Section 240.1050  Temporary Service Increase

A participant who is currently receiving services under CCP may request a temporary service increase when they is at imminent risk of nursing facility care or has been hospitalized for not more than 60 calendar days.

a)         The CCU will conduct the DON to determine need for long-term services and supports within two calendar days after notification.

b)         The CCU will assist the participant/authorized representative with the completion of the Participant Agreement and Consent Form. The CCU shall verbally authorize a temporary increase in services if the need is indicated by the determination.  The CCU shall notify the provider by telephone to reinstate services, giving the date of discharge and the temporary increase.

c)         Notification shall be given to the participant/authorized representative and the provider immediately following completion of the required forms.  The notification shall be confirmed in writing. Both the verbal and written notification shall indicate the increase and the temporary nature of the increase.

d)         The CCU shall make a home visit to the participant for the purpose of redetermination of need to determine if the temporary increase should be continued or reduced.  (See Section 240.620(c).)

(Source:  Amended at 48 Ill. Reg. 11053, effective July 16, 2024)