Both federal and state rules and regulations governing Medicaid programs apply to services/activities funded under the Medicaid Home and Community-Based Services (HCBS) Waivers. The table below provides the major rules for implementing Medicaid-funded home and community-based services and activities.
Rules for Implementing Medicaid-Funded Home and Community-Based Services and Activities
59 Ill. Adm. Code 50
59 Ill. Adm. Code 115
59 Ill. Adm. Code 116
59 Ill. Adm. Code 119
59 Ill. Adm. Code 120
89 Ill. Adm. Code 240
77 Ill. Adm. Code 370
89 Ill. Adm. Code 104 (PDF)
Adult residential and day programs
Child Group Home Agencies
Personal Support Provider Agencies
If a service provider must disclose confidential information for special purposes other than those directly related to waiver administration, the service provider must obtain specific prior permission from the individual and/or guardian, if applicable. The provider must also inform the persons to whom the provider furnishes the information that this material is confidential, is subject to the provisions of the Mental Health and Developmental Disabilities Confidentiality Act (PDF), if applicable, the federal Health Insurance Portability and Accountability Act (PDF) , and must be protected from further disclosure.
The service provider agency must maintain the current Release of Information (PDF) (IL462-1214 Form) in the individual record and other releases, if applicable.
Illinois Department of Human ServicesJB Pritzker, Governor · Dulce Quintero, Secretary
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