Illinois Administrative Code
Title 59 - MENTAL HEALTH
Part 132 - COMMUNITY MENTAL HEALTH SERVICES PROGRAM
Subpart D - ENROLLMENT AND CERTIFICATION REQUIREMENTS OF CERTIFIED COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTERS AND CERTIFIED SPECIALTY PROGRAMS
Section 132.100 - Initial On-site Certification
Universal Citation: 59 IL Admin Code § 132.100
Current through Register Vol. 48, No. 52, December 27, 2024
a) The CSA shall be granted access to all physical plant locations.
b) The CSA shall be granted access to all records, upon request, during any certification or other compliance review activities.
c) On-site Certification
1) The CSA shall perform an
on-site review within the provisional certification period outlined in Section
132.95(f)
to confirm the findings of the provisional certification determination. If the
CSA determines the CSP or CMHC to be:
A) In
compliance, the CSA shall notify the CSP or CMHC. For providers enrolled in the
IMPACT system, the CSA shall notify HFS of the change in certification status
from provisional to full certification.
B) Not in compliance, the CSA shall issue the
CSP or CMHC a Notice of Violation within 15 days after the on-site review. The
entity shall respond to the NOV by the due date indicated on the NOV, which
shall be approximately 30 days after the date of the NOV.
2) The CSP or CMHC shall submit notice and a
Plan of Correction to the CSA to address all identified violations by the due
date indicated on the NOV.
3) If
the notice and Plan of Correction is found to address all of the identified
violations, the CSA shall assure implementation of the Plan of Correction. The
program certification status must be in "good standing" with the CSA. The CSA
shall notify the CSP or CMHC of the change in certification status from
provisional to full certification. For entities enrolled in the IMPACT Portal,
the CSA shall notify HFS of the change in certification status from provisional
to full certification.
4) If the
CSP or CMHC fails to supply a Plan of Correction or fails to implement its
approved Plan of Correction and is "not in good standing" with the CSA, as
detailed in this Part, the CSA shall notify the entity in writing of its
failure to retain certification and right to appeal pursuant to Section
132.100. For entities enrolled in IMPACT, the CSA shall also notify HFS of the
entity's failure to retain certification.
5) If the CSA finds evidence of suspected
fraud or abuse relating to Medical Assistance, the CSA shall refer that
evidence to HFS-OIG for further action.
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