the
17State's Medical Assistance Program. In addition to this data,
18the Department on Aging shall provide the Subcommittee with
19plans on how the Department on Aging will reduce the number of
20Illinois residents who are not enrolled in the State's Medical
21Assistance Program but who are eligible for medical assistance
22benefits. The Department on Aging shall enroll in the State's
23Medical Assistance Program those Illinois residents who
24receive services under the Community Care Program and are
25eligible for medical assistance benefits but are not enrolled
26in the State's Medicaid Assistance Program. The data provided

 

 

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1to the Subcommittee shall be made available to the public via
2the Department on Aging's website.
3    The Department on Aging, with the involvement of the
4Subcommittee, shall collaborate with the Department of Human
5Services and the Department of Healthcare and Family Services
6on how best to achieve the responsibilities of the Community
7Care Program Medicaid Initiative.
8    The Department on Aging, the Department of Human Services,
9and the Department of Healthcare and Family Services shall
10coordinate and implement a streamlined process for seniors to
11access benefits under the State's Medical Assistance Program.
12    The Subcommittee shall collaborate with the Department of
13Human Services on the adoption of a uniform application
14submission process. The Department of Human Services and any
15other State agency involved with processing the medical
16assistance application of any person enrolled in the Community
17Care Program shall include the appropriate care coordination
18unit in all communications related to the determination or
19status of the application.
20    The Community Care Program Medicaid Initiative shall
21provide targeted funding to care coordination units to help
22seniors complete their applications for medical assistance
23benefits. On and after July 1, 2019, care coordination units
24shall receive no less than $200 per completed application,
25which rate may be included in a bundled rate for initial intake
26services when Medicaid application assistance is provided in

 

 

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1conjunction with the initial intake process for new program
2participants.
3    The Community Care Program Medicaid Initiative shall cease
4operation 5 years after June 4, 2018 (the effective date of
5Public Act 100-587) this amendatory Act of the 100th General
6Assembly, after which the Subcommittee shall dissolve.
7    Effective July 1, 2023, subject to federal approval, the
8Department on Aging shall reimburse Care Coordination Units at
9the following rates for case management services: $252.40 for
10each initial assessment; $366.40 for each initial assessment
11with translation; $229.68 for each redetermination assessment;
12$313.68 for each redetermination assessment with translation;
13$200.00 for each completed application for medical assistance
14benefits; $132.26 for each face-to-face, choices-for-care
15screening; $168.26 for each face-to-face, choices-for-care
16screening with translation; $124.56 for each 6-month,
17face-to-face visit; $132.00 for each MCO participant
18eligibility determination; and $157.00 for each MCO
19participant eligibility determination with translation.
20(Source: P.A. 102-1071, eff. 6-10-22; 103-8, eff. 6-7-23;
21103-102, Article 45, Section 45-5, eff. 1-1-24; 103-102,
22Article 85, Section 85-5, eff. 1-1-24; 103-102, Article 90,
23Section 90-5, eff. 1-1-24; revised 12-12-23.)