89 Ill. Adm. Code 6860.686.1220
Certification of Day Habilitation Agency Providers
TITLE 89: SOCIAL SERVICES
CHAPTER IV: DEPARTMENT OF HUMAN SERVICES
SUBCHAPTER d: HOME SERVICES PROGRAM
PART 686 PROVIDER REQUIREMENTS, TYPE SERVICES, AND RATES OF PAYMENT
SECTION 686.1220 CERTIFICATION OF DAY HABILITATION AGENCY PROVIDERS
Section 686.1220 Certification of Day Habilitation
Agency Providers
a) With
the submission of an application to HSP, a provider described in Section
686.1200(a)(1) shall be evaluated by representatives of DHS.
b) The
provider service program shall be in operation for a period of one year prior
to application.
c) DHS
shall apply the standards set forth in Sections 686.1230 and 686.1240 to the
provider.
d) DHS
shall contact the provider to arrange the evaluation date and time that is
convenient for all parties, provide written confirmation of that date and time,
and explain the on-site evaluation procedure.
e) During
the evaluation process, the DHS representative may review case records, program
descriptions and documents, and may interview staff and Customers to ensure
that standards are being met.
f) DHS
shall hold an exit interview with the provider. The interview shall identify
areas in which the provider does and does not comply with Sections 686.1230 and
686.1240.
g) A
written report of the results of the certification evaluation shall be sent to
the provider within 30 calendar days. The results may indicate that remediation
is needed to address noncompliance with Sections 686.1230 and 686.1240.
1) If
remediation is indicated, the provider shall submit a corrective action plan
(CAP) to DHS within 30 calendar days after receipt of the report. The CAP shall
identify how the provider will comply with areas of Sections 686.1230 and
686.1240 in which the provider was found noncompliant. The CAP shall include
time frames for the remediation.
A) Upon
acceptance of the CAP, DHS shall notify the provider of the decision to certify
the program and services offered by the provider for two years if compliance
with the standards are met.
B) If the
provider fails to submit a CAP and/or is unable to institute a plan
satisfactorily in compliance with the standards of Sections 686.1230 and
686.1240, DHS shall notify the provider in writing of the decision not to
certify the provider.
2) Further
application for habilitation certification shall not be accepted by HSP until
at least one year after the date of the previous habilitation certification
denial.
3) The
provider has the right to appeal the certification evaluation by submitting an
appeal request in writing to the Bureau Chief of the Home Services Program.
Appeal requests must be filed within 30 days after the certification evaluation
results are received by the provider. The Bureau Chief shall conduct a review
of the facts and shall, within 15 working days, provide a written decision to
the provider.
4) If the
provider is not satisfied with the decision of the Bureau Chief, the provider
may request review of the Bureau Chief's decision by the Director of DHS-DRS.
The request must be in writing and received by the DHS-DRS Director within 10
working days after the date the decision was rendered by the Bureau Chief. The
decision of the DHS-DRS Director shall be final.