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All Kids also covers special services like medical equipment, speech therapy, and physical therapy for children who need them.Ĭenters for Medicare and Medicaid Services The program covers doctor visits, hospital stays, prescription drugs, vision care, dental care, eyeglasses, regular check-ups and immunizations (shots).

Illinois' comprehensive health insurance program for children.

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Note: For a definition and description of DD services, please refer to the Developmental Disabilities Program Manual and the DD Waiver Manual.Ī program within the Illinois Department on Aging that investigates abuse, neglect, or financial exploitation of adults age 60 or older and adults age 18-59 with disabilities living in the community. The purpose of this manual is to outline the policies and procedures to be followed by ISC agencies when performing their duties on the behalf of the IDHS/DDD. ISC agencies do not provide direct services but serve as the primary connection between individuals (and guardians) who are seeking or receiving developmental disability services and the IDHS/DDD. They encourage individuals and families to make informed decisions, exercise choice, and have maximum control over their lives. ISC agencies provide accurate individual information for statewide planning, as well as collaborate with service providers to ensure individual's health, safety, welfare, well-being, and satisfaction with services funded by DDD. It also includes, but is not limited to, conducting outreach, serving as the front line for information and assistance to help individuals and families navigate the system, ensuring informed choice, developing and monitoring a person's Plan, linking individuals to services and addressing problems related to outcomes and quality. In this manual, case management will be referred to as service coordination and includes maintaining the PUNS database, conducting Pre-Admission Screens, providing Individual Service and Support Advocacy to people in a DDD Waiver and providing service coordination to Bogard class members. ISC agencies are the Conflict of Interest case management entity and are essential to Illinois Developmental Disability service system.

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The CMS HCBS Conflict of Interest Free regulation requires States to separate case management functions from service delivery. As such, case management cannot be done by a relative of the person served, a direct provider of service, someone who has a financial interest in a provider or who is employed by a provider. The Regulations include Person Centered Planning, Conflict of Interest in case management and Settings. These Regulations became effective on Maand impact all 1915c HCBS Waivers. The Centers for Medicare and Medicaid Services (CMS) published Home and Community Based Services (HCBS) Regulations on January 16, 2014.

Independent Service Coordination (ISC) agencies contract with the Illinois Department of Human Services, Division of Developmental Disabilities (IDHS, DDD) to perform their duties under the authority of, and in compliance with, all applicable federal and state laws, rules and regulations, including but not limited to: Illinois Administrative Codes and Rules, the Developmental Disabilities Manuals, the Person Centered Planning Policy and Guidelines for DD Waiver Services, the DDD Medicaid Waivers and the Centers for Medicare & Medicaid Services (CMS) - Regulations & Guidance.

Section 16: Monitoring of Independent Service Coordination Agencies.

Section 15: General Administrative Requirements.Section 13: Service Terminations and Bedhold Request.Section 12: Referral for Monitoring and Technical Assistance.11.2 Protocol for Resolving Issues or Concerns.11.1 Principles of the Resolution Process.Section 11: Addressing and Resolving Issues or Concerns.10.3 Bogard Class Members Residing in a Medicaid Waiver Setting.10.2 Bogard Class Members Residing in Other Non-Waiver Settings.10.1 Bogard Class Members Residing in an ICF/DD.9.6 Critical Incident Reporting and Analysis System (CIRAS).9.3 Medicaid Benefit Enrollment and Medical Renewal Process.

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9.1 Annual Review and Update of the Plan.

Section 9: Individual Service and Support Advocacy.

Section 8: General Service Coordination.

Section 7: Service Request, Submission and Authorizations- This section is currently unavailable.

4.12 Dependents of Military Service Members.

4.10 Updating, Changing and Closing PUNS Records.

4.9 Instructions for Completing the PUNS Form.

4.8 Guidelines for Completing the PUNS Process.

4.7 Special Form Completion Circumstances.

4.6 For Whom NOT to Complete a PUNS Form.

Section 4: PUNS for Persons with Developmental Disabilities.

3.2 Qualifications of Individual Service Coordinators.