Rehabilitation Services CSA Attachment D

I. Introduction

II. Applicable Rules

III. Program Services

IV. Program Plan and Deliverables

V. Payment

VI. Eligibility Criteria

VII. Reporting Requirements

VIII. Special Conditions

I. Introduction

This information provides contractual requirements and information beyond what is provided in the Agreement and is intended to clarify programmatic areas of the Division of Rehabilitation Services. Furthermore, the grantee should reference https://www.dhs.state.il.us/page.aspx?item=29741 to obtain access to the appropriate program manual regarding specific programmatic requirements.

II. Applicable Rules

Provider must comply with all applicable federal, state and local rules and statutes including, but not limited to, the following:

TITLE XX SOCIAL SERVICE BLOCK GRANT

PART 130 ADMINISTRATION OF SOCIAL SERVICES PROGRAMS

FEDERAL STATUTES

Code of Federal Regulation

Uniform Administrative Requirements: https://www.law.cornell.edu/cfr/text/2/part-200

Home and Community-Based Services: Waiver Requirements

State Independent Living Services and Centers for Independent Living: https://www.law.cornell.edu/cfr/text/45/part-1329

Workforce Innovation and Opportunity Act: Public Law 113-128 Workforce Innovation and Opportunity Act.pdf

Independent Living Services for Older Individuals who are Blind

Social Services Block Grant Program: https://www.acf.hhs.gov/ocs/programs/ssbg

III. Program Services

A. Home Services Program (HSP) - A Medicaid Waiver Program offering individuals with disabilities who are at risk of premature or unnecessary institutionalization the alternative of in-home care when the cost of such care does not exceed the cost of a nursing facility. Services include, but are not limited to Individual Provider, Agency Home Health, Homemaker, Home Delivered Meals, Adult Day Care, Electronic Home Response, Assistive Equipment, Environmental Modification, and Respite.

Advocacy services for Home Services Program customers, formerly provided by the Client Assistance Program, are now available from the Home Care Ombudsman Program through the Illinois Department on Aging (IDoA).

Additional information about the Home Care Ombudsman Program may be found here:

https://www.illinois.gov/aging/Resources/NewsAndPublications/Publications/Documents/Home%20Comm%20Ombuds%20Bro_FINAL%20%202-15.pdf

The Home Services Program also offers the following:
1. Agency Services - Support services meeting the definitions and requirements set forth at 89 Ill. Admin. Code 676.40 and 686 covered under the Department of Healthcare and Family Services Waiver Program Provider Agreement For Participation in the Illinois Medical Assistance Program (HFS 1413-A).
Agencies that provide services on behalf of the Home Services Program are serving in the capacity as an agent of the State and are therefore required to appear, testify and provide any information related to customer appeals or hearings.
1. Adult Day Care Services:
  1. Adult Day Care Service
  2. Adult Day Care Transportation
2. Case Management:
  1. Case Management
  2. Case Management Assessment
  3. Case Management Reassessment
  4. Case Management Transportation Services
  5. Case Associate - AIDS - Reassessment
3. Community Care Unit-Nursing Home Pre-screening:
  1. CCU Pre-Screen weekday
  2. CCU Pre-Screen weekend
  3. CCU Face to Face with Translation weekday
  4. CCU Face to Face with Translation weekend
4. Emergency Home Response:
  1. Installation Service
  2. Electronic Home Response Service
5. Homemaker Services:
  1. Homemaker Services

B. Independent Living Services (IL) -A consumer-controlled, community based, cross-disability, nonresidential, private not-for-profit agency for individuals with significant disabilities (regardless of age or income) that:

is designed and operated within a local community by a majority of individuals with disabilities;
provides an array of independent living services as defined in section 7(18) of the Rehabilitation Act of 1973, including, at a minimum, independent living core services; and
complies with the standards set out in Section 725(b) of the Act, complies with the assurances in section 725(c) of the Act, and complies with 45 CFR 1329.5.

Core services include: information and referral services; independent living skills training; peer counseling, including cross-disability peer counseling; individual and system advocacy; and transitional services. Transition services include services that: facilitate the transition of individuals with significant disabilities from nursing homes and other institutions to home and community-based residences, with the requisite supports and services; aid individuals with significant disabilities who are at risk of entering institutions so that the individuals may remain in the community; and facilitate the transition of youth who are individuals with significant disabilities.

C. Independent Living Services for Older Individuals who are Blind (OIB): Services for individuals age 55 or older whose severe visual impairment makes competitive employment difficult to obtain but for whom independent living goals are feasible.

D. Title XX Social Services Block Grant - Donated Funds Initiative (DFI) - Funding is intended to address the five broad goals for the Social Services Block Grant. The DFI Program is a "match" program meaning community entities that receive DFI funding must match the DFI funding with locally generated funds. The required match is 25 percent of the total award. The State's Title XX Social Services Block Grant allocation provides the remaining 75 percent of the total award. Using locally generated funds, services can be expanded without the investment of additional state or federal funds.

IV. Program Plan and Deliverables

A. Provider Service and Funding Plan: The Provider agrees to provide services and deliverables as stated in the program plan, as well as execute service and budget forms provided by the Division of Rehabilitation Services (DRS) and submit completed forms to DRS within time frames specified. Failure to submit the required service and budget forms and obtain DRS approval may result in suspension of payments and/or loss of contract.

V. Payment

Payment and Billing Information: Reference Contractual Agreement for all payment and billing information.

Payments made to the Provider are based upon services, deliverables/milestones, performances measures and standards as specified in the Uniform Grant Agreement. Billings, with substantial documentation, are submitted by the Provider upon completion of service. The Provider must accurately complete and submit billings in a timely manner. The Provider understands that incorrect billings or portions of billings may not be processed in the current monthly cycle and may be returned to the Provider for correction.

The Provider must submit accurate reports (service or cost, as specified by the Department). Payments may be suspended if reports are not received in the proper format or timely as specified in the Contractual Agreement

VI. Reporting Requirements

Requirements may vary depending upon the type of program. Reference the Contractual Agreement for program specific Reporting and Monitoring Requirements.

VII. Special Conditions

A. Abuse and Neglect: Providers are mandated reporters. If the person is enrolled in a program or lives in a setting funded, licensed or certified by DHS or lives in a private home, call the Adult Protective Services Hotline 1-866-800-1409 (Voice) 1-888-206-1327 (TTY) or if the person with disabilities is enrolled in a program or lives in a setting funded, licensed or certified by Department of Public Health (DPH) (e.g. a nursing home), and the abuse/neglect occurs when service is being provided, call the DPH Nursing Home Hotline: 1-800-252-2893.

B. Mandatory Meetings and Training: DRS may designate any meeting or training it deems necessary as mandatory for Provider attendance. Providers will be given notification of such meetings or trainings via registered mail. Such meetings or trainings will be offered free of charge. Providers must support their own travel, per diem and lodging expenses. Reasonable accommodations will be made upon request 14 days prior to the meeting or training.

C. Data: The Provider must provide DRS with any and all data as specified in specific Program Manuals as well as other applicable rules. Data will be submitted in a timely manner in a format prescribed by DRS.

D. Providers providing services to individuals who are Deaf, Hard of Hearing or DeafBlind must adhere to the following:

Sign Language Interpreter Services: Interpreters must be appropriately licensed in accordance with the Interpreter for the Deaf Act of 2007. A Listing of Licensed interpreters can be found at https://www2.illinois.gov/idhhc/licensure/pages/directory.aspx. Proficiency Levels indicating License requirements for various environments can be found at http://www.ilga.gov/commission/jcar/admincode/068/068015150000900R.html

Telecommunication Services: When appropriate, Providers will use Telecommunication Relay Services when communicating with Deaf, Hard of Hearing or DeafBlind people. Dial 711 and you will be connected to a TRS operator. Give the operator the number of the person you are calling. This communication takes place via text. Others use Video Relay Services (VRS) which utilizes a sign language interpreter to call people who use Video Phones. Callers dial the 10-digit video phone number and are automatically connected to a communication assistant who will interpret the conversation.

Other Communication Services: Other appropriate methods of communication must be used as requested by the customer and may include: CART (Communication Access Realtime Translation (CART) or an Assistive Listening Device (ALD).

E. Other special conditions may be added at the discretion of the Division of Rehabilitation Services.

Rehabilitation Services CSA Attachment D

Table of Contents

I. Introduction

II. Applicable Rules

STATE STATUTES

GENERAL DIVISION RULES

HOME SERVICES PROGRAM RULES

FEDERAL STATUTES

III. Program Services

IV. Program Plan and Deliverables

V. Payment

VI. Reporting Requirements

VII. Special Conditions