(325 ILCS 20/13.5)
(Section scheduled to be repealed on July 1, 2026)
Sec. 13.5. Other programs.
(a) When an application or a review of
eligibility for early
intervention services is made, and at any
eligibility redetermination
thereafter, the family shall be asked if it
is currently enrolled in
any federally funded, Department of Healthcare and Family Services administered, medical programs, or the Title V program
administered by the University of Illinois
Division of
Specialized Care for Children. If the
family is enrolled in any of these
programs, that information shall be put on
the individualized family service
plan and entered into the computerized case
management system, and shall
require that the individualized family
services plan of a child who has been
found eligible for services through the
Division of Specialized Care for
Children state that the child is enrolled
in that program. For those
programs in which the family is not
enrolled, a preliminary eligibility
screen shall be
conducted simultaneously
for (i) medical assistance
(Medicaid) under
Article V of the Illinois Public Aid Code, (ii)
children's
health insurance program (any federally funded, Department of Healthcare and Family Services administered, medical programs) benefits
under the
Children's Health Insurance Program Act, and (iii)
Title V
maternal and child health services provided
through the
Division of Specialized Care for Children of the
University
of Illinois.
(b) For purposes of determining family fees
under
subsection (f) of Section 13 and determining
eligibility for
the other programs and services specified in
items (i)
through (iii) of subsection (a), the lead agency
shall
develop and use, within 60 days after the effective
date of
this amendatory Act of the 92nd General Assembly,
with the
cooperation of the Department of Public Aid (now Healthcare and Family Services)
and the
Division
of Specialized Care for Children of the
University of
Illinois, a screening device that provides
sufficient
information for the early intervention regional
intake
entities or other agencies to establish eligibility for
those
other programs
and shall, in cooperation with the Illinois
Department of Public Aid (now Healthcare and Family Services) and the Division
of Specialized Care for Children, train the
regional intake entities
on using the screening device.
(c) When a child is
determined eligible for and enrolled
in the early intervention
program and has been found to at least meet
the threshold income
eligibility requirements for any federally funded, Department of Healthcare and Family Services administered, medical programs, the regional intake entity
shall complete an application for any federally funded, Department of Healthcare and Family Services administered, medical programs with the family and forward it
to the
Department of Healthcare and Family Services for a determination of
eligibility. A parent shall not be required to enroll in any federally funded, Department of Healthcare and Family Services administered, medical programs as a condition of receiving services provided pursuant to Part C of the Individuals with Disabilities Education Act.
(d) With the cooperation of the Department of Healthcare and Family Services, the lead agency shall establish procedures that
ensure
the timely and maximum allowable recovery of payments
for all
early intervention services and allowable
administrative
costs under Article V of the Illinois Public Aid
Code and the
Children's Health Insurance Program Act and shall include
those procedures in the interagency agreement required under subsection (e) of
Section 5 of this Act.
(e) For purposes of making referrals for final
determinations of eligibility for any federally funded, Department of Healthcare and Family Services administered, medical programs benefits
under the Children's Health Insurance Program Act and for medical assistance
under Article V of the Illinois Public Aid Code,
the lead agency shall require each early intervention regional intake entity to
enroll as an application agent in order for the entity to complete any federally funded, Department of Healthcare and Family Services administered, medical programs
application as authorized under Section 22 of the Children's Health Insurance
Program Act.
(f) For purposes of early intervention services that may be provided
by the Division of Specialized Care for Children of the University of Illinois
(DSCC), the lead agency shall establish procedures whereby the early
intervention regional
intake entities may determine whether children enrolled in the early
intervention program may also be eligible for those services, and shall
develop, within 60 days after the effective date of this amendatory Act of the
92nd General Assembly, (i) the inter-agency agreement required under subsection
(e) of Section 5 of this Act, establishing that early intervention funds are to
be used as the payor of last resort when services required under an
individualized family services plan may be provided to an eligible child
through the DSCC, and (ii) training
guidelines for the regional intake entities
and providers that explain eligibility and billing procedures for
services through DSCC.
(g) The lead agency shall require that an
individual applying for or renewing
enrollment as a provider of services in the
early intervention program state whether or
not he or she is also enrolled as a DSCC
provider. This information shall be noted
next to the name of the provider on the
computerized roster of Illinois early
intervention providers, and regional intake
entities shall make every effort to refer
families eligible for DSCC services to
these providers.
(Source: P.A. 98-41, eff. 6-28-13.)
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