97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
HB0779
 
Introduced , by Rep. Michael J. Madigan
 
SYNOPSIS AS INTRODUCED:



325 ILCS 20/11 from Ch. 23, par. 4161

 Amends the Early Intervention Services System Act. Makes a technical change
in
a Section concerning family service plans.



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A BILL FOR
 


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1 AN ACT concerning children.


2 Be it enacted by the People of the State of Illinois, 
3represented in the General Assembly: 


4 Section 5. The Early Intervention Services System Act is 
5amended by changing Section 11 as follows:




6 (325 ILCS 20/11) (from Ch. 23, par. 4161)



7 Sec. 11. Individualized Family Service Plans. 

8 (a) Each eligible infant or toddler and
and that infant's 
9or toddler's family
shall receive:

10  (1) timely, comprehensive, multidisciplinary 
11 assessment of the unique
needs of each eligible infant and 
12 toddler, and assessment of the concerns
and priorities of 
13 the families to appropriately assist them in meeting
their 
14 needs and identify services to meet those needs; and


15  (2) a written Individualized Family Service Plan 
16 developed by a
multidisciplinary team which includes the 
17 parent or guardian. The
individualized family service plan 
18 shall be based on the
multidisciplinary team's assessment 
19 of the resources, priorities,
and concerns of the family 
20 and its identification of the supports
and services 
21 necessary to enhance the family's capacity to meet the

22 developmental needs of the infant or toddler, and shall 
23 include the
identification of services appropriate to meet 
 
 
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1 those needs, including the
frequency, intensity, and 
2 method of delivering services. During and as part of
the 
3 initial development of the individualized family services 
4 plan, and any
periodic reviews of the plan, the 
5 multidisciplinary team shall consult the lead
agency's 
6 therapy guidelines and its designated experts, if any, to 
7 help
determine appropriate services and the frequency and 
8 intensity of those
services. All services in the 
9 individualized family services plan must be
justified by 
10 the multidisciplinary assessment of the unique strengths 
11 and
needs of the infant or toddler and must be appropriate 
12 to meet those needs.
At the periodic reviews, the team 
13 shall determine whether modification or
revision of the 
14 outcomes or services is necessary.

15 (b) The Individualized Family Service Plan shall be 
16evaluated once a year
and the family shall be provided a review 
17of the Plan at 6 month intervals or
more often where 
18appropriate based on infant or toddler and family needs.
The 
19lead agency shall create a quality review process regarding 
20Individualized
Family Service Plan development and changes 
21thereto, to monitor
and help assure that resources are being 
22used to provide appropriate early
intervention services.

23 (c) The evaluation and initial assessment and initial
Plan 
24meeting must be held within 45 days after the initial
contact 
25with the early intervention services system. With parental 
26consent,
early intervention services may commence before the 
 
 
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1completion of the
comprehensive assessment and development of 
2the Plan.

3 (d) Parents must be informed that, at their discretion, 
4early
intervention
services shall be provided to each eligible 
5infant and toddler in the natural
environment, which may 
6include the home or other community settings. Parents
shall 
7make
the final decision to accept or decline
early intervention 
8services. A decision to decline such services shall
not be a 
9basis for administrative determination of parental fitness, or

10other findings or sanctions against the parents. Parameters of 
11the Plan
shall be set forth in rules.

12 (e) The regional intake offices shall explain to each 
13family, orally and
in
writing, all of the following:


14  (1) That the early intervention program will pay for 
15 all early
intervention services set forth in the 
16 individualized family service plan that
are not
covered or 
17 paid under the family's public or private insurance plan or 
18 policy
and not
eligible for payment through any other third 
19 party payor.


20  (2) That services will not be delayed due to any rules 
21 or restrictions
under the family's insurance plan or 
22 policy.


23  (3) That the family may request, with appropriate 
24 documentation
supporting the request, a
determination of 
25 an exemption from private insurance use under
Section 
26 13.25.


 
 
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1  (4) That responsibility for co-payments or

2 co-insurance under a family's private insurance
plan or 
3 policy will be transferred to the lead
agency's central 
4 billing office.


5  (5) That families will be responsible
for payments of 
6 family fees,
which will be based on a sliding scale

7 according to income, and that these fees
are payable to the 
8 central billing office,
and that if the family encounters a

9 catastrophic circumstance, as defined under subsection (f) 
10 of Section 13 of
this Act, making it unable
to pay the 
11 fees, the lead agency may, upon
proof of inability to pay, 
12 waive the fees.

13 (f) The individualized family service plan must state 
14whether the family
has private insurance coverage and, if the 
15family has such coverage, must
have attached to it a copy of 
16the family's insurance identification card or
otherwise

17include all of the following information:


18  (1) The name, address, and telephone number of the 
19 insurance
carrier.


20  (2) The contract number and policy number of the 
21 insurance plan.


22  (3) The name, address, and social security number of 
23 the primary
insured.


24  (4) The beginning date of the insurance benefit year.

25 (g) A copy of the individualized family service plan must 
26be provided to
each enrolled provider who is providing early 
 
 
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1intervention services to the
child
who is the subject of that 
2plan.

3(Source: P.A. 91-538, eff. 8-13-99; 92-10, eff. 6-11-01; 
492-307, eff. 8-9-01;
92-651, eff. 7-11-02.)