Section 681.20  DHS Prescreening Responsibilities

a)         Pursuant to Section 2-201.5 of the Nursing Home Care Act [210 ILCS 45], DHS must prescreen any individual, as described in Section 681.10, who seeks admission to a nursing facility.

b)         DHS Home Services Program does not prescreen individuals who:

1)         are less than 18 years of age, or 60 years of age or older;

2)         are transferred from one nursing facility to another nursing facility;

3)         resided in a nursing facility for a period of at least 60 calendar days who are returning to a nursing facility after an absence of not more than 60 calendar days;

4)         are returning to a nursing facility after an absence for medical care, regardless of the duration of the absence;

5)         have a diagnosis of developmental disability or severe mental illness, regardless of age;

6)         are admitted to a facility that is part of a Life Care Contract;

7)         are admitted to a hospice;

8)         are admitted to a nursing facility for respite care from the community for a period of no more than 15 calendar days;

9)         are admitted to a sheltered care facility;

10)         are admitted to a facility operated under the Hospital Licensing Act [210 ILCS 85] whose actual length of stay in such a facility is less than 21 calendar days.  If an individual's stay extends to 21 days or beyond, he/she must be prescreened;

11)         are admitted to a facility operated by a provider licensed under the Alternative Care Delivery Act [210 ILCS 3/35] whose actual length of stay in such a facility is less than 21 calendar days.  If an individual's stay extends to 21 days or beyond, he/she must be prescreened; or

12)         were residents of a nursing facility on June 30, 1996.

(Source:  Amended at 23 Ill. Reg. 3989, effective March 19, 1999)