Section 520.30  Standards for the Issuance of Authorizations

In order for an authorization to be issued, the services must:

a)         be essential to obtaining necessary diagnostic information, determining eligibility, or achieving the objectives listed in the IPE or Service Plan;

b)         when so required, be from a qualified vendor as specified in 89 Ill. Adm. Code:  Chapter IV, Subchapter b (Vocational Rehabilitation) and Subchapter d (Home Services Program);

c)         be consistent with the Department of Human Services' (DHS) set rate of payments, exceptions being:

1)         Services that are available from only one service provider;

2)         Services for vocational rehabilitation customers that are above set rates but still less expensive than the purchase of the same service at the set rate because of the need for support services, i.e., increased costs (89 Ill. Adm. Code 590.650) and transportation (89 Ill. Adm. Code 590.600); and

3)         Services for which set rates have not been established.  In these cases, services will be authorized based upon best value, by comparative analysis of cost and quality of similar services.

(Source:  Amended at 34 Ill. Reg. 10157, effective June 29, 2010)