Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 1125 - LONG-TERM CARE
Subpart D - GENERAL LONG-TERM CARE - REVIEW CRITERIA
Section 1125.570 - Service Accessibility
Universal Citation: 77 IL Admin Code ยง 1125.570
Current through Register Vol. 48, No. 12, March 22, 2024
The number of beds being established or added for each category of service is necessary to improve access for planning area residents.
a) Service Restrictions
The applicant shall document that at least one of the following factors exists in the planning area, as applicable:
1) The absence of the proposed service within
the planning area;
2) Access
limitations due to payor status of patients/residents, including, but not
limited to, individuals with LTC coverage through Medicare, Medicaid, managed
care or charity care;
3)
Restrictive admission policies of existing providers;
4) The area population and existing care
system exhibit indicators of medical care problems, such as an average family
income level below the State average poverty level, or designation by the
Secretary of Health and Human Services as a Health Professional Shortage Area,
a Medically Underserved Area, or a Medically Underserved Population;
5) For purposes of this Section 1125.570
only, all services within the established radii outlined in 77 Ill. Adm. Code
1100.510(d)
meet or exceed the occupancy standard specified in Section
1125.210(c).
b) Supporting Documentation
The applicant shall provide the following documentation, as applicable, concerning existing restrictions to service access:
1) The location and utilization of other
planning area service providers;
2)
Patient/resident location information by zip code;
3) Independent time-travel studies;
4) Certification of a waiting list;
5) Admission restrictions that exist in area
providers;
6) An assessment of area
population characteristics that document that access problems exist;
7) Most recently published IDPH Long Term
Care Facilities Inventory and Data (see www.hfsrb.illinois.gov).
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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