89 Ill. Adm. Code 146.530
Records and Data Reporting Requirements
Section 146.530 Records
and Data Reporting Requirements
a) In addition to any other Department record
requirements, including those specified in 89 Ill. Adm. Code 140.28, a Children's
Community-Based Health Care Center must maintain complete, comprehensive and
accurate medical records to ensure adequate patient care that includes, but is
not limited to, the following:
1) Patient identification;
2) Significant medical history;
3) Any known allergies and abnormal drug
reactions;
4) Documentation of properly executed informed
patient consent;
5) Medications and treatments ordered and
administered; and
6) Clinical and nursing notes.
b) Children's Community-Based Health Care
Center records must contain the dates of service and the recorded dates of any
medical practitioner seeing the patient at the time in the center.
c) Medical records for Medicaid patients must
be made available to the Department or its designated representative in the
performance of any review by the Department.
d) The Children's Community-Based Health Care
Center agrees to furnish to the Department, if requested, information necessary
to establish payment rates in the form and manner that the Department requires.
e) Services
may be subject to on-site review by the Department.