89 Ill. Adm. Code 240.1920
Contract Specific Variations
Section 240
Section 240.1920 Contract
Specific Variations
The Department will consider
reimbursing a provider at a rate other than the established fixed unit rate to
compensate for contract specific variations in cost. This consideration will
be made under the following circumstances:
a) Evidence suggests that a contract area currently served by a
provider will become "unserved" due to inadequate reimbursement by
the State to cover costs. An adjusted rate will be used only after the
"emergency contracting process", as defined in Section 240.1605, has
shown that no provider offered an emergency contract is willing to provide
service in the contract area at the established fixed unit rate. The adjusted
rate will then be determined through the competitive procurement process as
defined in Section 240.1605.
b) Once a contract area has established an adjusted rate, that
rate shall be effective until a new procurement process has been initiated.
c) The adjusted rate contractor must still meet the requirements
for an in-home service provider as stated in Sections 240.2020 and 240.2040.