77 Ill. Adm. Code 1235.50
Definitions
Section 1235
Section 1235.50 Definitions
The following definitions shall
apply to the terms used in this Part:
"Act"
means the Health Care Worker Self-Referral Act. [225 ILCS 47]
"Board"
or "State Board"
means the Health Facilities and Services
Review Board.
[224 ILCS 47/15(a)]
"Community"
means a metropolitan area for a city, and a county for a rural area.
[225
ILCS 47/20(b)]
"Entity"
means any individual, partnership, firm, corporation, or other business that
provides health services but does not include an individual who is a health
care worker who provides professional services to an individual.
[225 ILCS
47/15(b)]
"Group
Practice" means a group of 2 or more health care workers legally organized
as a partnership, professional corporation, not-for-profit corporation, faculty
practice plan or a similar association in which
occurs:
each health
care worker who is a member or employee or an independent contractor of the
group provides substantially the full range of services that the health care
worker routinely provides, including consultation, diagnosis, or treatment,
through the use of office space, facilities, equipment, or personnel of the
group;
the
services of the health care workers are provided through the group, and
payments received for health services are treated as receipts of the group;
and
the
overhead expenses and the income from the practice are distributed by methods
previously determined by the group.
[225 ILCS 47/15(c)]
"Health
Care Worker" means any individual licensed under the laws of this State to
provide health services, including but not limited to: dentists licensed under
the Illinois Dental Practice Act
[225 ILCS 25]
; dental hygienists
licensed under the Illinois Dental Practice Act; nurses and advanced practice
nurses licensed under the Illinois Nurse Practice Act
[225 ILCS 65]
;
occupational therapists licensed under the Illinois Occupational Therapy
Practice Act
[225 ILCS 75]
; optometrists licensed under the Illinois
Optometric Practice Act of 1987
[225 ILCS 80]
; pharmacists licensed
under the Pharmacy Practice Act
[225 ILCS 85]
; physical therapists
licensed under the Illinois Physical Therapy Act
[225 ILCS 90]
;
physicians licensed under the Medical Practice Act of 1987
[225 ILCS 60]
;
physician assistants licensed under the Physician Assistant Practice Act of
1987
[225 ILCS 95]
; podiatrists licensed under the Podiatric Medical
Practice Act of 1987
[225 ILCS 100]
; clinical psychologists licensed
under the Clinical Psychologist Licensing Act
[225 ILCS 15]
; clinical
social workers licensed under the Clinical Social Work and Social Work Practice
Act
[225 ILCS 20]
; speech-language pathologists and audiologists
licensed under the Illinois Speech-Language Pathology and Audiology Practice
Act
[225 ILCS 110]
; or hearing aid dispensers licensed under the Hearing
Instrument Consumer Protection Act
[225 ILCS 50]
or any of their
successor Acts.
[225 ILCS 47/15(d)]
"Health
Services" means health care procedures and services provided by or through
a health care worker.
[225 ILCS 47/15(e)]
"Immediate
Family Member" means a health care worker's spouse, child, child's spouse,
or a parent.
[225 ILCS 47/15(f)]
"Investment
Interest" means an equity or debt security issued by an entity, including,
without limitation, shares of stock in a corporation, units or other interests
in a partnership, bonds, debentures, notes, or other equity interests or debt
instruments except that investment interest does not include interest in a
hospital licensed under the laws of the State of Illinois.
[225 ILCS
47/15(g)]
"Investor"
means an individual or entity directly or indirectly owning a legal or
beneficial ownership or investment interest (such as through an immediate
family member, trust, or another entity related to the investor).
[225 ILCS
47/15(h)]
"Metropolitan
Area" means a geographically identified area consisting of community areas
or townships (as applicable) not to exceed a population of 50,000 people.
"Office
Practice" includes the facility or facilities at which a health care
worker, on an ongoing basis, provides or supervises the provision of
professional health services to individuals.
[225 ILCS 47/15(i)]
"Referral"
means any referral of a patient for health services, including, without
limitation:
The forwarding
of a patient by one health care worker to another health care worker or to an
entity outside the health care worker's office practice or group practice that
provides health services.
The request
or establishment by a health care worker of a plan of care outside the health
care worker's office practice or group practice that includes the provision of
any health services.
[225 ILCS 47/15(j)]
"Rural
Area" means any geographic area located outside a metropolitan statistical
area as defined by the U.S. Census Bureau.