Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 240 - COMMUNITY CARE PROGRAM
Subpart B - SERVICE DEFINITIONS
Section 240.237 - Automated Medication Dispenser Service
Universal Citation: 89 IL Admin Code ยง 240.237
Current through Register Vol. 48, No. 12, March 22, 2024
a) Service Description
1) AMD service is defined as a portable,
mechanical system for individual use that can be programmed to dispense or
alert the participant to take non-liquid oral medications through auditory,
visual or voice reminders; to provide notification of a missed medication dose;
and to provide 24-hour technical assistance for the AMD service in the
participant's residence. The service may include medication specific directions
or reminders to take other types of medications such as liquid medications or
injections based on individual need. The AMD unit is connected to a Department
approved support center through a telephone line or wireless/cellular
connection in the participant's residence.
2) The purpose of the service is to provide
eligible participants with medication reminders to foster timely and safe
administration of a medication schedule, thereby promoting independence and
safety of all participants in their own residence, as well as reducing the need
for nursing home care.
3) The
authorization to receive this service is determined by the care coordinator
through a screening process set forth in Section
240.741,
which requires the participant/authorized representative to designate an
assisting party to manage the AMD unit and medications as set forth in Section
240.741.
4) The Department does not
perform medication management, oversight or handling of the participant's
medications.
5) Provision of this
service is contingent upon it continuing to be an approved service under the
HCBS Waiver for Persons Who are Elderly.
b) Specific components of AMD service must include, at a minimum, the following:
1) an
AMD unit installed in the participant's residence with all connectors, parts
and equipment necessary for installation, and adaptations for operation by
individuals who have functional, hearing or visual impairments, or who exhibit
language barriers.
2) delivery of
the AMD unit to the participant and installation of the unit within 48 hours
after the referral when the participant is at imminent risk of
institutionalization and within 15 calendar days from the date of the referral
in all other instances.
A) This timeline can
be extended if requested by the participant/authorized representative/assisting
party.
B) This service shall not be
subcontracted and shall be provided by trained employees who will identify
themselves by picture identification that can be verified by the
participant/authorized representative/assisting party.
C) Delivery and installation of the AMD unit
may include coordination of emergency home response service (see Section
240.235
) for a participant.
D) Provider
shall make every effort to schedule and conduct the installation when the
participant, authorized representative (if applicable), and assisting party are
present. Documentation of such efforts shall be provided to the Department upon
request.
3) training for
the participant/authorized representative and assisting party on the proper use
of the AMD system at the time of installation and subsequently when needed. The
training will include:
A) demonstration of
the use, including any adaptations for operation, general care, and maintenance
of the unit/equipment;
B)
explanation of the AMD provider's services and notification
processes;
C) instruction on any
testing or monitoring used to assure the proper functioning of the AMD
unit/equipment, including how to report any malfunctions; and
D) providing the participant/authorized
representative/assisting party with easy to understand written instructions in
the use, general care and maintenance of the AMD unit/equipment. These
instructions will be available in options such as non-English languages, large
print, Braille, and audible recordings to meet the participant's
needs.
4) ensuring the
participant/authorized representative reviews their assisting party designation
at least every 6 months. Any changes in this designation must be sent to the
CCU within 5 calendar days after the date of execution of the assisting party
change. If there is a change in designation, the AMD provider must complete new
training as required under subsection (b)(3) within 7 calendar days after the
date of execution of the assisting party change.
5) both:
A)
obtaining the signature of the participant/authorized representative to verify
that:
i) the AMD unit/equipment was delivered
and installed; and
ii) instructions
and demonstration were given and understood by the participant/authorized
representative; and.
B)
providing to the CCU and the participant/authorized representative a copy of
the verification, to be kept on file at the CCU.
6) maintaining adequate local staffing levels
of qualified personnel to conduct and provide necessary administrative
activities, installation, in-home training, unit/equipment monitoring,
technical support, AMD unit programming, and repair requests in a timely
manner. An AMD provider must have a written training program for personnel and
be able to demonstrate that its staff members are qualified and have passed
background checks.
7) repairing or
replacing the AMD unit/equipment within 24 hours after receiving a malfunction
report. This timeline will be extended if requested by the
participant/authorized representative/assisting party.
8) alerts to the participant/authorized
representative and assisting party when electric power to the AMD unit has been
interrupted (e.g., unplugged) and the unit is operating on a standby power
source.
9) notification to the CCU
within 1 business day after installation of the AMD unit and working with the
appropriate care coordinator to resolve service complaints from the
participant/authorized representative/assisting party.
10) notification to the CCU within 2 calendar
days if the AMD service cannot be initiated or must be terminated.
11) maintaining records in accordance with
Section
240.1544
relating to participant referral and service statistics, including
unit/equipment delivery; unit installation and programming;
participant/authorized representative and assisting party training; missed
medication notifications and dispositions; other AMD unit/equipment monitoring
and test transmission activity; unit/equipment malfunction, repair and
replacement; power interruption alerts; notifications to the CCUs; billing and
payment information; and personnel qualifications, training and background
checks.
12) making available
participant reports on missed medication doses, power and battery status, and
other reporting features on an ongoing basis to the participant/authorized
representative, assisting party and care coordinators via a privacy-protected
and secure website or other modality.
13) providing access to individual and
aggregate reports and AMD system performance measures on an ongoing basis to
authorized persons through a privacy-protected and secure website or other
modality.
14) providing ad hoc
reports to the Department upon request.
c) Units of Service
1) One unit of installation service is the
one-time fee to the AMD provider for the activity associated with the
installation of the AMD unit/equipment in the participant's residence and
training of the participant/authorized representative and assisting
party.
2) One unit of monthly
service is the fixed unit rate of reimbursement, per month, for the provider
agency activity associated with providing the AMD service to each
participant.
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