TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER b: HOSPITAL AND AMBULATORY CARE FACILITIES
PART 280 HOSPICE PROGRAMS
SECTION 280.1020 LICENSURE PROCEDURES
Section 280.1020 Licensure Procedures
a) An application for an initial license or a renewal license to operate as a comprehensive or volunteer hospice program shall be in writing on forms provided by the Department. (Section 5 of the Act) The application shall be made under oath and shall contain the following information:
1) The name, address, and telephone number of the hospice program location.
2) The type of hospice licensure sought by the program, either volunteer or comprehensive. If the program is a volunteer hospice, a complete listing of the hospice services to be provided during the term of the license shall be included.
3) If multiple hospice locations are used, the address and phone number of the central office and the address and phone number of each multiple hospice location.
4) A statement of ownership in accordance with Section 280.1030 of this Part.
5) The name and address of the registered agent or other individual authorized to receive Service of Process for the hospice program.
6) The name of the person under whose management or supervision the program will be operated.
7) A listing of professional staff including their name, title, license or registration number, whether they are full or part time, and whether they are paid or volunteer employees.
8) Number of volunteers and (approximate) total combined volunteer hours of care and service per week.
9) Source of income.
10) A designation of the proposed geographic area to be served by the hospice.
11) Hospice census report for the fiscal year (for renewals only).
12) A listing of outside contractors.
13) A copy of the annual hospice service plan.
14) A copy of the current annual budget and financial audit for the current fiscal year.
15) If the central office is used by patients and the public, a certification from the local fire authority or State Fire Marshal that the location meets fire and safety ordinances and laws.
b) An application for licensure as a comprehensive hospice shall be accompanied by a fee of $500. An application for a volunteer hospice shall be accompanied by a fee of $250.
c) Upon receipt and review of a complete application for initial licensure, the Department shall conduct an inspection to determine compliance with the Act and this Part.
d) If the hospice program is found to be in substantial compliance with the Act and this Part, the Department shall issue a license for a period of one year.
e) An application for license renewal shall be filed annually with the Department 60 days prior to the expiration of the license, on forms provided by the Department.
1) The renewal application shall comply with the requirements of subsections (a)(1)-(6), (a)(10) and (a)(11) and subsection (b) of this Section. The fee shall be $500.
2) Pursuant to Section 10-65 of the Illinois Administrative Procedure Act [5 ILCS 100/10-65], licensees who are individuals are subject to denial of renewal of licensure if the individual is more than 30 days delinquent in complying with a child support order.
3) Upon receipt and review of a complete application for license renewal, the Department may conduct a survey. The Department's decision to conduct a survey will be based on, but not be limited to, compliance history, changes in key personnel, complaints and the length of time since the last survey. The Department shall renew the license in accordance with subsection (d) of this Section.
f) The licensee shall report changes in the information on the application to the Department within ten days after the change. The following changes need not be reported: number of volunteers and total hours; sources of income for the fiscal year; hospice census report numbers; staff changes for other than program supervisors.
g) The hospice program license shall be displayed in a conspicuous place inside the hospice program office. (Section 4(e) of the Act)
h) The license shall be valid only in the possession of the hospice to which it was originally issued and shall not be transferred or assigned to any other person, agency, or corporation. (Section 4(c) of the Act) This subsection does not prohibit the use of workstations throughout the geographic service areas.
(Source: Amended at 32 Ill. Reg. 2330, effective January 23, 2008)