Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 686 - PROVIDER REQUIREMENTS, TYPE SERVICES, AND RATES OF PAYMENT
Subpart C - HOMEMAKER SERVICES
Section 686.240 - Payment Information for Homemaker Service Providers
Universal Citation: 89 IL Admin Code ยง 686.240
Current through Register Vol. 48, No. 38, September 20, 2024
a) Payment information for all Homemaker Service Providers
1) Payment for Homemaker
Services shall be at the rate specified in the rate agreement signed by HSP and
the approved Homemaker Service Provider.
2) Services shall be paid in accordance with
the time recorded by the Homemaker employee pursuant to the Service Plan (see
89 Ill. Adm. Code
676.30) developed
for the customer.
3) Homemaker
Service Providers shall submit monthly billings for approved services provided
the previous month and monthly progress reports for each customer served by the
Homemaker Service Provider for the month being billed.
4) Payment for Homemaker Services shall be
allowed only for those hours services are being provided to the HSP customer.
No payment shall be claimed for those periods that the Homemaker employee
spends traveling, in conferences, etc., or for expenses incurred by the
Homemaker employee.
5) By accepting
any payment under HSP, a Homemaker Service Provider agrees to repay the State
of Illinois if:
A) the total revenue from the
monthly billings exceeds the actual, approved documented services under this
Section for the reporting period;
B) an error occurred in the calculation of
the monthly billing submitted to HSP and the provider was overpaid;
C) the Homemaker Service Provider received
payment for services during a time the provider was determined ineligible to
provide services under HSP; or
D)
the Homemaker Service Provider misspent HSP funds or received funding from HSP
while participating in fraudulent activity.
b) Additional Payment Information for Homemaker Service Providers with the Enhanced Rate for Health Insurance Costs
1) If a Homemaker Service Provider is
determined eligible for the enhanced rate for health insurance costs, HSP will
thereafter calculate the appropriate payment based on the number of units of
Homemaker Service accepted as billed for the eligible dates of
service.
2) A Homemaker Service
Provider that makes a switch between a Type 1 and a Type 2 plan is not entitled
to any retroactive payments for a period of time preceding the date on which
benefits are actually available under the new plan.
3) No Homemaker Service Provider is entitled
to a duplicate payment for the same period of time or for the same units of
Homemaker Service accepted as billed per contract.
4) By accepting any payment under HSP, a
Homemaker Service Provider agrees to repay the State of Illinois if:
A) the total revenue from the enhanced rate
for health insurance costs exceeds the actual, documented expenses for its
health insurance costs under this Section for the reporting period;
B) an error in eligibility of a Homemaker
Service Provider, or the amount of revenue from the enhanced rate for health
insurance costs, or the amount of the health insurance costs is subsequently
determined by the Homemaker Service Provider or HSP; or
C) the Homemaker Service Provider misspent
HSP funds or received funding from HSP for the enhanced rate for health
insurance costs while participating in fraudulent activity.
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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