Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 240 - COMMUNITY CARE PROGRAM
Subpart O - PROVIDERS
Section 240.1544 - Administrative Requirements for Automated Medication Dispenser Service Providers
Universal Citation: 89 IL Admin Code ยง 240.1544
Current through Register Vol. 48, No. 12, March 22, 2024
a) In order to qualify for certification, an Automated Medication Dispenser (AMD) provider must, to the satisfaction of the Department, meet and comply with all applicable rules, including but not limited to:
1) meet the administrative requirements and
minimum administrative standards under Sections
240.1505
and
240.1510;
2) meet the applicable responsibilities
imposed on provider agencies under the Community Care Program (CCP) set forth
in Section
240.1520;
3) meet the certification requirements under
Sections
240.1600 or
240.1605;
4) provide assurance that its equipment and
support center are in continual compliance with the business and technology
requirements imposed on provider agencies under Section
240.1543;
5) provide assurance that its business
operations comply with the service, staffing and training requirements under
Section
240.237;
6) attend and complete management training
provided by the Department or its designee:
A) Training shall be attended and completed
by management staff (e.g., managers, supervisors, billing agents) of the AMD
provider prior to the award of a CCP AMD contract from the
Department;
B) At a minimum, the
individual responsible for administration of the CCP AMD program at the
provider agency shall attend and complete this training;
C) The Department is authorized to charge a
reasonable fee for this training to cover related administrative
costs;
7) accept all
correspondence from the Department and maintain adequate records for
administration, audit, budgeting, evaluation, operation and planning efforts by
the Department in offering the AMD service through the CCP, which shall
include, but are not limited to:
A) records
of all referrals, including the disposition of each referral;
B) participant records, which shall include,
but are not limited to:
i) applicable forms
required by the Department;
ii)
dates and times of all AMD notifications and communications with the
participant/authorized representative/assisting party or designees;
iii) disposition of all
participant/authorized representative/assisting party or designees
communications;
iv) dates and times
of all equipment tests and system interruptions; and
C) administrative records, including but not
limited to:
i) service statistics;
ii) complaint resolution;
iii) billing and payment information plus the
underlying documentation to support the units of service submitted to the
Department for reimbursement; and
8) comply with all applicable federal, State
and local laws, regulations, rules, service standards and policies or
procedures pertaining to the AMD provider in its business operations and to the
services provided under the CCP.
b) If an AMD provider is not able to meet these administrative requirements, the Department shall deny its request for a certification of qualifications under Section 240.1600.
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