Illinois Administrative Code
Title 59 - MENTAL HEALTH
Part 115 - STANDARDS AND LICENSURE REQUIREMENTS FOR COMMUNITY-INTEGRATED LIVING ARRANGEMENTS
Subpart B - SERVICE REQUIREMENTS
Section 115.230 - Person-Centered Planning
Universal Citation: 59 IL Admin Code § 115.230
Current through Register Vol. 48, No. 52, December 27, 2024
a) CILA agencies licensed to provide CILA services shall comply with Person-Centered Planning requirements as outlined in 42 CFR 441.301(c)(1) through (c)(3) and in 59 Ill. Adm. Code 120.
b) CILA agencies licensed to provide CILA services shall comprehensively address the needs of individuals through the development of an Implementation Strategy for each individual as it relates to their Personal Plan.
1) Within 20 calendar days of the provider's
dated signature on the Personal Plan, an Implementation Strategy using Form
IL462-4470 provided by the Division, shall be developed that:
A) Is based on the Personal Plan developed by
the ISC agency and assessment results;
B) Includes the participation of the
individual and guardian and the ISC as necessary;
C) Reflects the individual's and guardian's
agreement as indicated by a signature on the Implementation Strategy;
D) Addresses outcomes identified in the
Personal Plan that the CILA agency agreed to support; and
E) Identifies services and supports to be
provided by the CILA agency that agreed to support the individual to attain
skills or achieve outcomes identified in the Personal Plan.
2) The individual and guardian
shall be given a copy of the Implementation Strategy and subsequent
updates.
3) The Implementation
Strategy and subsequent updates shall become a part of the individual's
record.
4) At least monthly, the
QIDP shall review the Implementation Strategy and shall document in the
individual's record whether:
A) Services are
being implemented as identified in the Implementation Strategy;
B) Services identified in the Implementation
Strategy continue to meet the individual's needs or require modification or
change to better meet the individual's needs;
C) Outcomes are being supported as specified
in the Personal Plan and Implementation Strategy; and
D) Progress is being made toward outcomes as
identified in the Personal Plan and Implementation Strategy. If there is no
progress made, CILA agencies must document barriers and/or reasons why progress
was not made.
5) The
QIDP shall sign and date the monthly record.
6) Updates shall be made to the
Implementation Strategy as the Personal Plan is modified, or more often if
warranted by a change in functional status or at the request of the individual
or guardian. CILA agencies must provide the individual, guardian, and ISC with
updated copies of the Implementation Strategy.
7) All services specified in the
Implementation Strategy, whether provided by an employee of the licensed CILA
agency, consultants, volunteers, or sub-contractors, shall be provided by or
under the supervision of a QIDP, as appropriate, based on the individual's
primary disability.
8) The CILA
agency must ensure that current copies (digital or paper) of individuals'
Personal Plans and Implementation Strategies are kept at the individuals'
residences. The CILA agency must also ensure that DSPs (including employees,
contractual persons, volunteers and host family members) are knowledgeable
about the individuals' Personal Plans and Implementation Strategies, are
trained in their implementation, and maintain records regarding the
individuals' progress toward the outcomes identified in the Personal Plans and
Implementation Strategies.
9) The
Provider Support Team, with concurrence by the ISC agency, shall be responsible
for determining an individual's ability to transition from continuous
supervision or support to an intermittent level of supervision or support.
A) If a determination is made that the
individual is appropriate for a less restrictive environment, documentation
shall be included in the individual's Personal Plan identifying time frames for
transition. The Implementation Strategy shall be modified in accordance with
the Personal Plan changes. The QIDP shall be responsible for monitoring the
individual's transition and for documenting the individual's progress toward
intermittent supervision and supports.
B) If a determination is made that an
individual with a developmental disability is appropriate for intermittent
supervision and supports, the ISC agency in conjunction with the CILA agency
must submit a completed CILA rate determination packet to the Department for
development of a rate to support the intermittent supervision and
supports.
10) An
individual who requires continuous supervision or support, as indicated by the
Personal Plan and Implementation Strategy, may stay alone or access the
community independently under specific circumstances.
A) The provider support team must assess
whether the individual has the ability and desire to stay alone safely for
brief periods of time, or access specified locations in the community
independently, or with supervision and support other than that provided by CILA
agency employees. This should occur only as part of the individual's needs and
preferences and not to accommodate staffing concerns or convenience.
B) The Implementation Strategy must state the
periods of time and restrictions on activities when at home, and locations and
time frames for accessing the community.
C) The CILA agency must document the results
of the assessment regarding the individual's skills necessary to ensure their
safety, and this must be part of the individual's record. The CILA provider
shall also provide the assessment results to the ISC responsible for updating
the Personal Plan.
Disclaimer: These regulations may not be the most recent version. Illinois may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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