|
||||||||||||||||||||
|
||||||||||||||||||||
| ||||||||||||||||||||
| ||||||||||||||||||||
| ||||||||||||||||||||
1 | AN ACT concerning public aid.
| |||||||||||||||||||
2 | Be it enacted by the People of the State of Illinois,
| |||||||||||||||||||
3 | represented in the General Assembly:
| |||||||||||||||||||
4 | Section 5. The Illinois Public Aid Code is amended by | |||||||||||||||||||
5 | changing Section 5-16.1 as follows:
| |||||||||||||||||||
6 | (305 ILCS 5/5-16.1) (from Ch. 23, par. 5-16.1)
| |||||||||||||||||||
7 | Sec. 5-16.1. Case Management Services. The Illinois | |||||||||||||||||||
8 | Department may
develop, implement and evaluate a Case | |||||||||||||||||||
9 | Management Services Program which
provides services consistent | |||||||||||||||||||
10 | with the provisions of this Section, and the
Inter-Agency | |||||||||||||||||||
11 | Agreement between the Department of Healthcare and Family | |||||||||||||||||||
12 | Services (formerly Department of Public Aid ) and the
Department | |||||||||||||||||||
13 | of Public Health, for a targeted population on a less than
| |||||||||||||||||||
14 | Statewide basis in the State of Illinois. The purpose of this | |||||||||||||||||||
15 | Case
Management Services Program shall be to assist eligible | |||||||||||||||||||
16 | participants in
gaining access to needed medical, social, | |||||||||||||||||||
17 | educational and other services
thereby reducing the likelihood | |||||||||||||||||||
18 | of long-term welfare dependency. The Case
Management Services | |||||||||||||||||||
19 | Program shall have the following characteristics:
| |||||||||||||||||||
20 | (a) It shall be conducted for a period of no less than | |||||||||||||||||||
21 | 5 consecutive
fiscal years in one urban area containing a | |||||||||||||||||||
22 | high proportion, as determined
by Department of Healthcare | |||||||||||||||||||
23 | and Family Services
Public Aid and Department of Public |
| |||||||
| |||||||
1 | Health records, of
Medicaid eligible pregnant or parenting | ||||||
2 | girls under 17 years of age at the
time of the initial | ||||||
3 | assessment and in one rural area containing a high
| ||||||
4 | proportion, as determined by Department of Healthcare and | ||||||
5 | Family Services
Public Aid and Department of
Public Health | ||||||
6 | records, of Medicaid eligible pregnant or parenting girls
| ||||||
7 | under 17 years of age at the time of the initial | ||||||
8 | assessment.
| ||||||
9 | (b) Providers participating in the program shall be | ||||||
10 | paid an amount per
patient per month, to be set by the | ||||||
11 | Illinois Department, for the case
management services | ||||||
12 | provided.
| ||||||
13 | (c) Providers eligible to participate in the program | ||||||
14 | shall be nurses or
social workers, licensed to practice in | ||||||
15 | Illinois, who comply with the rules
and regulations | ||||||
16 | established by the Illinois Department and the | ||||||
17 | Inter-Agency
Agreement between the Department of | ||||||
18 | Healthcare and Family Services (formerly Department of | ||||||
19 | Public Aid ) and the Department of Public
Health. The | ||||||
20 | Illinois Department may terminate a provider's | ||||||
21 | participation
in the program if the provider is determined | ||||||
22 | to have failed to comply with
any applicable program | ||||||
23 | standard or procedure established by the Illinois
| ||||||
24 | Department.
| ||||||
25 | (d) Each eligible participant in an area where the Case | ||||||
26 | Management
Services Program is being conducted may |
| |||||||
| |||||||
1 | voluntarily designate a case
manager, of her own choosing | ||||||
2 | to assume responsibility for her care.
| ||||||
3 | (e) A participant may change her designated case | ||||||
4 | manager provided that
she informs the Illinois Department | ||||||
5 | by the 20th day of the month in order
for the change to be | ||||||
6 | effective in the following month.
| ||||||
7 | (f) The Illinois Department shall, by rule, establish | ||||||
8 | procedures for
providing case management services when the | ||||||
9 | designated source becomes
unavailable or wishes to | ||||||
10 | withdraw from any obligation as case management
services | ||||||
11 | provider.
| ||||||
12 | (g) In accordance with rules adopted by the Illinois | ||||||
13 | Department, a
participant may discontinue participation in | ||||||
14 | the program upon timely notice
to the Illinois Department, | ||||||
15 | in which case the participant shall remain
eligible for | ||||||
16 | assistance under all applicable provisions of Article V of
| ||||||
17 | this Code.
| ||||||
18 | The Illinois Department shall take any necessary steps to | ||||||
19 | obtain
authorization or waiver under federal law to implement a | ||||||
20 | Case Management
Services Program. Participation shall be | ||||||
21 | voluntary for the provider and
the recipient.
| ||||||
22 | (Source: P.A. 87-685; revised 12-15-05.)
|