Current through Register Vol. 48, No. 12, March 22, 2024
In order to provide Homemaker Services under HSP (see 89 Ill.
Adm. Code
676.40 ), a
Homemaker Service Provider must be in compliance with all Medicaid provider
requirements for the Illinois Department of Healthcare and Family Services
(HFS) and DHS.
a) Only Homemaker
Service Providers with an approved Homemaker Agreement may be used to provide
Homemaker Services to individuals being served through HSP.
b) In order to be approved by HSP, the
Homemaker Service Provider must comply with the following, to the satisfaction
of HSP:
1) provide a comprehensive array of
services that include, but are not limited to, those services described in
Section
686.210;
2) assure HSP that all referrals will be
responded to within 48 hours after receipt from HSP;
3) have written billing procedures and
provide a copy to HSP as part of the compliance review;
4) have documented procedures to cover
unexpected absences and emergencies to ensure services will be provided in an
adequate and safe manner to all individuals served by the Homemaker Service
Provider;
5) have written
procedures to respond to customer and counselor complaints regarding
services;
6) maintain comprehensive
written job descriptions for, at a minimum, the positions of Executive Director
or Administrator, supervisory staff, and Homemakers;
7) have established a local presence to
ensure regular and on-going contact with HSP and other appropriate community
groups;
8) have procedures for
regular and on-going recruitment of Homemakers through local
resources;
9) be incorporated or
provide HSP with a copy of a written statement of purpose and
function;
10) maintain adequate
records for planning, budgeting, administration and program evaluation and
planning. These records shall be available at all times to HSP and the United
States Department of Health and Human Services (HHS), or any entity designated
by HSP or HHS, and shall be maintained for a period of at least 5 years, or
until advised that all State and federal audits are completed. These records
must include, but not be limited to:
A)
records of all referrals, including the disposition of each referral;
B) customer records, which include:
i) dates and times services were provided to
each individual;
ii) dates and
times of supervisor-Homemaker weekly conferences;
iii) semi-annual reports of supervisory
visits with each customer served;
iv) monthly service reports for each customer
served that document a summary of services, actual or anticipated changes in
the customer's condition, recommended changes in the current HSP Service Plan,
and all customer contacts;
v)
records of all staffings held pertaining to the customer;
vi) records of all financial transactions
between the customer and any Homemaker Service Provider employee;
C) administrative records, which
include:
i) cumulative service statistics
pertaining to any agreement with HSP;
ii) billing and payment records that pertain
to HSP;
D) personnel
records, which include:
i) attendance
records;
ii) schedules for all
direct service staff;
iii)
documentation regarding each individual's qualification for the position
held;
iv) wage rate and effective
date for each staff member;
v) job
performance evaluations for each staff person that include annual evaluations
and at least one probationary evaluation completed within the first six months
of employment;
vi) orientation and
training attendance information for each staff member, which must include the
name of each instructor, the date, the time and the title of each training
program attended; and
vii)
verification of liability insurance in the amounts of at least $15,000 per
person bodily injury, $30,000 minimum per occurrence, and $10,000 in property
damage, per occurrence, if the employee will or could be expected to transport
customers in the course of his/her work;
11) maintain insurance coverage against any
and all liability, loss, damage and/or expense from wrongful or negligent acts
of the Homemaker Service Provider or any of its employees and provide HSP with
written verification of that coverage;
12) maintain written procedures on reporting
loss and damage arising from the wrongful or negligent acts of the Homemaker
Service Provider or any of its employees;
13) agree to hold harmless DHS and HSP
against any and all liability, loss, damage, cost, or expense arising from
wrongful or negligent acts of the Homemaker Service Provider or any of its
employees;
14) assist HSP in
monitoring and evaluating the Homemaker Service Provider's performance under
any agreement with HSP;
15)
maintain any and all information regarding individuals referred to the
Homemaker Service Provider by HSP as confidential and not for public release
without the written consent of HSP and the customer;
16) maintain and have available for review by
customers and purchasers of services policies governing:
A) the nature and scope of each service
provided by the Homemaker Service Provider;
B) a two-way receipt system for any time an
employee of the Homemaker Service Provider handles an individual's money, food
stamps or other negotiable items or tender;
C) personnel policies governing salary, leave
time, hours of work, employee grievance procedures, and attendance at in and
out-service trainings; and
17) have in place an Affirmative Action Plan
that is approved by its governing body.
c) At a minimum, each Homemaker Service
Provider must employ qualified staff in the positions of:
1) Executive Director or Administrator for
each local unit providing services, who is responsible for the administration
of the Homemaker Services program and who, at a minimum, has or is making
continued progress towards:
A) a Bachelor's
degree in health, human services, or a related field;
B) licensure as a Registered Nurse pursuant
to the Nurse Practice Act;
C)
certification as a home health care administrator, medical clinic
administrator, or other health services administrator; or
D) one year of related job experience in
social services or in a health agency to replace each year of education
required in subsections (c)(1)(A) through (C), provided that at least one year
of experience was in a program that provides services to individuals with
disabilities.
2) For the
purposes of subsections (c)(1)(A) through (C) "continued progress" shall mean
current registration and evidence of successful completion of course work in an
accredited junior college, college, or university for a minimum of 2 semesters
or 3 quarters of each academic year. Successful completion shall mean a grade
of at least "C" in undergraduate course work or a grade of "B" in graduate
course work;
3) Supervisors, in a
ratio of no less than the equivalent of one full-time supervisor to the
equivalent of every 20 full-time Homemakers, who are responsible for the
supervision of Homemaker staff and who, at a minimum, have:
A) a Bachelor's degree with course work in
social science, home economics, or nursing;
B) knowledge and skill equivalent to
completion of a Bachelor's degree, as described in subsection (c)(1)(A);
or
C) a high school diploma or its
equivalent plus health service experience including at least 2 years
supervisory experience;
4) Homemakers who have:
A) been determined to be in good
health;
B) knowledge and skill
equivalent to a high school diploma;
C) experience as a homemaker, either in his
or her own home or through employment; and
D) knowledge of:
i) nursing care;
ii) first aid;
iii) personal and environmental
hygiene;
iv) household
budgeting;
v)
housekeeping;
vi)
nutrition;
vii) food preparation;
and
viii) clothing care.
d) Each
supervisor and Homemaker must, at a minimum, participate in the following
training programs:
1) Orientation, which
shall include:
A) the philosophy and purpose
of Homemaker Services; and
B) the
functions of Homemaker Services;
2) In-service training, directed at
increasing the Homemaker Service Provider's knowledge and skills, of not less
than 12 hours each year in areas including:
A) disability awareness; and
B) Acquired Immunodeficiency Syndrome
(AIDS).
e)
The Homemaker Service Provider shall have a written policy and procedures
governing a self-evaluation process to evaluate services and case management
with an outcome of written recommendations to the governing body of the
Homemaker Service Provider to improve the services provided.
f) The Homemaker Service Provider shall abide
by provisions of the following federal and State laws and regulations regarding
employment practices and compliance:
1) Laws
and Regulations
A) Title VI of the Civil
Rights Act of 1964 ( 42 USC 2000 d );
B) Section 504 of the Rehabilitation Act of
1973 (
29 USC
701 );
C) the Americans With Disabilities Act (
42 USC 12101
);
D) the Illinois Human Rights Act
[775 ILCS 5 ];
E) the Health Care
Worker Background Check Act [225 ILCS 46 ]; and
F) the Health Insurance Portability and
Accountability Act (
42 USC
1320(d) et seq.).
2) Further, the Homemaker Service
Provider shall provide HSP with a letter certifying compliance with the
provisions of the laws listed in subsection (f)(1) and a copy of the
Affirmative Action Plan for the Homemaker Service Provider.