TITLE 89: SOCIAL SERVICES CHAPTER II: DEPARTMENT ON AGING PART 240 COMMUNITY CARE PROGRAM The General Assembly's Illinois Administrative Code database includes only those rulemakings that have been permanently adopted. This menu will point out the Sections on which an emergency rule (valid for a maximum of 150 days, usually until replaced by a permanent rulemaking) exists. The emergency rulemaking is linked through the notation that follows the Section heading in the menu. View Entire Part SUBPART A: GENERAL PROGRAM PROVISIONS Section 240.100 Community Care Program Section 240.110 Department Prerogative Section 240.120 Services Provided Section 240.130 Maintenance of Effort Section 240.140 Program Limitations Section 240.150 Department Headquarters Location Section 240.160 Definitions Section 240.170 Variance SUBPART B: SERVICE DEFINITIONS Section 240.210 In-home Service Section 240.230 Adult Day Service (ADS) Section 240.235 Emergency Home Response Service Section 240.237 Automated Medication Dispenser Service Section 240.240 Information and Referral Section 240.250 Demonstration/Research Projects Section 240.260 Care Coordination Service Section 240.270 Alternative Provider Section 240.280 Individual Provider (Repealed) SUBPART C: RIGHTS AND RESPONSIBILITIES Section 240.300 Participant Rights and Responsibilities Section 240.310 Right to Request Services Section 240.320 Nondiscrimination Section 240.330 Freedom of Choice Section 240.340 Confidentiality/Safeguarding of Case Information Section 240.350 Participant/Authorized Representative Cooperation Section 240.355 Violence By Participants/Authorized Representatives Section 240.360 Reporting Changes Section 240.370 Voluntary Repayment SUBPART D: APPEALS Section 240.400 Appeals and Fair Hearings Section 240.405 Representation Section 240.410 When the Appeal May Be Filed Section 240.415 What May be Appealed Section 240.420 Consolidation of Appeals Section 240.425 Informal Review Section 240.430 Informal Review Findings Section 240.435 Withdrawing an Appeal Section 240.436 Dismissing an Appeal Section 240.440 Exchanging Records and Pre-hearing Conferences Section 240.445 Hearing Officer Section 240.450 The Hearing Section 240.451 Conduct of Hearing Section 240.455 Continuance of the Hearing (Repealed) Section 240.460 Continuance or Postponement of the Hearing Section 240.465 Dismissal Due to Non-Appearance Section 240.470 Rescheduling the Appeal Hearing Section 240.475 Recommendations of Hearing Officer Section 240.480 The Appeal Decision Section 240.485 Reviewing the Official Report of the Hearing SUBPART E: REQUEST FOR SERVICES Section 240.510 Participant Agreement for Community Care Program Section 240.520 Who May Make Application (Repealed) Section 240.530 Date of Application (Repealed) Section 240.540 Participant Agreement and Consent Form Section 240.550 Person-Centered Planning Process SUBPART F: ELIGIBILITY FOR COMMUNITY CARE PROGRAM SERVICES Section 240.600 Eligibility Requirements Section 240.610 Establishing Initial Eligibility Section 240.620 Home Visit Section 240.630 Determination of Eligibility Section 240.640 Eligibility Decision Section 240.650 Continuous Eligibility Section 240.655 Redeterminations Process Section 240.660 Extension of Time Limit SUBPART G: NON-FINANCIAL REQUIREMENTS Section 240.710 Age Section 240.715 Determination of Need Section 240.727 Minimum Score Requirements Section 240.728 Maximum Payment Levels for Person-Centered Plans of Care Including In-home Service Section 240.729 Maximum Payment Levels for Person-Centered Plans of Care Including Adult Day Service Section 240.730 Person-Centered Plan of Care Section 240.735 Supplemental Information Section 240.740 Assessment of Need Section 240.741 Prerequisites for Automated Medication Dispenser Service Section 240.750 Citizenship Section 240.755 Residence Section 240.760 Social Security Number SUBPART H: FINANCIAL REQUIREMENTS Section 240.800 Financial Factors Section 240.810 Assets Section 240.815 Exempt Assets Section 240.820 Asset Transfers Section 240.825 Income Section 240.830 Unearned Income Exemptions Section 240.835 Earned Income Section 240.840 Potential Retirement, Disability and Other Benefits Section 240.845 Family Section 240.850 Monthly Average Income Section 240.855 Applicant/Client Expense for Care (Repealed) Section 240.860 Change in Income Section 240.865 Application For Medical Assistance (Medicaid) Section 240.870 Determination of Applicant/Client Monthly Expense for Care (Repealed) Section 240.875 Participant Responsibility SUBPART I: DISPOSITION OF DETERMINATION Section 240.905 Prohibition of Institutionalized Individuals From Receiving Community Care Program Services Section 240.910 Written Notification Section 240.915 Service Provision Section 240.920 Reasons for Denial Section 240.925 Frequency of Redeterminations (Renumbered) Section 240.930 Memorandum of Understanding Section 240.935 Discontinuance of Services to Clients (Repealed) Section 240.940 Penalty Payments (Repealed) Section 240.945 Notification of a Change in Service Section 240.950 Reasons for Termination Section 240.955 Reasons for Reduction or Change SUBPART J: SPECIAL SERVICES Section 240.1010 Choices for Care Pre and Post Screening and Informed Choice Section 240.1020 Interim Services Section 240.1040 Intense Service Provision Section 240.1050 Temporary Service Increase SUBPART K: TRANSFERS Section 240.1110 Participant Transfer Request - Provider to Provider - No Change in Service Section 240.1120 Participant Transfer Request – Provider to Provider – With Change in Service Section 240.1130 Participant Transfers – Care Coordination Unit to Care Coordination Unit Section 240.1140 Transfers of Pending Requests for Services Section 240.1150 Interagency Transfers Section 240.1160 Temporary Transfers – Care Coordination Unit to Care Coordination Unit Section 240.1170 Caseload Transfer – Provider to Provider Section 240.1180 Caseload Transfer – Care Coordination Unit to Care Coordination Unit SUBPART L: ADMINISTRATIVE SERVICE CONTRACT Section 240.1210 Administrative Service Contract SUBPART M: CARE COORDINATION UNITS AND PROVIDERS Section 240.1310 Standard Contractual Requirements for Care Coordination Units and Providers Section 240.1320 Provider or Care Coordination Unit Fraud/Illegal or Criminal Acts Section 240.1399 Termination of a Provider or Care Coordination Unit (CCU) SUBPART N: CARE COORDINATION UNITS Section 240.1400 Community Care Program Care Coordination Section 240.1410 Care Coordination Unit Administrative Minimum Standards Section 240.1420 Care Coordination Unit Responsibilities Section 240.1430 Care Coordinator Staff Positions, Qualifications and Responsibilities Section 240.1440 Training Requirements For Care Coordination Supervisors and Case Coordinators SUBPART O: PROVIDERS Section 240.1505 Administrative Requirements for Certification Section 240.1510 Provider Administrative Minimum Standards Section 240.1520 Provider Responsibilities Section 240.1525 Standard Requirements for In-home Service Providers Section 240.1530 General In-home Service Staffing Requirements Section 240.1531 Electronic Visit Verification (EVV) Requirements for In-home Service Providers Section 240.1535 In-home Service Staff Positions, Qualifications, Training and Responsibilities Section 240.1541 Minimum Equipment Specifications for Emergency Home Response Service Section 240.1542 Administrative Requirements for Emergency Home Response Service Providers Section 240.1543 Minimum Equipment Specifications for Automated Medication Dispenser Service Section 240.1544 Administrative Requirements for Automated Medication Dispenser Service Providers Section 240.1550 Standard Requirements for Adult Day Service Providers Section 240.1555 General Adult Day Service Staffing Requirements Section 240.1560 Adult Day Service Staff Section 240.1565 Adult Day Service Satellite Sites Section 240.1570 Service Availability Expansion Section 240.1575 Adult Day Service Site Relocation Section 240.1580 Standards for Alternative Providers Section 240.1590 Standard Requirements for Individual Provider Services (Repealed) SUBPART P: PROVIDER PROCUREMENT Section 240.1600 Provider Agency Certification Section 240.1605 Emergency Certification Section 240.1607 Standard CCP Provider Agreement Section 240.1615 Provider Initiated Service Area Modifications Section 240.1645 Objection to Certification Decision Section 240.1650 Classification, Identification and Receipt of Provider Service Violations Section 240.1660 Provider Performance Reviews Section 240.1661 Provider and Care Coordination Unit Right to Appeal Section 240.1665 Contract Actions for Failure to Comply with Community Care Program Requirements Section 240.1666 Termination of Provider Agreement SUBPART Q: CARE COORDINATION UNIT PROCUREMENT Section 240.1710 Procurement Cycle for Care Coordination Services Section 240.1720 Care Coordination Unit Performance Review SUBPART R: ADVISORY COMMITTEE Section 240.1800 Community Care Program Advisory Committee SUBPART S: PROVIDER RATES Section 240.1910 Establishment of Fixed Unit Rates Section 240.1920 Contract Specific Variations Section 240.1930 Fixed Unit Rate of Reimbursement for In-home Service Section 240.1940 Fixed Unit Rates of Reimbursement for Adult Day Service and Transportation Section 240.1950 Adult Day Service Fixed Unit Reimbursement Rates Section 240.1955 Fixed Unit Rates of Reimbursement for Emergency Home Response Service Section 240.1957 Fixed Unit Rates of Reimbursement for Automated Medication Dispenser Service Section 240.1960 Care Coordination Fixed Unit Reimbursement Rates Section 240.1970 Enhanced Rate for Health Insurance Costs SUBPART T: FINANCIAL REPORTING Section 240.2020 Financial Reporting of In-home Service Section 240.2023 Financial Reporting of Rate-Based Wage Increases for Direct Service Workers Section 240.2030 Unallowable Costs for In-home Service Section 240.2040 Minimum Direct Service Worker Costs for In-home Service Section 240.2050 Cost Categories for In-home Service

AUTHORITY: Implementing Section 4.02 and authorized by Section 4.01(11) and 4.02 of the Illinois Act on the Aging [20 ILCS 105/4.02 and 4.01].

SOURCE: Emergency rules adopted at 4 Ill. Reg. 1, p. 67, effective December 20, 1979, for a maximum of 150 days; adopted at 4 Ill. Reg. 17, p. 151, effective April 25, 1980; amended at 4 Ill. Reg. 43, p. 86, effective October 15, 1980; emergency amendment at 5 Ill. Reg. 1900, effective February 18, 1981, for a maximum of 150 days; amended at 5 Ill. Reg. 12090, effective October 26, 1981; emergency amendment at 6 Ill. Reg. 8455, effective July 6, 1982, for a maximum of 150 days; amended at 6 Ill. Reg. 14953, effective December 1, 1982; amended at 7 Ill. Reg. 8697, effective July 20, 1983; codified at 8 Ill. Reg. 2633; amended at 9 Ill. Reg. 1739, effective January 29, 1985; amended at 9 Ill. Reg. 10208, effective July 1, 1985; emergency amendment at 9 Ill. Reg. 14011, effective August 29, 1985, for a maximum of 150 days; amended at 10 Ill. Reg. 5076, effective March 15, 1986; recodified at 12 Ill. Reg. 7980; amended at 13 Ill. Reg. 11193, effective July 1, 1989; emergency amendment at 13 Ill. Reg. 13638, effective August 18, 1989, for a maximum of 150 days; amended at 13 Ill. Reg. 17327, effective November 1, 1989; amended at 14 Ill. Reg. 1233, effective January 12, 1990; amended at 14 Ill. Reg. 10732, effective July 1, 1990; emergency amendment at 15 Ill. Reg. 2838, effective February 1, 1991, for a maximum of 150 days; amended at 15 Ill. Reg. 10351, effective July 1, 1991; emergency amendment at 15 Ill. Reg. 14593, effective October 1, 1991, for a maximum of 150 days; emergency amendment at 15 Ill. Reg. 17398, effective November 15, 1991, for a maximum of 150 days; emergency amendment suspended at 16 Ill. Reg. 1744; emergency amendment modified in response to a suspension by the Joint Committee on Administrative Rules and reinstated at 16 Ill. Reg. 2943; amended at 15 Ill. Reg. 18568, effective December 13, 1991; emergency amendment at 16 Ill. Reg. 2630, effective February 1, 1992, for a maximum of 150 days; emergency amendment at 16 Ill. Reg. 2901, effective February 6, 1992, to expire June 30, 1992; emergency amendment at 16 Ill. Reg. 4069, effective February 28, 1992, to expire June 30, 1992; amended at 16 Ill. Reg. 11403, effective June 30, 1992; emergency amendment at 16 Ill. Reg. 11625, effective July 1, 1992, for a maximum of 150 days; amended at 16 Ill. Reg. 11731, effective June 30, 1992; emergency rule added at 16 Ill. Reg. 12615, effective July 23, 1992, for a maximum of 150 days; modified at 16 Ill. Reg. 16680; amended at 16 Ill. Reg. 14565, effective September 8, 1992; amended at 16 Ill. Reg. 18767, effective November 27, 1992; amended at 17 Ill. Reg. 224, effective December 29, 1992; amended at 17 Ill. Reg. 6090, effective April 7, 1993; amended at 18 Ill. Reg. 609, effective February 1, 1994; emergency amendment at 18 Ill. Reg. 5348, effective March 22, 1994, for a maximum of 150 days; amended at 18 Ill. Reg. 13375, effective August 19, 1994; amended at 19 Ill. Reg. 9085, effective July 1, 1995; emergency amendment at 19 Ill. Reg. 10186, effective July 1, 1995, for a maximum of 150 days; emergency amendment at 19 Ill. Reg. 12693, effective August 25, 1995, for a maximum of 150 days; amended at 19 Ill. Reg. 16031, effective November 20, 1995; amended at 19 Ill. Reg. 16523, effective December 1, 1995; amended at 20 Ill. Reg. 1493, effective January 10, 1996; emergency amendment at 20 Ill. Reg. 5388, effective March 22, 1996, for a maximum of 150 days; amended at 20 Ill. Reg. 8995, effective July 1, 1996; amended at 20 Ill. Reg. 10597, effective August 1, 1996; amended at 21 Ill. Reg. 887, effective January 10, 1997; amended at 21 Ill. Reg. 6183, effective May 15, 1997; amended at 21 Ill. Reg. 12418, effective September 1, 1997; amended at 22 Ill. Reg. 3415, effective February 1, 1998; amended at 23 Ill. Reg. 2496, effective February 1, 1999; amended at 23 Ill. Reg. 5642, effective May 1, 1999; amended at 26 Ill. Reg. 9668, effective July 1, 2002; emergency amendment at 26 Ill. Reg. 10829, effective July 1, 2002, for a maximum of 150 days; amended at 26 Ill. Reg. 17358, effective November 25, 2002; emergency amendment at 28 Ill. Reg. 923, effective December 26, 2003, for a maximum of 150 days; amended at 28 Ill. Reg. 7611, effective May 21, 2004; emergency amendment at 30 Ill. Reg. 10117, effective June 1, 2006, for a maximum of 150 days; emergency amendment at 30 Ill. Reg. 11767, effective July 1, 2006, for a maximum of 150 days; amended at 30 Ill. Reg. 16281, effective September 29, 2006; amended at 30 Ill. Reg. 17756, effective October 26, 2006; amended at 32 Ill. Reg. 7588, effective May 5, 2008; emergency amendment at 32 Ill. Reg. 10940, effective July 1, 2008, for a maximum of 150 days; emergency expired November 27, 2008; amended at 32 Ill. Reg. 17929, effective November 10, 2008; amended at 32 Ill. Reg. 19912, effective December 12, 2008; amended at 33 Ill. Reg. 4830, effective March 23, 2009; amended at 34 Ill. Reg. 3448, effective March 8, 2010; emergency amendment at 34 Ill. Reg. 10854, effective July 15, 2010, for a maximum of 150 days; emergency expired December 11, 2010; emergency amendment at 34 Ill. Reg. 12224, effective August 4, 2010, for a maximum of 150 days; emergency expired December 31, 2010; amended at 35 Ill. Reg. 8919, effective June 2, 2011; emergency amendment at 35 Ill. Reg. 13936, effective July 28, 2011, for a maximum of 150 days; amended at 35 Ill. Reg. 20130, effective December 6, 2011; emergency amendment at 37 Ill. Reg. 11381, effective July 1, 2013, for a maximum of 150 days; emergency expired November 27, 2013; amended at 38 Ill. Reg. 5800, effective February 21, 2014; amended at 38 Ill. Reg. 14230, effective June 25, 2014; amended at 41 Ill. Reg. 15233, effective January 1, 2018; recodified at 42 Ill. Reg. 817; amended at 42 Ill. Reg. 20653, effective January 1, 2019; amended at 44 Ill. Reg. 2780, effective January 29, 2020; amended at 44 Ill. Reg. 5995, effective April 3, 2020; amended at 44 Ill. Reg. 8609, effective May 13, 2020; amended at 45 Ill. Reg. 13819, effective October 21, 2021; amended at 46 Ill. Reg. 12492, effective July 1, 2022; emergency amendment at 47 Ill. Reg. 7115, effective May 10, 2023, for a maximum of 150 days; emergency expired October 6, 2023; emergency amendment at 47 Ill. Reg. 15675, effective October 18, 2023, for a maximum of 150 days; emergency expired March 15, 2024; amended at 48 Ill. Reg. 1129, effective January 3, 2024; amended at 48 Ill. Reg. 11053, effective July 16, 2024.