89 Ill. Adm. Code 2400.240.1957
Fixed Unit Rates of Reimbursement for Automated Medication Dispenser Service
TITLE 89: SOCIAL SERVICES
CHAPTER II: DEPARTMENT ON AGING
PART 240 COMMUNITY CARE PROGRAM
SECTION 240.1957 FIXED UNIT RATES OF REIMBURSEMENT FOR AUTOMATED MEDICATION DISPENSER SERVICE
Section
240.1957 Fixed Unit Rates of Reimbursement for Automated Medication Dispenser
Service
AMD service
providers shall be uniformly reimbursed for the provision of AMD units at fixed
unit rates of reimbursement established by the Department. The reimbursable
units of AMD service shall be as follows:
a) Installation, Initial
Training and Removal
The Department shall pay a one-time installation fee
at a fixed unit reimbursement rate established by the Department for the
installation and initial training of the participant/authorized
representative/responsible party of the AMD unit in the participant's residence.
The Department shall not pay any fee for expenses incurred by the AMD provider
if service could not be provided due to either the participant's absence or the
participant's refusal to admit the AMD provider's employee into the residence. The
Department shall not pay any fee for removal of the AMD unit.
b) Monthly Service
The Department shall pay a monthly service fee per participant
at a fixed unit reimbursement rate established by the Department for providing
AMD service that includes maintaining administrative and technical support to
program machines; providing 24 hour technical assistance and additional
training; signal monitoring, troubleshooting, machine maintenance, repair and
replacement; notifications to the responsible party on missed medication doses
and power outage; tracking and analyzing data; and providing reports as
requested by the Department. The Department will not pay for the cost of
maintaining telephone service for the participant or any associated charges or
fees.
c) The rates
will be reviewed annually, at a minimum, and adjustments may be made to conform
to the appropriation, service requirements and/or changes in federal and State
laws, regulations and/or rules affecting the service.
d) In
establishing the rates of reimbursement, the Department may consider any of the
following factors:
1) appropriation
levels;
2) cost
information provided by the providers; and/or
3) current
market conditions and trend analyses.
e) Upon written
notification from the Department of a change in the rates of reimbursement, an
AMD provider may exercise its 60 calendar day termination rights if the AMD
provider no longer wishes to provide services thereafter at the new rates of
reimbursement.