Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 240 - COMMUNITY CARE PROGRAM
Subpart K - TRANSFERS
Section 240.1130 - Participant Transfers - Care Coordination Unit to Care Coordination Unit

Universal Citation: 89 IL Admin Code ยง 240.1130

Current through Register Vol. 48, No. 12, March 22, 2024

a) A CCP participant may transfer from 1CCU service area to another CCU service area with continuous eligibility pending a redetermination of eligibility by the receiving CCU. The transfer may be requested by the Department, a CCU, or the participant/authorized representative verbally or in writing.

b) A reason for transfer from CCU to CCU shall be a geographic change in the participant's residence.

c) The effective date of transfer shall be within 15 calendar days after the date of the Participant Agreement - Person-Centered Plan of Care and services shall be initiated by the receiving vendor without service interruption.

d) To implement the transfer, the transferring CCU, within 5 work days after the date of a request or notice of need to transfer, or 5 work days prior to the effective date of transfer, whichever provides the most notification to the receiving CCU, shall:

1) notify the receiving CCU of the impending transfer and the desired date of transfer;

2) forward to the receiving CCU the original case record of the transferring participant; and

3) forward the Participant Agreement - Person-Centered Plan of Care to the participant/authorized representative and a copy to the transferring vendor.

e) The receiving CCU shall:

1) Upon receipt of the participant's case record, advise the participant/authorized representative as to the vendors in the CCU's area that are authorized, and appropriate, to provide the participant's service needs in accordance with the participant's person-centered plan of care. The participant shall advise the CCU as to his/her selection and the CCU shall complete a new Participant Agreement and Consent Form - Person-Centered Plan of Care.

2) Forward to the participant/authorized representative a new completed Participant Agreement and Consent Form - Person-Centered Plan of Care for signature.

3) Upon receipt of the signed Participant Agreement and Consent Form - Person-Centered Plan of Care, establishing the effective date of the transfer.

4) Forward:
A) the Participant Agreement - Person-Centered Plan of Care to the participant/authorized representative;

B) a copy of the Participant Agreement - Person-Centered Plan of Care and the old Participant Agreement - Person-Centered Plan of Care and a copy of the applicable pages of the comprehensive assessment to the receiving vendor on the same day the Participant Agreement - Person-Centered Plan of Care is sent to the participant/authorized representative.

5) Upon receipt of the vendor's signature on the new Participant Agreement - Person-Centered Plan of Care, a copy of the executed Participant Agreement - Person-Centered Plan of Care is to be placed in CCU's participant file and a copy shall be forwarded to the participant/authorized representative.

f) If any delay in any of the time frames established by this Section is caused by the documented action or inaction of the participant/authorized representative, time frames shall be extended by the number of days of delay.

g) The receiving CCU shall perform an initial determination of eligibility of the participant and develop a new person-centered plan of care within 30 calendar days after the date of receipt of the case record.

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