(210 ILCS 40/10.4) Sec. 10.4. Provision of at-home continuing care. (a) The Department shall adopt rules that: (1) establish standards for providers of at-home |
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(2) provide for the certification and registration of
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| providers of at-home continuing care and the annual renewal of certificates of registration;
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(3) provide for and encourage the establishment of
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| at-home continuing care programs;
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(4) set minimum requirements for any individual who
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| is employed by or under contract with a provider of at-home continuing care and who will enter a provider of at-home continuing care's subscriber's home to provide at-home continuing care services, including requirements for criminal background checks of such an individual who will have routine, direct access to a subscriber;
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(5) establish standards for the renewal of
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| certificates of registration for providers of at-home continuing care;
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(6) establish standards for the number of executed
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| agreements necessary to begin operation as a provider of at-home continuing care;
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(7) establish standards for when and how a provider
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| of at-home continuing care or a subscriber may rescind an at-home continuing care agreement before at-home continuing care services are provided to the subscriber;
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(8) allow a subscriber to rescind an agreement for
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| at-home continuing care services at any time if the terms of the agreement violate this Section;
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(9) establish that a provider may terminate an
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| agreement to provide at-home continuing care services or discharge a subscriber only for just cause; and
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(10) establish procedures to carry out a termination
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| or discharge under paragraph (9).
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(b) The Department shall certify and register a person as a provider of at-home continuing care services under this Section if the Department determines that:
(1) a reasonable financial plan has been developed to
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| provide at-home continuing care services, including a plan for the number of agreements to be executed before beginning operation;
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(2) a market for the at-home continuing care program
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(3) the provider has submitted all proposed
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| advertisements, advertising campaigns, and other promotional materials for the program;
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(4) the form and substance of all advertisements,
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| advertising campaigns, and other promotional materials submitted are not deceptive, misleading, or likely to mislead; and
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(5) an actuarial forecast supports the market for the
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(c) A provider may not enter into an agreement to provide at-home continuing care services until the Department issues a preliminary certificate of registration to the provider. An application for a preliminary certificate of registration shall:
(1) be filed in a form determined by the Department
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(2) include:
(A) a copy of the proposed at-home continuing
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(B) the form and substance of any proposed
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| advertisements, advertising campaigns, or other promotional materials for the program that are available at the time of filing the application and that have not been filed previously with the Department.
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(d) The Department shall issue a preliminary certificate of registration to a provider under subsection (c) if the Department determines that:
(1) the proposed at-home continuing care agreement is
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(2) the provider has submitted all proposed
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| advertisements, advertising campaigns, and other promotional materials for the program; and
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(3) the form and substance of all advertisements,
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| advertising campaigns, and other promotional materials submitted are not deceptive, misleading, or likely to mislead.
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(e) A person may not provide at-home continuing care services until the Department issues a certificate of registration to the person. An application for a certificate of registration shall:
(1) be filed in a form determined by the Department
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(2) include:
(A) verification that the required number of
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| agreements has been executed;
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(B) the form and substance of any proposed
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| advertisements, advertising campaigns, or other promotional materials for the program that are available at the time of filing and that have not been filed previously with the Department; and
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(C) verification that any other license or
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| certificate required by other appropriate State units has been issued to the provider.
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(f) The Department shall issue a certificate of registration to a provider under subsection (e) if the Department determines that:
(1) the information and documents submitted and
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| application for a preliminary certificate of registration are current and accurate or have been updated to make them accurate;
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(2) the required agreements have been executed;
(3) any other license or certificate required by
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| other appropriate State units has been issued to the provider;
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(4) the provider has submitted all proposed
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| advertisements, advertising campaigns, and other promotional materials for the program; and
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(5) the material submitted is not an advertisement,
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| advertising campaign, or other promotional material that is deceptive, misleading, or likely to mislead.
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If a provider intends to advertise before the Department issues a certificate of registration, the provider shall submit to the Department any advertisement, advertising campaign, or other promotional material before using it.
(g) Every 2 years, within 120 days after the end of a provider's fiscal year, a provider shall file an application for a renewal certificate of registration with the Department. The application shall:
(A) be filed in a form determined by the
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(B) contain any reasonable and pertinent
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| information that the Department requires.
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(h) The Department shall issue a renewal certificate of registration under subsection (g) if the Department determines that:
(1) all required documents have been filed and are
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(2) any revised agreements for at-home continuing
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| care services meet the Department's requirements;
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(3) the provider has submitted all proposed
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| advertisements, advertising campaigns, and other promotional materials for the program; and
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(4) the form and substance of all advertisements,
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| advertising campaigns, and other promotional materials submitted are not deceptive, misleading, or likely to mislead.
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(i) The Department may deny, suspend, or revoke a preliminary, initial, or renewal certificate of registration under this Section for cause. The Department shall set forth in writing its reasons for a denial, suspension, or revocation. A provider may appeal a denial in writing. Grounds for a denial, suspension, or revocation include, but are not limited to:
(1) violation of this Section;
(2) violation of a rule adopted by the Department
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(3) misrepresentation; or
(4) submission of false information.
(Source: P.A. 103-332, eff. 1-1-24; 103-605, eff. 7-1-24.)
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