Section 240.945  Notification

a)         Any client whose Community Care Program (CCP) services are being changed in the following manner shall be advised of the change by written notice:  change of service type; reduced amount of service; increased monthly incurred expense; or termination.

1)         Such written notice shall be sent to a client by certified mail, return receipt requested, or given to the client personally, in which case the individual is to provide a signed and dated receipt for the notice. In the event of death of a client, regular mail is acceptable.

2)         The notice shall clearly state the reason for the action being taken.

3)         The client shall be notified of the action being taken no later than fifteen (15) calendar days from the date of redetermination and the action shall be effective no sooner than fifteen (15) calendar days from the date of the notice if the action is adverse to the client (see Section 240.160 for a definition of adverse action). This time frame does not apply to termination as a result of the non-cooperative act specified in Section 240.350(b)(1).

4)         In the event of death of the client, the termination shall be effective the date of the notice. The Case Action Notice form shall be dated and mailed/hand delivered on the same day.

b)         A CCP client's service(s), as specified in subsection (a) above, may be changed or reduced at the request of the client and not require the fifteen (15) calendar day notice period under the following circumstances:

1)         the client provides the CCU with a signed statement that the change or reduction is at the client's request;

2)         the CCU, client and vendor mutually agree to the initiation of the change or reduction on the agreed upon date (which may be less than the required fifteen (15) calendar days from the date of the notice to the client);

3)         A written notice is provided to the client (either by certified mail, return receipt requested, or handed to the client, with a receipt provided by the client for the notice) prior to the initiation of the change or reduction.  The notice shall indicate the agreed upon effective date;

4)         rights of appeal shall not be denied to a client who has requested a change or reduction in CCP services; and

5)         the CCU has documented all of the above and placed the client's statement in the client's file.

c)         When a redetermination of eligibility requires an increase, no change in service, or no change in the amount of expense to be incurred by the client (if applicable), the client shall be notified in writing.  Such notice shall be mailed by regular mail to the client within fifteen (15) calendar days from the date of the redetermination.

d)         A copy of any notification mailed/hand delivered to a client shall be mailed/provided to the appropriate vendor on the same date it is mailed/hand delivered to the client.

(Source:  Amended at 13 Ill. Reg. 11193, effective July 1, 1989)