Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 686 - PROVIDER REQUIREMENTS, TYPE SERVICES, AND RATES OF PAYMENT
Subpart K - CASE MANAGEMENT SERVICES TO PERSONS WITH BRAIN INJURIES
Section 686.1010 - Case Management Provider Responsibilities
Universal Citation: 89 IL Admin Code ยง 686.1010
Current through Register Vol. 48, No. 38, September 20, 2024
a) Case Managers
1) The Case Manager shall receive referrals
from hospitals, other health providers, and other State and local
agencies.
2) The Case Manager shall
have responsibility for the implementation of services to be provided. The
services, developed by the HSP Counselor with Customer participation, shall be
provided in a manner that reflects the Customer's choice, when applicable, and
shall address his/her strengths, needs and desired goals.
b) The Case Manager shall provide the following services:
1)
networking/coordination/brokering services (i.e., referring and assisting the
Customer in obtaining other agencies' services);
2) counseling and advocacy;
3) contacting the Customer a minimum of one
time per month;
4) maintaining and
updating Customer records; and
5)
monitoring the cost effectiveness of the service plan (89 Ill. Adm. Code
679.50
).
c) Service Plan
1) The person-centered service plan will be
retained during the time the case is opened and for five years after closure,
unless an audit exception has occurred. In the case of an audit exception, the
service plan will be retained until the audit exception has been resolved.
Copies of the service plan will be maintained in the Case Manager's location
and the HSP office. Closed cases will be retained in the HSP Central
Office.
2) If implementation of
services is delayed beyond required time limits in subsection (c), the Case
Manager must inform the HSP administration and assist the Customer in obtaining
another provider.
d) Records of contact with Customer will be entered and maintained by the Case Manager in the Customer's confidential case record. All contacts, oral or written, with or on behalf of a Customer shall be documented in a confidential case record. The Case Manager is responsible for obtaining consents for the release of information as necessary and when required by regulation (89 Ill. Adm. Code 505) and the Health Insurance Portability and Accountability Act ( 42 USC 1320(d) et seq.).
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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