Current through Register Vol. 48, No. 38, September 20, 2024
a) Each case
management agency shall designate an individual who will be responsible for the
administration of the case management program. The designated individual shall
have or be actively enrolled in a program to obtain:
1) a bachelor's degree in health, human
services, or a related field;
2)
licensure as a registered nurse pursuant to the Nurse Practice Act
[225 ILCS
65 ]; or
3) at least one year of experience as a home
health care administrator, medical clinic administrator, or other health
services administrator.
b) The qualifications for case managers shall
be as follows:
1) A registered nurse, with a
current license and a bachelor's degree in nursing, social work, social
sciences, or counseling or one year of case management experience; or
2) A social worker with a bachelor's degree
in either social work, social sciences, or counseling. A Bachelor of Social
Work or a Master of Social Work degree from a school accredited by any
organization nationally recognized for the accreditation of schools of social
work is preferred; or
3) An
individual with a Bachelor's Degree in a human services field (including, but
not limited to, sociology, special education, or rehabilitation counseling) and
with a minimum of one year of case management experience.
c) In addition, it is mandatory that the case
manager has:
1) a broad knowledge of community
resources and networking, case management, and home care; and
2) experience in working with racial and
ethnic minorities, as well as one or more of the following:
A) domestic abuse;
B) the lesbian, gay, bisexual, transgender,
queer (LGBTQ+) community;
C)
persons living with HIV/AIDS; or
D)
persons with substance use disorders.
d) Each full-time case manager shall have no
more than 30 fee-for-service customers and 70 Managed Care Organization (MCO)
customers, or an appropriately weighted combination of fee-for-service
customers and MCO customers that shall not exceed 100 total customers. For
half-time case managers, the full-time requirements may be met proportionately
(e.g., 15 fee-for-service customers and 35 MCO customers and shall not exceed
50 total customers).
e) Annually,
each case manager shall undergo a minimum of 12 hours of in-service training
that shall be:
1) furnished by the case
management agency; and
2) relevant
to the provision of services to persons with HIV/AIDS (e.g., infectious disease
control procedures, sensitivity training, and updates on information relating
to treatment procedures).
