77 Ill. Adm. Code 545.75
Approval of a Sexual Assault Treatment Hospital with a Pediatric Transfer Plan
Section 545.75Â Approval of a Sexual Assault Treatment
Hospital with a Pediatric Transfer Plan
a)Â Â Â Â Â Â Â Â The
treatment hospital shall submit its treatment/pediatric transfer plan on a form
provided by the Department. The pediatric transfer plan shall include, at a
minimum:
1)Â Â Â Â Â Â Â Â The
name and address of the treatment hospital;
2)Â Â Â Â Â Â Â Â The
contact information, including name, telephone number, fax number, and email
address, for the individual responsible for implementation and enforcement of
the adult treatment and pediatric transfer plan and billing submission to the
Illinois Department of Healthcare and Family Services; and
3)Â Â Â Â Â Â Â Â Documentation
of the treatment hospital's ability to comply with Sections 2, 2.2, 5, 5.1,
5.2, 5.3, 6.5, 6.6, and 7 of the Act.
b)Â Â Â Â Â Â Â Â The
completed adult treatment and pediatric transfer plan shall be sent to:
Illinois Department of Public
Health
Division of Health Care Facilities
and Programs
525 West Jefferson Street, 4
th
Floor
Springfield IL Â 62761-0001
c)Â Â Â Â Â Â Â Â A
completed copy of the treatment/pediatric transfer plan shall be retained by
the treatment hospital.