Section 115.240  Medical Services and Medications

When medical services and/or medications are provided, or their administration is supervised, by employees of the licensed CILA agency, the licensed CILA agency shall certify that they are provided or their administration is supervised in accordance with the Mental Health and Developmental Disabilities Administrative Act [20 ILCS 1705] and the Illinois Nurse Practice Act [225 ILCS 65]. The licensed CILA agency must comply with 59 Ill. Adm. Code 116. The CILA agency shall additionally document:

a)         A licensed physician (MD or DO) shall be responsible for medical services, including prescription of medications.

b)         A physician shall perform an examination of the individual prior to the initiation of psychotropic medications.

c)         Screening, using the AIMS (Abnormal Involuntary Movement Skills), for and documentation of abnormal involuntary movements, including tardive dyskinesia, in individuals receiving prescribed psychotropics shall be completed at least every six months by the prescribing clinician or employees trained in performing this type of assessment.

d)         A physician shall review the medications prescribed and shall see the individual at least every six months, and more frequently if required by a psychiatrist. Physician documentation within the individual's record shall include, but is not limited to, the following:

1)         Rationale for continuing current medications and/or initiating new medications; and

2)         Medication side effects.

e)         A licensed medical professional must evaluate the ability of the individual to self-administer medication.  Ability to self-administer medication must be reassessed at least annually.  Individuals with developmental disabilities must be evaluated using Department approved screening and assessment tools, in accordance with 59 Ill. Adm. Code 116.

f)         A medical professional who is licensed to prescribe medications will either review psychotropic medications or be available for consultation when psychotropic medications have been prescribed.

g)         All medications shall be labeled.

h)         A physician or pharmacist shall make available to the CILA agency's nurse and administrative staff, and to the individual and family, information on expected consequences, potential benefits, and side effects of any prescribed medication.

(Source:  Amended at 47 Ill. Reg. 8485, effective May 31, 2023)