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1 | | AN ACT concerning health.
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2 | | Be it enacted by the People of the State of Illinois, |
3 | | represented in the General Assembly:
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4 | | Section 1. Short title. This Act may be cited as the |
5 | | Interagency Children's Behavioral Health Services Act.
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6 | | Section 5. Children's Behavioral Health Transformation |
7 | | Initiative. This Act establishes a Children's Behavioral |
8 | | Health Transformation Officer. The Officer shall lead the |
9 | | State's comprehensive, interagency effort to ensure that youth |
10 | | with significant and complex behavioral health needs receive |
11 | | appropriate community and residential services and that the |
12 | | State-supported system is transparent and easier for youth and |
13 | | their families to navigate. The Officer shall serve as a |
14 | | policymaker and spokesperson on children's behavioral health, |
15 | | including coordinating the interagency effort through |
16 | | legislation, rules, and budgets and communicating with the |
17 | | General Assembly and federal and local leaders on these |
18 | | critical issues. |
19 | | An Interagency Children's Behavioral Health Services Team |
20 | | is established to find appropriate services, residential |
21 | | treatment, and support for children identified by each |
22 | | participating agency as requiring enhanced agency |
23 | | collaboration to identify and obtain treatment in a |
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1 | | residential setting. Responsibilities of each participating |
2 | | agency shall be outlined in an interagency agreement between |
3 | | all the relevant State agencies.
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4 | | Section 10. Interagency agreement. In order to establish |
5 | | the Interagency Children's Behavioral Health Services Team, |
6 | | within 90 days after the effective date of this Act, the |
7 | | Department of Children of Family Services, the Department of |
8 | | Human Services, the Department of Healthcare and Family |
9 | | Services, the Illinois State Board of Education, the |
10 | | Department of Juvenile Justice, and the Department of Public |
11 | | Health shall enter into an interagency agreement for the |
12 | | purpose of establishing the roles and responsibilities of each |
13 | | participating agency. |
14 | | The interagency agreement, among other things, shall |
15 | | address all of the following: |
16 | | (1) Require each participating agency to assign staff |
17 | | to the Interagency Children's Behavioral Health Services |
18 | | Team who have operational knowledge of and decision-making |
19 | | authority over the agency's children's behavioral health |
20 | | programs and services. |
21 | | (2) Set criteria to identify children whose cases will |
22 | | be presented to the Interagency Children's Behavioral |
23 | | Health Services Team for prioritized review. Criteria |
24 | | shall include, but not be limited to: |
25 | | (A) the length of time the child has been |
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1 | | clinically approved for residential services through |
2 | | existing funding streams but has not been admitted to |
3 | | an appropriate program; |
4 | | (B) the length of time the child has been in a |
5 | | hospital emergency department or medical unit seeking |
6 | | inpatient treatment for psychiatric or behavioral |
7 | | health emergency; |
8 | | (C) the length of time the child has been in a |
9 | | psychiatric or general acute care hospital for |
10 | | inpatient psychiatric treatment beyond medical |
11 | | necessity; |
12 | | (D) the risk of being taken into the custody of the |
13 | | Department of Children and Family Services in the |
14 | | absence of abuse or neglect as defined by the Abused |
15 | | and Neglected Child Reporting Act or the Juvenile |
16 | | Court Act of 1987 for the sole purpose of obtaining |
17 | | behavioral health services or residential treatment; |
18 | | (E) other circumstances that require enhanced |
19 | | interagency collaboration to find appropriate services |
20 | | for the child. |
21 | | (3) Require each agency, or its designee, to present |
22 | | each identified child's clinical case, to the extent |
23 | | permitted by State and federal law, to the Interagency |
24 | | Children's Behavioral Health Services Team during regular |
25 | | team meetings to outline the child's needs and to |
26 | | determine if any of the participating agencies have |
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1 | | residential or other supportive services that may be |
2 | | available for the child to ensure that the child receives |
3 | | appropriate treatment, including residential treatment if |
4 | | necessary, as soon as possible. |
5 | | (4) Require the Community and Residential Services |
6 | | Authority to notify the Interagency Children's Behavioral |
7 | | Health Services Team of any child that has been referred |
8 | | for services who meet the criteria set forth in paragraph |
9 | | (2) and to present the clinical cases for the child to the |
10 | | interagency team to determine if any agency program can |
11 | | assist the child. |
12 | | (5) Require the participating agencies to develop a |
13 | | quarterly analysis, to be submitted to the General |
14 | | Assembly, the Governor's Office, and the Community and |
15 | | Residential Services Authority including the following |
16 | | information, to the extent permitted by State and federal |
17 | | law: |
18 | | (A) the number of children presented to the team; |
19 | | (B) the children's clinical presentations that |
20 | | required enhanced agency collaboration; |
21 | | (C) the types of services including residential |
22 | | treatment that were needed to appropriately support |
23 | | the aggregate needs of children presented; |
24 | | (D) the timeframe it took to find placement or |
25 | | appropriate services; and |
26 | | (E) any other data or information the Interagency |
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1 | | Children's Behavioral Health Services Team deems |
2 | | appropriate. |
3 | | All information collected, shared, or stored pursuant to |
4 | | this Section shall be handled in accordance with all State and |
5 | | federal privacy laws and accompanying regulations and rules, |
6 | | including without limitation the federal Health Insurance |
7 | | Portability and Accountability Act of 1996 (Public Law |
8 | | 104-191) and the Mental Health and Developmental Disabilities |
9 | | Confidentiality Act. |
10 | | Nothing in this Section shall be construed or applied in a |
11 | | manner that would conflict with, diminish, or infringe upon, |
12 | | any State agency's obligation to comply fully with |
13 | | requirements imposed under a court order or State or federal |
14 | | consent decree applicable to that agency.
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15 | | Section 15. The Children and Family Services Act is |
16 | | amended by changing Sections 5 and 17 as follows:
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17 | | (20 ILCS 505/5) (from Ch. 23, par. 5005)
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18 | | Sec. 5. Direct child welfare services; Department of |
19 | | Children and Family
Services. To provide direct child welfare |
20 | | services when not available
through other public or private |
21 | | child care or program facilities.
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22 | | (a) For purposes of this Section:
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23 | | (1) "Children" means persons found within the State |
24 | | who are under the
age of 18 years. The term also includes |
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1 | | persons under age 21 who:
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2 | | (A) were committed to the Department pursuant to |
3 | | the
Juvenile Court Act or the Juvenile Court Act of |
4 | | 1987 and who continue under the jurisdiction of the |
5 | | court; or
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6 | | (B) were accepted for care, service and training |
7 | | by
the Department prior to the age of 18 and whose best |
8 | | interest in the
discretion of the Department would be |
9 | | served by continuing that care,
service and training |
10 | | because of severe emotional disturbances, physical
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11 | | disability, social adjustment or any combination |
12 | | thereof, or because of the
need to complete an |
13 | | educational or vocational training program.
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14 | | (2) "Homeless youth" means persons found within the
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15 | | State who are under the age of 19, are not in a safe and |
16 | | stable living
situation and cannot be reunited with their |
17 | | families.
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18 | | (3) "Child welfare services" means public social |
19 | | services which are
directed toward the accomplishment of |
20 | | the following purposes:
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21 | | (A) protecting and promoting the health, safety |
22 | | and welfare of
children,
including homeless, |
23 | | dependent, or neglected children;
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24 | | (B) remedying, or assisting in the solution
of |
25 | | problems which may result in, the neglect, abuse, |
26 | | exploitation, or
delinquency of children;
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1 | | (C) preventing the unnecessary separation of |
2 | | children
from their families by identifying family |
3 | | problems, assisting families in
resolving their |
4 | | problems, and preventing the breakup of the family
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5 | | where the prevention of child removal is desirable and |
6 | | possible when the
child can be cared for at home |
7 | | without endangering the child's health and
safety;
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8 | | (D) restoring to their families children who have |
9 | | been
removed, by the provision of services to the |
10 | | child and the families when the
child can be cared for |
11 | | at home without endangering the child's health and
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12 | | safety;
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13 | | (E) placing children in suitable adoptive homes, |
14 | | in
cases where restoration to the biological family is |
15 | | not safe, possible, or
appropriate;
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16 | | (F) assuring safe and adequate care of children |
17 | | away from their
homes, in cases where the child cannot |
18 | | be returned home or cannot be placed
for adoption. At |
19 | | the time of placement, the Department shall consider
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20 | | concurrent planning,
as described in subsection (l-1) |
21 | | of this Section so that permanency may
occur at the |
22 | | earliest opportunity. Consideration should be given so |
23 | | that if
reunification fails or is delayed, the |
24 | | placement made is the best available
placement to |
25 | | provide permanency for the child;
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26 | | (G) (blank);
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1 | | (H) (blank); and
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2 | | (I) placing and maintaining children in facilities |
3 | | that provide
separate living quarters for children |
4 | | under the age of 18 and for children
18 years of age |
5 | | and older, unless a child 18 years of age is in the |
6 | | last
year of high school education or vocational |
7 | | training, in an approved
individual or group treatment |
8 | | program, in a licensed shelter facility,
or secure |
9 | | child care facility.
The Department is not required to |
10 | | place or maintain children:
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11 | | (i) who are in a foster home, or
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12 | | (ii) who are persons with a developmental |
13 | | disability, as defined in
the Mental
Health and |
14 | | Developmental Disabilities Code, or
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15 | | (iii) who are female children who are |
16 | | pregnant, pregnant and
parenting, or parenting, or
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17 | | (iv) who are siblings, in facilities that |
18 | | provide separate living quarters for children 18
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19 | | years of age and older and for children under 18 |
20 | | years of age.
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21 | | (b) (Blank).
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22 | | (b-5) The Department shall adopt rules to establish a |
23 | | process for all licensed residential providers in Illinois to |
24 | | submit data as required by the Department, if they contract or |
25 | | receive reimbursement for children's mental health, substance |
26 | | use, and developmental disability services from the Department |
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1 | | of Human Services, the Department of Juvenile Justice, or the |
2 | | Department of Healthcare and Family Services. The requested |
3 | | data must include, but is not limited to, capacity, staffing, |
4 | | and occupancy data for the purpose of establishing State need |
5 | | and placement availability. |
6 | | All information collected, shared, or stored pursuant to |
7 | | this subsection shall be handled in accordance with all State |
8 | | and federal privacy laws and accompanying regulations and |
9 | | rules, including without limitation the federal Health |
10 | | Insurance Portability and Accountability Act of 1996 (Public |
11 | | Law 104-191) and the Mental Health and Developmental |
12 | | Disabilities Confidentiality Act. |
13 | | (c) The Department shall establish and maintain |
14 | | tax-supported child
welfare services and extend and seek to |
15 | | improve voluntary services
throughout the State, to the end |
16 | | that services and care shall be available
on an equal basis |
17 | | throughout the State to children requiring such services.
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18 | | (d) The Director may authorize advance disbursements for |
19 | | any new program
initiative to any agency contracting with the |
20 | | Department. As a
prerequisite for an advance disbursement, the |
21 | | contractor must post a
surety bond in the amount of the advance |
22 | | disbursement and have a
purchase of service contract approved |
23 | | by the Department. The Department
may pay up to 2 months |
24 | | operational expenses in advance. The amount of the
advance |
25 | | disbursement shall be prorated over the life of the contract
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26 | | or the remaining months of the fiscal year, whichever is less, |
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1 | | and the
installment amount shall then be deducted from future |
2 | | bills. Advance
disbursement authorizations for new initiatives |
3 | | shall not be made to any
agency after that agency has operated |
4 | | during 2 consecutive fiscal years.
The requirements of this |
5 | | Section concerning advance disbursements shall
not apply with |
6 | | respect to the following: payments to local public agencies
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7 | | for child day care services as authorized by Section 5a of this |
8 | | Act; and
youth service programs receiving grant funds under |
9 | | Section 17a-4.
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10 | | (e) (Blank).
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11 | | (f) (Blank).
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12 | | (g) The Department shall establish rules and regulations |
13 | | concerning
its operation of programs designed to meet the |
14 | | goals of child safety and
protection,
family preservation, |
15 | | family reunification, and adoption, including, but not
limited |
16 | | to:
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17 | | (1) adoption;
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18 | | (2) foster care;
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19 | | (3) family counseling;
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20 | | (4) protective services;
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21 | | (5) (blank);
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22 | | (6) homemaker service;
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23 | | (7) return of runaway children;
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24 | | (8) (blank);
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25 | | (9) placement under Section 5-7 of the Juvenile Court |
26 | | Act or
Section 2-27, 3-28, 4-25, or 5-740 of the Juvenile |
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1 | | Court Act of 1987 in
accordance with the federal Adoption |
2 | | Assistance and Child Welfare Act of
1980; and
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3 | | (10) interstate services.
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4 | | Rules and regulations established by the Department shall |
5 | | include
provisions for training Department staff and the staff |
6 | | of Department
grantees, through contracts with other agencies |
7 | | or resources, in screening techniques to identify substance |
8 | | use disorders, as defined in the Substance Use Disorder Act, |
9 | | approved by the Department of Human
Services, as a successor |
10 | | to the Department of Alcoholism and Substance Abuse,
for the |
11 | | purpose of identifying children and adults who
should be |
12 | | referred for an assessment at an organization appropriately |
13 | | licensed by the Department of Human Services for substance use |
14 | | disorder treatment.
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15 | | (h) If the Department finds that there is no appropriate |
16 | | program or
facility within or available to the Department for |
17 | | a youth in care and that no
licensed private facility has an |
18 | | adequate and appropriate program or none
agrees to accept the |
19 | | youth in care, the Department shall create an appropriate
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20 | | individualized, program-oriented plan for such youth in care. |
21 | | The
plan may be developed within the Department or through |
22 | | purchase of services
by the Department to the extent that it is |
23 | | within its statutory authority
to do.
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24 | | (i) Service programs shall be available throughout the |
25 | | State and shall
include but not be limited to the following |
26 | | services:
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1 | | (1) case management;
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2 | | (2) homemakers;
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3 | | (3) counseling;
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4 | | (4) parent education;
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5 | | (5) day care; and
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6 | | (6) emergency assistance and advocacy.
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7 | | In addition, the following services may be made available |
8 | | to assess and
meet the needs of children and families:
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9 | | (1) comprehensive family-based services;
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10 | | (2) assessments;
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11 | | (3) respite care; and
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12 | | (4) in-home health services.
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13 | | The Department shall provide transportation for any of the |
14 | | services it
makes available to children or families or for |
15 | | which it refers children
or families.
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16 | | (j) The Department may provide categories of financial |
17 | | assistance and
education assistance grants, and shall
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18 | | establish rules and regulations concerning the assistance and |
19 | | grants, to
persons who
adopt children with physical or mental |
20 | | disabilities, children who are older, or other hard-to-place
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21 | | children who (i) immediately prior to their adoption were |
22 | | youth in care or (ii) were determined eligible for financial |
23 | | assistance with respect to a
prior adoption and who become |
24 | | available for adoption because the
prior adoption has been |
25 | | dissolved and the parental rights of the adoptive
parents have |
26 | | been
terminated or because the child's adoptive parents have |
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1 | | died.
The Department may continue to provide financial |
2 | | assistance and education assistance grants for a child who was |
3 | | determined eligible for financial assistance under this |
4 | | subsection (j) in the interim period beginning when the |
5 | | child's adoptive parents died and ending with the finalization |
6 | | of the new adoption of the child by another adoptive parent or |
7 | | parents. The Department may also provide categories of |
8 | | financial
assistance and education assistance grants, and
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9 | | shall establish rules and regulations for the assistance and |
10 | | grants, to persons
appointed guardian of the person under |
11 | | Section 5-7 of the Juvenile Court
Act or Section 2-27, 3-28, |
12 | | 4-25, or 5-740 of the Juvenile Court Act of 1987
for children |
13 | | who were youth in care for 12 months immediately
prior to the |
14 | | appointment of the guardian.
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15 | | The amount of assistance may vary, depending upon the |
16 | | needs of the child
and the adoptive parents,
as set forth in |
17 | | the annual
assistance agreement. Special purpose grants are |
18 | | allowed where the child
requires special service but such |
19 | | costs may not exceed the amounts
which similar services would |
20 | | cost the Department if it were to provide or
secure them as |
21 | | guardian of the child.
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22 | | Any financial assistance provided under this subsection is
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23 | | inalienable by assignment, sale, execution, attachment, |
24 | | garnishment, or any
other remedy for recovery or collection of |
25 | | a judgment or debt.
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26 | | (j-5) The Department shall not deny or delay the placement |
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1 | | of a child for
adoption
if an approved family is available |
2 | | either outside of the Department region
handling the case,
or |
3 | | outside of the State of Illinois.
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4 | | (k) The Department shall accept for care and training any |
5 | | child who has
been adjudicated neglected or abused, or |
6 | | dependent committed to it pursuant
to the Juvenile Court Act |
7 | | or the Juvenile Court Act of 1987.
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8 | | (l) The Department shall
offer family preservation |
9 | | services, as defined in Section 8.2 of the Abused
and
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10 | | Neglected Child
Reporting Act, to help families, including |
11 | | adoptive and extended families.
Family preservation
services |
12 | | shall be offered (i) to prevent the
placement
of children in
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13 | | substitute care when the children can be cared for at home or |
14 | | in the custody of
the person
responsible for the children's |
15 | | welfare,
(ii) to
reunite children with their families, or |
16 | | (iii) to
maintain an adoptive placement. Family preservation |
17 | | services shall only be
offered when doing so will not endanger |
18 | | the children's health or safety. With
respect to children who |
19 | | are in substitute care pursuant to the Juvenile Court
Act of |
20 | | 1987, family preservation services shall not be offered if a |
21 | | goal other
than those of subdivisions (A), (B), or (B-1) of |
22 | | subsection (2) of Section 2-28
of
that Act has been set, except |
23 | | that reunification services may be offered as provided in |
24 | | paragraph (F) of subsection (2) of Section 2-28 of that Act.
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25 | | Nothing in this paragraph shall be construed to create a |
26 | | private right of
action or claim on the part of any individual |
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1 | | or child welfare agency, except that when a child is the |
2 | | subject of an action under Article II of the Juvenile Court Act |
3 | | of 1987 and the child's service plan calls for services to |
4 | | facilitate achievement of the permanency goal, the court |
5 | | hearing the action under Article II of the Juvenile Court Act |
6 | | of 1987 may order the Department to provide the services set |
7 | | out in the plan, if those services are not provided with |
8 | | reasonable promptness and if those services are available.
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9 | | The Department shall notify the child and his family of |
10 | | the
Department's
responsibility to offer and provide family |
11 | | preservation services as
identified in the service plan. The |
12 | | child and his family shall be eligible
for services as soon as |
13 | | the report is determined to be "indicated". The
Department may |
14 | | offer services to any child or family with respect to whom a
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15 | | report of suspected child abuse or neglect has been filed, |
16 | | prior to
concluding its investigation under Section 7.12 of |
17 | | the Abused and Neglected
Child Reporting Act. However, the |
18 | | child's or family's willingness to
accept services shall not |
19 | | be considered in the investigation. The
Department may also |
20 | | provide services to any child or family who is the
subject of |
21 | | any report of suspected child abuse or neglect or may refer |
22 | | such
child or family to services available from other agencies |
23 | | in the community,
even if the report is determined to be |
24 | | unfounded, if the conditions in the
child's or family's home |
25 | | are reasonably likely to subject the child or
family to future |
26 | | reports of suspected child abuse or neglect. Acceptance
of |
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1 | | such services shall be voluntary. The Department may also |
2 | | provide services to any child or family after completion of a |
3 | | family assessment, as an alternative to an investigation, as |
4 | | provided under the "differential response program" provided |
5 | | for in subsection (a-5) of Section 7.4 of the Abused and |
6 | | Neglected Child Reporting Act.
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7 | | The Department may, at its discretion except for those |
8 | | children also
adjudicated neglected or dependent, accept for |
9 | | care and training any child
who has been adjudicated addicted, |
10 | | as a truant minor in need of
supervision or as a minor |
11 | | requiring authoritative intervention, under the
Juvenile Court |
12 | | Act or the Juvenile Court Act of 1987, but no such child
shall |
13 | | be committed to the Department by any court without the |
14 | | approval of
the Department. On and after January 1, 2015 (the |
15 | | effective date of Public Act 98-803) and before January 1, |
16 | | 2017, a minor charged with a criminal offense under the |
17 | | Criminal
Code of 1961 or the Criminal Code of 2012 or |
18 | | adjudicated delinquent shall not be placed in the custody of |
19 | | or
committed to the Department by any court, except (i) a minor |
20 | | less than 16 years
of age committed to the Department under |
21 | | Section 5-710 of the Juvenile Court
Act
of 1987, (ii) a minor |
22 | | for whom an independent basis of abuse, neglect, or dependency |
23 | | exists, which must be defined by departmental rule, or (iii) a |
24 | | minor for whom the court has granted a supplemental petition |
25 | | to reinstate wardship pursuant to subsection (2) of Section |
26 | | 2-33 of the Juvenile Court Act of 1987. On and after January 1, |
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1 | | 2017, a minor charged with a criminal offense under the |
2 | | Criminal
Code of 1961 or the Criminal Code of 2012 or |
3 | | adjudicated delinquent shall not be placed in the custody of |
4 | | or
committed to the Department by any court, except (i) a minor |
5 | | less than 15 years
of age committed to the Department under |
6 | | Section 5-710 of the Juvenile Court
Act
of 1987, ii) a minor |
7 | | for whom an independent basis of abuse, neglect, or dependency |
8 | | exists, which must be defined by departmental rule, or (iii) a |
9 | | minor for whom the court has granted a supplemental petition |
10 | | to reinstate wardship pursuant to subsection (2) of Section |
11 | | 2-33 of the Juvenile Court Act of 1987. An independent basis |
12 | | exists when the allegations or adjudication of abuse, neglect, |
13 | | or dependency do not arise from the same facts, incident, or |
14 | | circumstances which give rise to a charge or adjudication of |
15 | | delinquency. The Department shall
assign a caseworker to |
16 | | attend any hearing involving a youth in
the care and custody of |
17 | | the Department who is placed on aftercare release, including |
18 | | hearings
involving sanctions for violation of aftercare |
19 | | release
conditions and aftercare release revocation hearings.
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20 | | As soon as is possible after August 7, 2009 (the effective |
21 | | date of Public Act 96-134), the Department shall develop and |
22 | | implement a special program of family preservation services to |
23 | | support intact, foster, and adoptive families who are |
24 | | experiencing extreme hardships due to the difficulty and |
25 | | stress of caring for a child who has been diagnosed with a |
26 | | pervasive developmental disorder if the Department determines |
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1 | | that those services are necessary to ensure the health and |
2 | | safety of the child. The Department may offer services to any |
3 | | family whether or not a report has been filed under the Abused |
4 | | and Neglected Child Reporting Act. The Department may refer |
5 | | the child or family to services available from other agencies |
6 | | in the community if the conditions in the child's or family's |
7 | | home are reasonably likely to subject the child or family to |
8 | | future reports of suspected child abuse or neglect. Acceptance |
9 | | of these services shall be voluntary. The Department shall |
10 | | develop and implement a public information campaign to alert |
11 | | health and social service providers and the general public |
12 | | about these special family preservation services. The nature |
13 | | and scope of the services offered and the number of families |
14 | | served under the special program implemented under this |
15 | | paragraph shall be determined by the level of funding that the |
16 | | Department annually allocates for this purpose. The term |
17 | | "pervasive developmental disorder" under this paragraph means |
18 | | a neurological condition, including, but not limited to, |
19 | | Asperger's Syndrome and autism, as defined in the most recent |
20 | | edition of the Diagnostic and Statistical Manual of Mental |
21 | | Disorders of the American Psychiatric Association. |
22 | | (l-1) The legislature recognizes that the best interests |
23 | | of the child
require that
the child be placed in the most |
24 | | permanent living arrangement as soon as is
practically
|
25 | | possible. To achieve this goal, the legislature directs the |
26 | | Department of
Children and
Family Services to conduct |
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1 | | concurrent planning so that permanency may occur at
the
|
2 | | earliest opportunity. Permanent living arrangements may |
3 | | include prevention of
placement of a child outside the home of |
4 | | the family when the child can be cared
for at
home without |
5 | | endangering the child's health or safety; reunification with |
6 | | the
family,
when safe and appropriate, if temporary placement |
7 | | is necessary; or movement of
the child
toward the most |
8 | | permanent living arrangement and permanent legal status.
|
9 | | When determining reasonable efforts to be made with |
10 | | respect to a child, as
described in this
subsection, and in |
11 | | making such reasonable efforts, the child's health and
safety |
12 | | shall be the
paramount concern.
|
13 | | When a child is placed in foster care, the Department |
14 | | shall ensure and
document that reasonable efforts were made to |
15 | | prevent or eliminate the need to
remove the child from the |
16 | | child's home. The Department must make
reasonable efforts to |
17 | | reunify the family when temporary placement of the child
|
18 | | occurs
unless otherwise required, pursuant to the Juvenile |
19 | | Court Act of 1987.
At any time after the dispositional hearing |
20 | | where the Department believes
that further reunification |
21 | | services would be ineffective, it may request a
finding from |
22 | | the court that reasonable efforts are no longer appropriate. |
23 | | The
Department is not required to provide further |
24 | | reunification services after such
a
finding.
|
25 | | A decision to place a child in substitute care shall be |
26 | | made with
considerations of the child's health, safety, and |
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1 | | best interests. At the
time of placement, consideration should |
2 | | also be given so that if reunification
fails or is delayed, the |
3 | | placement made is the best available placement to
provide |
4 | | permanency for the child.
|
5 | | The Department shall adopt rules addressing concurrent |
6 | | planning for
reunification and permanency. The Department |
7 | | shall consider the following
factors when determining |
8 | | appropriateness of concurrent planning:
|
9 | | (1) the likelihood of prompt reunification;
|
10 | | (2) the past history of the family;
|
11 | | (3) the barriers to reunification being addressed by |
12 | | the family;
|
13 | | (4) the level of cooperation of the family;
|
14 | | (5) the foster parents' willingness to work with the |
15 | | family to reunite;
|
16 | | (6) the willingness and ability of the foster family |
17 | | to provide an
adoptive
home or long-term placement;
|
18 | | (7) the age of the child;
|
19 | | (8) placement of siblings.
|
20 | | (m) The Department may assume temporary custody of any |
21 | | child if:
|
22 | | (1) it has received a written consent to such |
23 | | temporary custody
signed by the parents of the child or by |
24 | | the parent having custody of the
child if the parents are |
25 | | not living together or by the guardian or
custodian of the |
26 | | child if the child is not in the custody of either
parent, |
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1 | | or
|
2 | | (2) the child is found in the State and neither a |
3 | | parent,
guardian nor custodian of the child can be |
4 | | located.
|
5 | | If the child is found in his or her residence without a parent, |
6 | | guardian,
custodian, or responsible caretaker, the Department |
7 | | may, instead of removing
the child and assuming temporary |
8 | | custody, place an authorized
representative of the Department |
9 | | in that residence until such time as a
parent, guardian, or |
10 | | custodian enters the home and expresses a willingness
and |
11 | | apparent ability to ensure the child's health and safety and |
12 | | resume
permanent
charge of the child, or until a
relative |
13 | | enters the home and is willing and able to ensure the child's |
14 | | health
and
safety and assume charge of the
child until a |
15 | | parent, guardian, or custodian enters the home and expresses
|
16 | | such willingness and ability to ensure the child's safety and |
17 | | resume
permanent charge. After a caretaker has remained in the |
18 | | home for a period not
to exceed 12 hours, the Department must |
19 | | follow those procedures outlined in
Section 2-9, 3-11, 4-8, or |
20 | | 5-415 of the Juvenile Court Act
of 1987.
|
21 | | The Department shall have the authority, responsibilities |
22 | | and duties that
a legal custodian of the child would have |
23 | | pursuant to subsection (9) of
Section 1-3 of the Juvenile |
24 | | Court Act of 1987. Whenever a child is taken
into temporary |
25 | | custody pursuant to an investigation under the Abused and
|
26 | | Neglected Child Reporting Act, or pursuant to a referral and |
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1 | | acceptance
under the Juvenile Court Act of 1987 of a minor in |
2 | | limited custody, the
Department, during the period of |
3 | | temporary custody and before the child
is brought before a |
4 | | judicial officer as required by Section 2-9, 3-11,
4-8, or |
5 | | 5-415 of the Juvenile Court Act of 1987, shall have
the |
6 | | authority, responsibilities and duties that a legal custodian |
7 | | of the child
would have under subsection (9) of Section 1-3 of |
8 | | the Juvenile Court Act of
1987.
|
9 | | The Department shall ensure that any child taken into |
10 | | custody
is scheduled for an appointment for a medical |
11 | | examination.
|
12 | | A parent, guardian, or custodian of a child in the |
13 | | temporary custody of the
Department who would have custody of |
14 | | the child if he were not in the
temporary custody of the |
15 | | Department may deliver to the Department a signed
request that |
16 | | the Department surrender the temporary custody of the child.
|
17 | | The Department may retain temporary custody of the child for |
18 | | 10 days after
the receipt of the request, during which period |
19 | | the Department may cause to
be filed a petition pursuant to the |
20 | | Juvenile Court Act of 1987. If a
petition is so filed, the |
21 | | Department shall retain temporary custody of the
child until |
22 | | the court orders otherwise. If a petition is not filed within
|
23 | | the 10-day period, the child shall be surrendered to the |
24 | | custody of the
requesting parent, guardian, or custodian not |
25 | | later than the expiration of
the 10-day period, at which time |
26 | | the authority and duties of the Department
with respect to the |
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1 | | temporary custody of the child shall terminate.
|
2 | | (m-1) The Department may place children under 18 years of |
3 | | age in a secure
child care facility licensed by the Department |
4 | | that cares for children who are
in need of secure living |
5 | | arrangements for their health, safety, and well-being
after a |
6 | | determination is made by the facility director and the |
7 | | Director or the
Director's designate prior to admission to the |
8 | | facility subject to Section
2-27.1 of the Juvenile Court Act |
9 | | of 1987. This subsection (m-1) does not apply
to a child who is |
10 | | subject to placement in a correctional facility operated
|
11 | | pursuant to Section 3-15-2 of the Unified Code of Corrections, |
12 | | unless the
child is a youth in care who was placed in the care |
13 | | of the Department before being
subject to placement in a |
14 | | correctional facility and a court of competent
jurisdiction |
15 | | has ordered placement of the child in a secure care facility.
|
16 | | (n) The Department may place children under 18 years of |
17 | | age in
licensed child care facilities when in the opinion of |
18 | | the Department,
appropriate services aimed at family |
19 | | preservation have been unsuccessful and
cannot ensure the |
20 | | child's health and safety or are unavailable and such
|
21 | | placement would be for their best interest. Payment
for board, |
22 | | clothing, care, training and supervision of any child placed |
23 | | in
a licensed child care facility may be made by the |
24 | | Department, by the
parents or guardians of the estates of |
25 | | those children, or by both the
Department and the parents or |
26 | | guardians, except that no payments shall be
made by the |
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1 | | Department for any child placed in a licensed child care
|
2 | | facility for board, clothing, care, training and supervision |
3 | | of such a
child that exceed the average per capita cost of |
4 | | maintaining and of caring
for a child in institutions for |
5 | | dependent or neglected children operated by
the Department. |
6 | | However, such restriction on payments does not apply in
cases |
7 | | where children require specialized care and treatment for |
8 | | problems of
severe emotional disturbance, physical disability, |
9 | | social adjustment, or
any combination thereof and suitable |
10 | | facilities for the placement of such
children are not |
11 | | available at payment rates within the limitations set
forth in |
12 | | this Section. All reimbursements for services delivered shall |
13 | | be
absolutely inalienable by assignment, sale, attachment, or |
14 | | garnishment or
otherwise.
|
15 | | (n-1) The Department shall provide or authorize child |
16 | | welfare services, aimed at assisting minors to achieve |
17 | | sustainable self-sufficiency as independent adults, for any |
18 | | minor eligible for the reinstatement of wardship pursuant to |
19 | | subsection (2) of Section 2-33 of the Juvenile Court Act of |
20 | | 1987, whether or not such reinstatement is sought or allowed, |
21 | | provided that the minor consents to such services and has not |
22 | | yet attained the age of 21. The Department shall have |
23 | | responsibility for the development and delivery of services |
24 | | under this Section. An eligible youth may access services |
25 | | under this Section through the Department of Children and |
26 | | Family Services or by referral from the Department of Human |
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1 | | Services. Youth participating in services under this Section |
2 | | shall cooperate with the assigned case manager in developing |
3 | | an agreement identifying the services to be provided and how |
4 | | the youth will increase skills to achieve self-sufficiency. A |
5 | | homeless shelter is not considered appropriate housing for any |
6 | | youth receiving child welfare services under this Section. The |
7 | | Department shall continue child welfare services under this |
8 | | Section to any eligible minor until the minor becomes 21 years |
9 | | of age, no longer consents to participate, or achieves |
10 | | self-sufficiency as identified in the minor's service plan. |
11 | | The Department of Children and Family Services shall create |
12 | | clear, readable notice of the rights of former foster youth to |
13 | | child welfare services under this Section and how such |
14 | | services may be obtained. The Department of Children and |
15 | | Family Services and the Department of Human Services shall |
16 | | disseminate this information statewide. The Department shall |
17 | | adopt regulations describing services intended to assist |
18 | | minors in achieving sustainable self-sufficiency as |
19 | | independent adults. |
20 | | (o) The Department shall establish an administrative |
21 | | review and appeal
process for children and families who |
22 | | request or receive child welfare
services from the Department. |
23 | | Youth in care who are placed by private child welfare |
24 | | agencies, and foster families with whom
those youth are |
25 | | placed, shall be afforded the same procedural and appeal
|
26 | | rights as children and families in the case of placement by the |
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1 | | Department,
including the right to an initial review of a |
2 | | private agency decision by
that agency. The Department shall |
3 | | ensure that any private child welfare
agency, which accepts |
4 | | youth in care for placement, affords those
rights to children |
5 | | and foster families. The Department shall accept for
|
6 | | administrative review and an appeal hearing a complaint made |
7 | | by (i) a child
or foster family concerning a decision |
8 | | following an initial review by a
private child welfare agency |
9 | | or (ii) a prospective adoptive parent who alleges
a violation |
10 | | of subsection (j-5) of this Section. An appeal of a decision
|
11 | | concerning a change in the placement of a child shall be |
12 | | conducted in an
expedited manner. A court determination that a |
13 | | current foster home placement is necessary and appropriate |
14 | | under Section 2-28 of the Juvenile Court Act of 1987 does not |
15 | | constitute a judicial determination on the merits of an |
16 | | administrative appeal, filed by a former foster parent, |
17 | | involving a change of placement decision.
|
18 | | (p) (Blank).
|
19 | | (q) The Department may receive and use, in their entirety, |
20 | | for the
benefit of children any gift, donation, or bequest of |
21 | | money or other
property which is received on behalf of such |
22 | | children, or any financial
benefits to which such children are |
23 | | or may become entitled while under
the jurisdiction or care of |
24 | | the Department, except that the benefits described in Section |
25 | | 5.46 must be used and conserved consistent with the provisions |
26 | | under Section 5.46.
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1 | | The Department shall set up and administer no-cost, |
2 | | interest-bearing accounts in appropriate financial |
3 | | institutions
for children for whom the Department is legally |
4 | | responsible and who have been
determined eligible for |
5 | | Veterans' Benefits, Social Security benefits,
assistance |
6 | | allotments from the armed forces, court ordered payments, |
7 | | parental
voluntary payments, Supplemental Security Income, |
8 | | Railroad Retirement
payments, Black Lung benefits, or other |
9 | | miscellaneous payments. Interest
earned by each account shall |
10 | | be credited to the account, unless
disbursed in accordance |
11 | | with this subsection.
|
12 | | In disbursing funds from children's accounts, the |
13 | | Department
shall:
|
14 | | (1) Establish standards in accordance with State and |
15 | | federal laws for
disbursing money from children's |
16 | | accounts. In all
circumstances,
the Department's |
17 | | "Guardianship Administrator" or his or her designee must
|
18 | | approve disbursements from children's accounts. The |
19 | | Department
shall be responsible for keeping complete |
20 | | records of all disbursements for each account for any |
21 | | purpose.
|
22 | | (2) Calculate on a monthly basis the amounts paid from |
23 | | State funds for the
child's board and care, medical care |
24 | | not covered under Medicaid, and social
services; and |
25 | | utilize funds from the child's account, as
covered by |
26 | | regulation, to reimburse those costs. Monthly, |
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1 | | disbursements from
all children's accounts, up to 1/12 of |
2 | | $13,000,000, shall be
deposited by the Department into the |
3 | | General Revenue Fund and the balance over
1/12 of |
4 | | $13,000,000 into the DCFS Children's Services Fund.
|
5 | | (3) Maintain any balance remaining after reimbursing |
6 | | for the child's costs
of care, as specified in item (2). |
7 | | The balance shall accumulate in accordance
with relevant |
8 | | State and federal laws and shall be disbursed to the child |
9 | | or his
or her guardian, or to the issuing agency.
|
10 | | (r) The Department shall promulgate regulations |
11 | | encouraging all adoption
agencies to voluntarily forward to |
12 | | the Department or its agent names and
addresses of all persons |
13 | | who have applied for and have been approved for
adoption of a |
14 | | hard-to-place child or child with a disability and the names |
15 | | of such
children who have not been placed for adoption. A list |
16 | | of such names and
addresses shall be maintained by the |
17 | | Department or its agent, and coded
lists which maintain the |
18 | | confidentiality of the person seeking to adopt the
child and |
19 | | of the child shall be made available, without charge, to every
|
20 | | adoption agency in the State to assist the agencies in placing |
21 | | such
children for adoption. The Department may delegate to an |
22 | | agent its duty to
maintain and make available such lists. The |
23 | | Department shall ensure that
such agent maintains the |
24 | | confidentiality of the person seeking to adopt the
child and |
25 | | of the child.
|
26 | | (s) The Department of Children and Family Services may |
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1 | | establish and
implement a program to reimburse Department and |
2 | | private child welfare
agency foster parents licensed by the |
3 | | Department of Children and Family
Services for damages |
4 | | sustained by the foster parents as a result of the
malicious or |
5 | | negligent acts of foster children, as well as providing third
|
6 | | party coverage for such foster parents with regard to actions |
7 | | of foster
children to other individuals. Such coverage will be |
8 | | secondary to the
foster parent liability insurance policy, if |
9 | | applicable. The program shall
be funded through appropriations |
10 | | from the General Revenue Fund,
specifically designated for |
11 | | such purposes.
|
12 | | (t) The Department shall perform home studies and |
13 | | investigations and
shall exercise supervision over visitation |
14 | | as ordered by a court pursuant
to the Illinois Marriage and |
15 | | Dissolution of Marriage Act or the Adoption
Act only if:
|
16 | | (1) an order entered by an Illinois court specifically
|
17 | | directs the Department to perform such services; and
|
18 | | (2) the court has ordered one or both of the parties to
|
19 | | the proceeding to reimburse the Department for its |
20 | | reasonable costs for
providing such services in accordance |
21 | | with Department rules, or has
determined that neither |
22 | | party is financially able to pay.
|
23 | | The Department shall provide written notification to the |
24 | | court of the
specific arrangements for supervised visitation |
25 | | and projected monthly costs
within 60 days of the court order. |
26 | | The Department shall send to the court
information related to |
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1 | | the costs incurred except in cases where the court
has |
2 | | determined the parties are financially unable to pay. The |
3 | | court may
order additional periodic reports as appropriate.
|
4 | | (u) In addition to other information that must be |
5 | | provided, whenever the Department places a child with a |
6 | | prospective adoptive parent or parents, in a licensed foster |
7 | | home,
group home, or child care institution, or in a relative |
8 | | home, the Department
shall provide to the prospective adoptive |
9 | | parent or parents or other caretaker:
|
10 | | (1) available detailed information concerning the |
11 | | child's educational
and health history, copies of |
12 | | immunization records (including insurance
and medical card |
13 | | information), a history of the child's previous |
14 | | placements,
if any, and reasons for placement changes |
15 | | excluding any information that
identifies or reveals the |
16 | | location of any previous caretaker;
|
17 | | (2) a copy of the child's portion of the client |
18 | | service plan, including
any visitation arrangement, and |
19 | | all amendments or revisions to it as
related to the child; |
20 | | and
|
21 | | (3) information containing details of the child's |
22 | | individualized
educational plan when the child is |
23 | | receiving special education services.
|
24 | | The caretaker shall be informed of any known social or |
25 | | behavioral
information (including, but not limited to, |
26 | | criminal background, fire
setting, perpetuation of
sexual |
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1 | | abuse, destructive behavior, and substance abuse) necessary to |
2 | | care
for and safeguard the children to be placed or currently |
3 | | in the home. The Department may prepare a written summary of |
4 | | the information required by this paragraph, which may be |
5 | | provided to the foster or prospective adoptive parent in |
6 | | advance of a placement. The foster or prospective adoptive |
7 | | parent may review the supporting documents in the child's file |
8 | | in the presence of casework staff. In the case of an emergency |
9 | | placement, casework staff shall at least provide known |
10 | | information verbally, if necessary, and must subsequently |
11 | | provide the information in writing as required by this |
12 | | subsection.
|
13 | | The information described in this subsection shall be |
14 | | provided in writing. In the case of emergency placements when |
15 | | time does not allow prior review, preparation, and collection |
16 | | of written information, the Department shall provide such |
17 | | information as it becomes available. Within 10 business days |
18 | | after placement, the Department shall obtain from the |
19 | | prospective adoptive parent or parents or other caretaker a |
20 | | signed verification of receipt of the information provided. |
21 | | Within 10 business days after placement, the Department shall |
22 | | provide to the child's guardian ad litem a copy of the |
23 | | information provided to the prospective adoptive parent or |
24 | | parents or other caretaker. The information provided to the |
25 | | prospective adoptive parent or parents or other caretaker |
26 | | shall be reviewed and approved regarding accuracy at the |
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1 | | supervisory level.
|
2 | | (u-5) Effective July 1, 1995, only foster care placements |
3 | | licensed as
foster family homes pursuant to the Child Care Act |
4 | | of 1969 shall be eligible to
receive foster care payments from |
5 | | the Department.
Relative caregivers who, as of July 1, 1995, |
6 | | were approved pursuant to approved
relative placement rules |
7 | | previously promulgated by the Department at 89 Ill.
Adm. Code |
8 | | 335 and had submitted an application for licensure as a foster |
9 | | family
home may continue to receive foster care payments only |
10 | | until the Department
determines that they may be licensed as a |
11 | | foster family home or that their
application for licensure is |
12 | | denied or until September 30, 1995, whichever
occurs first.
|
13 | | (v) The Department shall access criminal history record |
14 | | information
as defined in the Illinois Uniform Conviction |
15 | | Information Act and information
maintained in the adjudicatory |
16 | | and dispositional record system as defined in
Section 2605-355 |
17 | | of the
Illinois State Police Law
if the Department determines |
18 | | the information is necessary to perform its duties
under the |
19 | | Abused and Neglected Child Reporting Act, the Child Care Act |
20 | | of 1969,
and the Children and Family Services Act. The |
21 | | Department shall provide for
interactive computerized |
22 | | communication and processing equipment that permits
direct |
23 | | on-line communication with the Illinois State Police's central
|
24 | | criminal history data repository. The Department shall comply |
25 | | with all
certification requirements and provide certified |
26 | | operators who have been
trained by personnel from the Illinois |
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1 | | State Police. In addition, one
Office of the Inspector General |
2 | | investigator shall have training in the use of
the criminal |
3 | | history information access system and have
access to the |
4 | | terminal. The Department of Children and Family Services and |
5 | | its
employees shall abide by rules and regulations established |
6 | | by the Illinois State Police relating to the access and |
7 | | dissemination of
this information.
|
8 | | (v-1) Prior to final approval for placement of a child, |
9 | | the Department shall conduct a criminal records background |
10 | | check of the prospective foster or adoptive parent, including |
11 | | fingerprint-based checks of national crime information |
12 | | databases. Final approval for placement shall not be granted |
13 | | if the record check reveals a felony conviction for child |
14 | | abuse or neglect, for spousal abuse, for a crime against |
15 | | children, or for a crime involving violence, including rape, |
16 | | sexual assault, or homicide, but not including other physical |
17 | | assault or battery, or if there is a felony conviction for |
18 | | physical assault, battery, or a drug-related offense committed |
19 | | within the past 5 years. |
20 | | (v-2) Prior to final approval for placement of a child, |
21 | | the Department shall check its child abuse and neglect |
22 | | registry for information concerning prospective foster and |
23 | | adoptive parents, and any adult living in the home. If any |
24 | | prospective foster or adoptive parent or other adult living in |
25 | | the home has resided in another state in the preceding 5 years, |
26 | | the Department shall request a check of that other state's |
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1 | | child abuse and neglect registry.
|
2 | | (w) Within 120 days of August 20, 1995 (the effective date |
3 | | of Public Act
89-392), the Department shall prepare and submit |
4 | | to the Governor and the
General Assembly, a written plan for |
5 | | the development of in-state licensed
secure child care |
6 | | facilities that care for children who are in need of secure
|
7 | | living
arrangements for their health, safety, and well-being. |
8 | | For purposes of this
subsection, secure care facility shall |
9 | | mean a facility that is designed and
operated to ensure that |
10 | | all entrances and exits from the facility, a building
or a |
11 | | distinct part of the building, are under the exclusive control |
12 | | of the
staff of the facility, whether or not the child has the |
13 | | freedom of movement
within the perimeter of the facility, |
14 | | building, or distinct part of the
building. The plan shall |
15 | | include descriptions of the types of facilities that
are |
16 | | needed in Illinois; the cost of developing these secure care |
17 | | facilities;
the estimated number of placements; the potential |
18 | | cost savings resulting from
the movement of children currently |
19 | | out-of-state who are projected to be
returned to Illinois; the |
20 | | necessary geographic distribution of these
facilities in |
21 | | Illinois; and a proposed timetable for development of such
|
22 | | facilities. |
23 | | (x) The Department shall conduct annual credit history |
24 | | checks to determine the financial history of children placed |
25 | | under its guardianship pursuant to the Juvenile Court Act of |
26 | | 1987. The Department shall conduct such credit checks starting |
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1 | | when a youth in care turns 12 years old and each year |
2 | | thereafter for the duration of the guardianship as terminated |
3 | | pursuant to the Juvenile Court Act of 1987. The Department |
4 | | shall determine if financial exploitation of the child's |
5 | | personal information has occurred. If financial exploitation |
6 | | appears to have taken place or is presently ongoing, the |
7 | | Department shall notify the proper law enforcement agency, the |
8 | | proper State's Attorney, or the Attorney General. |
9 | | (y) Beginning on July 22, 2010 (the effective date of |
10 | | Public Act 96-1189), a child with a disability who receives |
11 | | residential and educational services from the Department shall |
12 | | be eligible to receive transition services in accordance with |
13 | | Article 14 of the School Code from the age of 14.5 through age |
14 | | 21, inclusive, notwithstanding the child's residential |
15 | | services arrangement. For purposes of this subsection, "child |
16 | | with a disability" means a child with a disability as defined |
17 | | by the federal Individuals with Disabilities Education |
18 | | Improvement Act of 2004. |
19 | | (z) The Department shall access criminal history record |
20 | | information as defined as "background information" in this |
21 | | subsection and criminal history record information as defined |
22 | | in the Illinois Uniform Conviction Information Act for each |
23 | | Department employee or Department applicant. Each Department |
24 | | employee or Department applicant shall submit his or her |
25 | | fingerprints to the Illinois State Police in the form and |
26 | | manner prescribed by the Illinois State Police. These |
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1 | | fingerprints shall be checked against the fingerprint records |
2 | | now and hereafter filed in the Illinois State Police and the |
3 | | Federal Bureau of Investigation criminal history records |
4 | | databases. The Illinois State Police shall charge a fee for |
5 | | conducting the criminal history record check, which shall be |
6 | | deposited into the State Police Services Fund and shall not |
7 | | exceed the actual cost of the record check. The Illinois State |
8 | | Police shall furnish, pursuant to positive identification, all |
9 | | Illinois conviction information to the Department of Children |
10 | | and Family Services. |
11 | | For purposes of this subsection: |
12 | | "Background information" means all of the following: |
13 | | (i) Upon the request of the Department of Children and |
14 | | Family Services, conviction information obtained from the |
15 | | Illinois State Police as a result of a fingerprint-based |
16 | | criminal history records check of the Illinois criminal |
17 | | history records database and the Federal Bureau of |
18 | | Investigation criminal history records database concerning |
19 | | a Department employee or Department applicant. |
20 | | (ii) Information obtained by the Department of |
21 | | Children and Family Services after performing a check of |
22 | | the Illinois State Police's Sex Offender Database, as |
23 | | authorized by Section 120 of the Sex Offender Community |
24 | | Notification Law, concerning a Department employee or |
25 | | Department applicant. |
26 | | (iii) Information obtained by the Department of |
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1 | | Children and Family Services after performing a check of |
2 | | the Child Abuse and Neglect Tracking System (CANTS) |
3 | | operated and maintained by the Department. |
4 | | "Department employee" means a full-time or temporary |
5 | | employee coded or certified within the State of Illinois |
6 | | Personnel System. |
7 | | "Department applicant" means an individual who has |
8 | | conditional Department full-time or part-time work, a |
9 | | contractor, an individual used to replace or supplement staff, |
10 | | an academic intern, a volunteer in Department offices or on |
11 | | Department contracts, a work-study student, an individual or |
12 | | entity licensed by the Department, or an unlicensed service |
13 | | provider who works as a condition of a contract or an agreement |
14 | | and whose work may bring the unlicensed service provider into |
15 | | contact with Department clients or client records. |
16 | | (Source: P.A. 101-13, eff. 6-12-19; 101-79, eff. 7-12-19; |
17 | | 101-81, eff. 7-12-19; 102-538, eff. 8-20-21; 102-558, eff. |
18 | | 8-20-21; 102-1014, eff. 5-27-22.)
|
19 | | (20 ILCS 505/17) (from Ch. 23, par. 5017)
|
20 | | Sec. 17. Youth and Community Services Program. The |
21 | | Department of Human
Services shall
develop a State program for |
22 | | youth and community services which will
assure that youth who |
23 | | come into contact or may come into contact with either the |
24 | | child welfare system or the juvenile the child
welfare and the |
25 | | juvenile justice system systems will have access to needed |
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1 | | community,
prevention, diversion, emergency and independent |
2 | | living services. The term
"youth" means a person under the age |
3 | | of 19 years. The term "homeless youth"
means a youth who cannot |
4 | | be reunited with his or her family and is not in a
safe and |
5 | | stable living situation. This Section shall not be construed |
6 | | to
require the Department of Human Services to provide |
7 | | services under this
Section to any homeless youth who is at |
8 | | least 18 years of age but is younger
than 19 years of age; |
9 | | however, the Department may, in its discretion, provide
|
10 | | services under this Section to any such homeless youth.
|
11 | | (a) The goals of the program shall be to:
|
12 | | (1) maintain children and youths in their own |
13 | | community;
|
14 | | (2) eliminate unnecessary categorical funding of |
15 | | programs by funding more
comprehensive and integrated |
16 | | programs;
|
17 | | (3) encourage local volunteers and voluntary |
18 | | associations in developing
programs aimed at preventing |
19 | | and controlling juvenile delinquency;
|
20 | | (4) address voids in services and close service gaps;
|
21 | | (5) develop program models aimed at strengthening the |
22 | | relationships
between youth and their families and aimed |
23 | | at developing healthy,
independent lives for homeless |
24 | | youth;
|
25 | | (6) contain costs by redirecting funding to more |
26 | | comprehensive and
integrated community-based services; and
|
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1 | | (7) coordinate education, employment, training and |
2 | | other programs for
youths with other State agencies.
|
3 | | (b) The duties of the Department under the program shall |
4 | | be
to:
|
5 | | (1) design models for service delivery by local |
6 | | communities;
|
7 | | (2) test alternative systems for delivering youth |
8 | | services;
|
9 | | (3) develop standards necessary to achieve and |
10 | | maintain, on a statewide
basis, more comprehensive and |
11 | | integrated community-based youth services;
|
12 | | (4) monitor and provide technical assistance to local |
13 | | boards and local
service systems;
|
14 | | (5) assist local organizations in developing programs |
15 | | which address the
problems of youths and their families |
16 | | through direct services, advocacy
with institutions, and |
17 | | improvement of local conditions; and
|
18 | | (6) (blank); and develop a statewide adoption |
19 | | awareness campaign aimed at pregnant
teenagers.
|
20 | | (7) establish temporary emergency placements for youth |
21 | | in crisis as defined by the Children's Behavioral Health |
22 | | Transformation Team through comprehensive community-based |
23 | | youth services provider grants. |
24 | | (A) Temporary emergency placements: |
25 | | (i) must be licensed through the Department of |
26 | | Children and Family Services or, in the case of a |
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1 | | foster home or host home, by the supervising child |
2 | | welfare agency; |
3 | | (ii) must be strategically situated to meet |
4 | | regional need and minimize geographic disruption |
5 | | in consultation with the Children's Behavioral |
6 | | Health Transformation Officer and the Children's |
7 | | Behavioral Health Transformation Team; and |
8 | | (iii) shall include Comprehensive |
9 | | Community-Based Youth Services program host
homes, |
10 | | foster homes, homeless youth shelters, Department |
11 | | of Children and Family Services youth shelters, or |
12 | | other licensed placements for minor youth |
13 | | compliant with the Child Care Act of 1969 provided |
14 | | under the Comprehensive Community-Based Youth |
15 | | Services program. |
16 | | (B) Beginning on the effective date of this |
17 | | amendatory Act of the 103rd General Assembly, once |
18 | | sufficient capacity has been developed, temporary |
19 | | emergency placements must also include temporary |
20 | | emergency placement shelters provided under the |
21 | | Comprehensive Community-Based Youth Services program. |
22 | | Temporary emergency placement shelters shall be |
23 | | managed by Comprehensive Community-Based Youth |
24 | | Services provider organizations and shall be available |
25 | | to house youth receiving interim 24/7 crisis |
26 | | intervention services as defined by the Juvenile Court |
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1 | | Act of 1987 and the Comprehensive Community-Based |
2 | | Youth Services program grant and the Department, and |
3 | | shall provide access to clinical supports for youth |
4 | | while staying at the shelter. |
5 | | (C) Comprehensive Community-Based Youth Services |
6 | | organizations shall retain the sole authority to place |
7 | | youth in host homes and temporary emergency placement |
8 | | shelters provided under the Comprehensive |
9 | | Community-Based Youth Services program. |
10 | | (D) Crisis youth, as defined by the Children's |
11 | | Behavioral Health Transformation Team, shall be |
12 | | prioritized in temporary emergency placements. |
13 | | (E) Additional placement options may be authorized |
14 | | for crisis and non-crisis program youth with the |
15 | | permission of the youth's parent or legal guardian. |
16 | | (F) While in a temporary emergency placement, the |
17 | | organization shall work with the parent, guardian, or |
18 | | custodian to effectuate the youth's return home or to |
19 | | an alternative long-term living arrangement. As |
20 | | necessary, the agency or association shall also work |
21 | | with the youth's local school district, the |
22 | | Department, the Department of Human Services, the |
23 | | Department of Healthcare and Family Services, and the |
24 | | Department of Juvenile Justice to identify immediate |
25 | | and long-term services, treatment, or placement. |
26 | | Nothing in this Section shall be construed or applied in a |
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1 | | manner that would conflict with, diminish, or infringe upon, |
2 | | any State agency's obligation to comply fully with |
3 | | requirements imposed under a court order or State or federal |
4 | | consent decree applicable to that agency. |
5 | | (Source: P.A. 89-507, eff. 7-1-97.)
|
6 | | Section 17. The Mental Health and Developmental |
7 | | Disabilities Administrative Act is amended by adding Section |
8 | | 11.4 as follows:
|
9 | | (20 ILCS 1705/11.4 new) |
10 | | Sec. 11.4. Care portal for families with children who have |
11 | | complex behavioral health needs. The Department shall |
12 | | establish and maintain a public-facing Care Portal to serve as |
13 | | a centralized resource for families with children who have |
14 | | significant and complex behavioral health needs. The Care |
15 | | Portal shall streamline the process of directing families and |
16 | | guardians to the appropriate level and type of care for their |
17 | | children. In consultation with the Children's Behavioral |
18 | | Health Transformation Officer, the Department shall develop |
19 | | specifications for the Care Portal that ensure automatic |
20 | | service eligibility matching, transparent data sharing, |
21 | | regular reporting, and appropriate staffing, among other |
22 | | items. The Department shall, in coordination with the |
23 | | Departments of Children and Family Services, Healthcare and |
24 | | Family Services, Juvenile Justice, and Public Health as well |
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1 | | as the State Board of Education, develop training and |
2 | | communication for school districts, hospital social workers, |
3 | | and system partners to demonstrate how individuals can assist |
4 | | a family seeking youth behavioral health services and how to |
5 | | access the Care Portal. Such training must include information |
6 | | on the applicable federal and State law for the determination |
7 | | of the need for residential placements for educational |
8 | | purposes by individualized education program (IEP) teams. |
9 | | Procedures for use of the Care Portal must not prohibit or |
10 | | limit residential facilities from accepting students placed by |
11 | | school districts for educational purposes as determined by the |
12 | | IEP team.
|
13 | | Section 20. The School Code is amended by changing |
14 | | Sections 2-3.163, 14-7.02, and 14-15.01 and by adding Section |
15 | | 2-3.196 as follows:
|
16 | | (105 ILCS 5/2-3.163) |
17 | | Sec. 2-3.163. Prioritization of Urgency of Need for |
18 | | Services database. |
19 | | (a) The General Assembly makes all of the following |
20 | | findings: |
21 | | (1) The Department of Human Services maintains a |
22 | | statewide database known as the Prioritization of Urgency |
23 | | of Need for Services that records information about |
24 | | individuals with developmental disabilities who are |
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1 | | potentially in need of services. |
2 | | (2) The Department of Human Services uses the data on |
3 | | Prioritization of Urgency of Need for Services to select |
4 | | individuals for services as funding becomes available, to |
5 | | develop proposals and materials for budgeting, and to plan |
6 | | for future needs. |
7 | | (3) Prioritization of Urgency of Need for Services is |
8 | | available for children and adults with a developmental |
9 | | disability who have an unmet service need anticipated in |
10 | | the next 5 years. |
11 | | (4) Prioritization of Urgency of Need for Services is |
12 | | the first step toward getting developmental disabilities |
13 | | services in this State. If individuals are not on the |
14 | | Prioritization of Urgency of Need for Services waiting |
15 | | list, they are not in queue for State developmental |
16 | | disabilities services. |
17 | | (5) Prioritization of Urgency of Need for Services may |
18 | | be underutilized by children and their parents or |
19 | | guardians due to lack of awareness or lack of information. |
20 | | (b) The State Board of Education may work with school |
21 | | districts to inform all students with developmental |
22 | | disabilities and their parents or guardians about the |
23 | | Prioritization of Urgency of Need for Services database. |
24 | | (c) Subject to appropriation, the Department of Human |
25 | | Services and State Board of Education shall develop and |
26 | | implement an online, computer-based training program for at |
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1 | | least one designated employee in every public school in this |
2 | | State to educate him or her about the Prioritization of |
3 | | Urgency of Need for Services database and steps to be taken to |
4 | | ensure children and adolescents are enrolled. The training |
5 | | shall include instruction for at least one designated employee |
6 | | in every public school in contacting the appropriate |
7 | | developmental disabilities Independent Service Coordination |
8 | | agency to enroll children and adolescents in the database. At |
9 | | least one designated employee in every public school shall |
10 | | ensure the opportunity to enroll in the Prioritization of |
11 | | Urgency of Need for Services database is discussed during |
12 | | annual individualized education program (IEP) meetings for all |
13 | | children and adolescents believed to have a developmental |
14 | | disability. |
15 | | (d) The State Board of Education, in consultation with the |
16 | | Department of Human Services, through school districts, shall |
17 | | provide to parents and guardians of students a copy of the |
18 | | Department of Human Services's guide titled "Understanding |
19 | | PUNS: A Guide to Prioritization for Urgency of Need for |
20 | | Services" each year at the annual review meeting for the |
21 | | student's individualized education program, including the |
22 | | consideration required in subsection (e) of this Section.
|
23 | | (e) The Department of Human Services shall consider the |
24 | | length of time spent on the Prioritization of Urgency of Need |
25 | | for Services waiting list, in addition to other factors |
26 | | considered, when selecting individuals on the list for |
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1 | | services. |
2 | | (f) Subject to appropriation, the Department of Human |
3 | | Services shall expand its selection of individuals from the |
4 | | Prioritization of Urgency of Need for Services database to |
5 | | include individuals who receive services through the Children |
6 | | and Young Adults with Developmental Disabilities - Support |
7 | | Waiver. |
8 | | (Source: P.A. 102-57, eff. 7-9-21.)
|
9 | | (105 ILCS 5/2-3.196 new) |
10 | | Sec. 2-3.196. Mental health screenings. On or before |
11 | | December 15, 2023, the State Board of Education, in |
12 | | consultation with the Children's Behavioral Health |
13 | | Transformation Officer, Children's Behavioral Health |
14 | | Transformation Team, and the Office of the Governor, shall |
15 | | file a report with the Governor and the General Assembly that |
16 | | includes recommendations for implementation of mental health |
17 | | screenings in schools for students enrolled in kindergarten |
18 | | through grade 12. This report must include a landscape scan of |
19 | | current district-wide screenings, recommendations for |
20 | | screening tools, training for staff, and linkage and referral |
21 | | for identified students.
|
22 | | (105 ILCS 5/14-7.02) (from Ch. 122, par. 14-7.02)
|
23 | | Sec. 14-7.02. Children attending private schools, public
|
24 | | out-of-state schools, public school residential facilities or |
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1 | | private
special education facilities. |
2 | | (a) The General Assembly recognizes that non-public
|
3 | | schools or special education facilities provide an important |
4 | | service in the
educational system in Illinois.
|
5 | | (b) If a student's individualized education program (IEP) |
6 | | team determines that because of his or her disability the |
7 | | special education
program of a district is unable to meet the |
8 | | needs of the child and the
child attends a non-public school or |
9 | | special education facility, a
public out-of-state school or a |
10 | | special education facility owned and
operated by a county |
11 | | government unit that provides special educational
services |
12 | | required by the child and is in compliance with the |
13 | | appropriate
rules and regulations of the State Superintendent |
14 | | of Education, the
school district in which the child is a |
15 | | resident shall pay the actual
cost of tuition for special |
16 | | education and related services provided
during the regular |
17 | | school term and during the summer school term if the
child's |
18 | | educational needs so require, excluding room, board and
|
19 | | transportation costs charged the child by that non-public |
20 | | school or
special education facility, public out-of-state |
21 | | school or county special
education facility, or $4,500 per |
22 | | year, whichever is less, and shall
provide him any necessary |
23 | | transportation. "Nonpublic special
education facility" shall |
24 | | include a residential facility,
within or without the State of |
25 | | Illinois, which provides
special education and related |
26 | | services to meet the needs of the child by
utilizing private |
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1 | | schools or public schools, whether located on the site
or off |
2 | | the site of the residential facility. Resident district |
3 | | financial responsibility and reimbursement applies for both |
4 | | nonpublic special education facilities that are approved by |
5 | | the State Board of Education pursuant to 23 Ill. Adm. Code 401 |
6 | | or other applicable laws or rules and for emergency placements |
7 | | in nonpublic special education facilities that are not |
8 | | approved by the State Board of Education pursuant to 23 Ill. |
9 | | Adm. Code 401 or other applicable laws or rules, subject to the |
10 | | requirements of this Section.
|
11 | | (c) Prior to the placement of a child in an out-of-state |
12 | | special education residential facility, the school district |
13 | | must refer to the child or the child's parent or guardian the |
14 | | option to place the child in a special education residential |
15 | | facility located within this State, if any, that provides |
16 | | treatment and services comparable to those provided by the |
17 | | out-of-state special education residential facility. The |
18 | | school district must review annually the placement of a child |
19 | | in an out-of-state special education residential facility. As |
20 | | a part of the review, the school district must refer to the |
21 | | child or the child's parent or guardian the option to place the |
22 | | child in a comparable special education residential facility |
23 | | located within this State, if any. |
24 | | (c-5) Before a provider that operates a nonpublic special |
25 | | education facility terminates a student's placement in that |
26 | | facility, the provider must request an IEP meeting from the |
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1 | | contracting school district. If the provider elects to |
2 | | terminate the student's placement following the IEP meeting, |
3 | | the provider must give written notice to this effect to the |
4 | | parent or guardian, the contracting public school district, |
5 | | and the State Board of Education no later than 20 business days |
6 | | before the date of termination, unless the health and safety |
7 | | of any student are endangered. The notice must include the |
8 | | detailed reasons for the termination and any actions taken to |
9 | | address the reason for the termination. |
10 | | (d) Payments shall be made by the resident school district |
11 | | to the entity providing the educational services, whether the |
12 | | entity is the nonpublic special education facility or the |
13 | | school district wherein the facility is located, no less than |
14 | | once per quarter, unless otherwise agreed to in writing by the |
15 | | parties. |
16 | | (e) A school district may place a student in a nonpublic |
17 | | special education facility providing educational services, but |
18 | | not approved by the State Board of Education pursuant to 23 |
19 | | Ill. Adm. Code 401 or other applicable laws or rules, provided |
20 | | that the State Board of Education provides an emergency and |
21 | | student-specific approval for placement. The State Board of |
22 | | Education shall promptly, within 10 days after the request, |
23 | | approve a request for emergency and student-specific approval |
24 | | for placement if the following have been demonstrated to the |
25 | | State Board of Education: |
26 | | (1) the facility demonstrates appropriate licensure of |
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1 | | teachers for the student population; |
2 | | (2) the facility demonstrates age-appropriate |
3 | | curriculum; |
4 | | (3) the facility provides enrollment and attendance |
5 | | data; |
6 | | (4) the facility demonstrates the ability to implement |
7 | | the child's IEP; and |
8 | | (5) the school district demonstrates that it made good |
9 | | faith efforts to place the student in an approved |
10 | | facility, but no approved facility has accepted the |
11 | | student or has availability for immediate placement of the |
12 | | student. |
13 | | A resident school district may also submit such proof to the |
14 | | State Board of Education as may be required for its student. |
15 | | The State Board of Education may not unreasonably withhold |
16 | | approval once satisfactory proof is provided to the State |
17 | | Board. |
18 | | (f) If an impartial due process hearing officer who is |
19 | | contracted by the State Board of Education pursuant to this |
20 | | Article orders placement of a student with a disability in a |
21 | | residential facility that is not approved by the State Board |
22 | | of Education, then, for purposes of this Section, the facility |
23 | | shall be deemed approved for placement and school district |
24 | | payments and State reimbursements shall be made accordingly. |
25 | | (g) Emergency placement in a facility approved pursuant to |
26 | | subsection (e) or (f) may continue to be utilized so long as |
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1 | | (i) the student's IEP team determines annually that such |
2 | | placement continues to be appropriate to meet the student's |
3 | | needs and (ii) at least every 3 years following the student's |
4 | | placement, the IEP team reviews appropriate placements |
5 | | approved by the State Board of Education pursuant to 23 Ill. |
6 | | Adm. Code 401 or other applicable laws or rules to determine |
7 | | whether there are any approved placements that can meet the |
8 | | student's needs, have accepted the student, and have |
9 | | availability for placement of the student. |
10 | | (h) The State Board of Education shall promulgate rules |
11 | | and regulations
for determining when placement in a private |
12 | | special education facility
is appropriate. Such rules and |
13 | | regulations shall take into account
the various types of |
14 | | services needed by a child and the availability
of such |
15 | | services to the particular child in the public school.
In |
16 | | developing these rules and regulations the State Board of
|
17 | | Education shall consult with the Advisory Council on
Education |
18 | | of Children with Disabilities and hold public
hearings to |
19 | | secure recommendations from parents, school personnel,
and |
20 | | others concerned about this matter.
|
21 | | The State Board of Education shall also promulgate rules |
22 | | and
regulations for transportation to and from a residential |
23 | | school.
Transportation to and from home to a residential |
24 | | school more than once
each school term shall be subject to |
25 | | prior approval by the State
Superintendent in accordance with |
26 | | the rules and regulations of the State
Board.
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1 | | (i) A school district making tuition payments pursuant to |
2 | | this
Section is eligible for reimbursement from the State for |
3 | | the amount of
such payments actually made in excess of the |
4 | | district per capita tuition
charge for students not receiving |
5 | | special education services.
Such reimbursement shall be |
6 | | approved in accordance with Section 14-12.01
and each district |
7 | | shall file its claims, computed in accordance with rules
|
8 | | prescribed by the State Board of Education, on forms |
9 | | prescribed by the
State Superintendent of Education. Data used |
10 | | as a basis of reimbursement
claims shall be for the preceding |
11 | | regular school term and summer school
term. Each school |
12 | | district shall transmit its claims to the State Board of |
13 | | Education
on or before
August 15. The State Board of |
14 | | Education, before approving any such claims,
shall determine |
15 | | their accuracy and whether they are based upon services
and |
16 | | facilities provided under approved programs. Upon approval the |
17 | | State
Board shall cause vouchers to be prepared showing the |
18 | | amount due
for payment of reimbursement claims to school
|
19 | | districts, for transmittal to the State Comptroller on
the |
20 | | 30th day of September, December, and March, respectively, and |
21 | | the final
voucher, no later than June 20. If the
money |
22 | | appropriated by the General Assembly for such purpose for any |
23 | | year
is insufficient, it shall be apportioned on the basis of |
24 | | the claims approved.
|
25 | | (j) No child shall be placed in a special education |
26 | | program pursuant to
this Section if the tuition cost for |
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1 | | special education and related
services increases more than 10 |
2 | | percent over the tuition cost for the
previous school year or |
3 | | exceeds $4,500 per year unless such costs have
been approved |
4 | | by the Illinois Purchased Care Review Board. The
Illinois |
5 | | Purchased Care Review Board shall consist of the following
|
6 | | persons, or their designees: the Directors of Children and |
7 | | Family
Services, Public Health,
Public Aid, and the
Governor's |
8 | | Office of Management and Budget; the
Secretary of Human |
9 | | Services; the State Superintendent of Education; and such
|
10 | | other persons as the
Governor may designate. The Review Board |
11 | | shall also consist of one non-voting member who is an |
12 | | administrator of a
private, nonpublic, special education |
13 | | school. The Review Board shall establish rules and
regulations |
14 | | for its determination of allowable costs and payments made by
|
15 | | local school districts for special education, room and board, |
16 | | and other related
services provided by non-public schools or |
17 | | special education facilities and
shall establish uniform |
18 | | standards and criteria which it shall follow. The Review Board |
19 | | shall approve the usual and customary rate or rates of a |
20 | | special education program that (i) is offered by an |
21 | | out-of-state, non-public provider of integrated autism |
22 | | specific educational and autism specific residential services, |
23 | | (ii) offers 2 or more levels of residential care, including at |
24 | | least one locked facility, and (iii) serves 12 or fewer |
25 | | Illinois students. |
26 | | (k) In determining rates based on allowable costs, the |
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1 | | Review Board shall consider any wage increases awarded by the |
2 | | General Assembly to front line personnel defined as direct |
3 | | support persons, aides, front-line supervisors, qualified |
4 | | intellectual disabilities professionals, nurses, and |
5 | | non-administrative support staff working in service settings |
6 | | in community-based settings within the State and adjust |
7 | | customary rates or rates of a special education program to be |
8 | | equitable to the wage increase awarded to similar staff |
9 | | positions in a community residential setting. Any wage |
10 | | increase awarded by the General Assembly to front line |
11 | | personnel defined as direct support persons, aides, front-line |
12 | | supervisors, qualified intellectual disabilities |
13 | | professionals, nurses, and non-administrative support staff |
14 | | working in community-based settings within the State, |
15 | | including the $0.75 per hour increase contained in Public Act |
16 | | 100-23 and the $0.50 per hour increase included in Public Act |
17 | | 100-23, shall also be a basis for any facility covered by this |
18 | | Section to appeal its rate before the Review Board under the |
19 | | process defined in Title 89, Part 900, Section 340 of the |
20 | | Illinois Administrative Code. Illinois Administrative Code |
21 | | Title 89, Part 900, Section 342 shall be updated to recognize |
22 | | wage increases awarded to community-based settings to be a |
23 | | basis for appeal. However, any wage increase that is captured |
24 | | upon appeal from a previous year shall not be counted by the |
25 | | Review Board as revenue for the purpose of calculating a |
26 | | facility's future rate. |
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1 | | (l) Any definition used by the Review Board in |
2 | | administrative rule or policy to define "related |
3 | | organizations" shall include any and all exceptions contained |
4 | | in federal law or regulation as it pertains to the federal |
5 | | definition of "related organizations".
|
6 | | (m) The Review Board shall establish uniform definitions |
7 | | and criteria for
accounting separately by special education, |
8 | | room and board and other
related services costs. The Board |
9 | | shall also establish guidelines for
the coordination of |
10 | | services and financial assistance provided by all
State |
11 | | agencies to assure that no otherwise qualified child with a |
12 | | disability
receiving services under Article 14 shall be |
13 | | excluded from participation
in, be denied the benefits of or |
14 | | be subjected to discrimination under
any program or activity |
15 | | provided by any State agency.
|
16 | | (n) The Review Board shall review the costs for special |
17 | | education and
related services provided by non-public schools |
18 | | or special education
facilities and shall approve or |
19 | | disapprove such facilities in accordance
with the rules and |
20 | | regulations established by it with respect to
allowable costs.
|
21 | | (o) The State Board of Education shall provide |
22 | | administrative and staff support
for the Review Board as |
23 | | deemed reasonable by the State Superintendent of
Education. |
24 | | This support shall not include travel expenses or other
|
25 | | compensation for any Review Board member other than the State |
26 | | Superintendent of
Education.
|
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1 | | (p) The Review Board shall seek the advice of the Advisory |
2 | | Council on
Education of Children with Disabilities on the |
3 | | rules and
regulations to be
promulgated by it relative to |
4 | | providing special education services.
|
5 | | (q) If a child has been placed in a program in which the |
6 | | actual per pupil costs
of tuition for special education and |
7 | | related services based on program
enrollment, excluding room, |
8 | | board and transportation costs, exceed $4,500 and
such costs |
9 | | have been approved by the Review Board, the district shall pay |
10 | | such
total costs which exceed $4,500. A district making such |
11 | | tuition payments in
excess of $4,500 pursuant to this Section |
12 | | shall be responsible for an amount in
excess of $4,500 equal to |
13 | | the district per capita
tuition charge and shall be eligible |
14 | | for reimbursement from the State for
the amount of such |
15 | | payments actually made in excess of the districts per capita
|
16 | | tuition charge for students not receiving special education |
17 | | services.
|
18 | | (r) If a child has been placed in an approved individual |
19 | | program and the
tuition costs including room and board costs |
20 | | have been approved by the
Review Board, then such room and |
21 | | board costs shall be paid by the
appropriate State agency |
22 | | subject to the provisions of Section 14-8.01 of
this Act. Room |
23 | | and board costs not provided by a State agency other
than the |
24 | | State Board of Education shall be provided by the State Board
|
25 | | of Education on a current basis. In no event, however, shall |
26 | | the
State's liability for funding of these tuition costs begin |
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1 | | until after
the legal obligations of third party payors have |
2 | | been subtracted from
such costs. If the money appropriated by |
3 | | the General Assembly for such
purpose for any year is |
4 | | insufficient, it shall be apportioned on the
basis of the |
5 | | claims approved. Each district shall submit estimated claims |
6 | | to the State
Superintendent of Education. Upon approval of |
7 | | such claims, the State
Superintendent of Education shall |
8 | | direct the State Comptroller to make payments
on a monthly |
9 | | basis. The frequency for submitting estimated
claims and the |
10 | | method of determining payment shall be prescribed in rules
and |
11 | | regulations adopted by the State Board of Education. Such |
12 | | current state
reimbursement shall be reduced by an amount |
13 | | equal to the proceeds which
the child or child's parents are |
14 | | eligible to receive under any public or
private insurance or |
15 | | assistance program. Nothing in this Section shall
be construed |
16 | | as relieving an insurer or similar third party from an
|
17 | | otherwise valid obligation to provide or to pay for services |
18 | | provided to
a child with a disability.
|
19 | | (s) If it otherwise qualifies, a school district is |
20 | | eligible for the
transportation reimbursement under Section |
21 | | 14-13.01 and for the
reimbursement of tuition payments under |
22 | | this Section whether the
non-public school or special |
23 | | education facility, public out-of-state
school or county |
24 | | special education facility, attended by a child who
resides in |
25 | | that district and requires special educational services, is
|
26 | | within or outside of the State of Illinois. However, a |
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1 | | district is not
eligible to claim transportation reimbursement |
2 | | under this Section unless
the district certifies to the State |
3 | | Superintendent of Education that the
district is unable to |
4 | | provide special educational services required by
the child for |
5 | | the current school year.
|
6 | | (t) Nothing in this Section authorizes the reimbursement |
7 | | of a school
district for the amount paid for tuition of a child |
8 | | attending a
non-public school or special education facility, |
9 | | public out-of-state
school or county special education |
10 | | facility unless the school district
certifies to the State |
11 | | Superintendent of Education that the special
education program |
12 | | of that district is unable to meet the needs of that child
|
13 | | because of his disability and the State Superintendent of |
14 | | Education finds
that the school district is in substantial |
15 | | compliance with Section 14-4.01. However, if a child is |
16 | | unilaterally placed by a State agency or any court in a |
17 | | non-public school or special education facility, public |
18 | | out-of-state school, or county special education facility, a |
19 | | school district shall not be required to certify to the State |
20 | | Superintendent of Education, for the purpose of tuition |
21 | | reimbursement, that the special education program of that |
22 | | district is unable to meet the needs of a child because of his |
23 | | or her disability.
|
24 | | (u) Any educational or related services provided, pursuant |
25 | | to this
Section in a non-public school or special education |
26 | | facility or a
special education facility owned and operated by |
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1 | | a county government
unit shall be at no cost to the parent or |
2 | | guardian of the child.
However, current law and practices |
3 | | relative to contributions by parents
or guardians for costs |
4 | | other than educational or related services are
not affected by |
5 | | this amendatory Act of 1978.
|
6 | | (v) Reimbursement for children attending public school |
7 | | residential facilities
shall be made in accordance with the |
8 | | provisions of this Section.
|
9 | | (w) Notwithstanding any other provision of law, any school |
10 | | district
receiving a payment under this Section or under |
11 | | Section 14-7.02b, 14-13.01, or
29-5 of this Code may classify |
12 | | all or a portion of the funds that
it receives in a particular |
13 | | fiscal year or from general State aid pursuant
to Section |
14 | | 18-8.05 of this Code
as funds received in connection with any |
15 | | funding program for which
it is entitled to receive funds from |
16 | | the State in that fiscal year (including,
without limitation, |
17 | | any funding program referenced in this Section),
regardless of |
18 | | the source or timing of the receipt. The district may not
|
19 | | classify more funds as funds received in connection with the |
20 | | funding
program than the district is entitled to receive in |
21 | | that fiscal year for that
program. Any
classification by a |
22 | | district must be made by a resolution of its board of
|
23 | | education. The resolution must identify the amount of any |
24 | | payments or
general State aid to be classified under this |
25 | | paragraph and must specify
the funding program to which the |
26 | | funds are to be treated as received in
connection therewith. |
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1 | | This resolution is controlling as to the
classification of |
2 | | funds referenced therein. A certified copy of the
resolution |
3 | | must be sent to the State Superintendent of Education.
The |
4 | | resolution shall still take effect even though a copy of the |
5 | | resolution has
not been sent to the State
Superintendent of |
6 | | Education in a timely manner.
No
classification under this |
7 | | paragraph by a district shall affect the total amount
or |
8 | | timing of money the district is entitled to receive under this |
9 | | Code.
No classification under this paragraph by a district |
10 | | shall
in any way relieve the district from or affect any
|
11 | | requirements that otherwise would apply with respect to
that |
12 | | funding program, including any
accounting of funds by source, |
13 | | reporting expenditures by
original source and purpose,
|
14 | | reporting requirements,
or requirements of providing services.
|
15 | | (Source: P.A. 101-10, eff. 6-5-19; 102-254, eff. 8-6-21; |
16 | | 102-703, eff. 4-22-22.)
|
17 | | (105 ILCS 5/14-15.01) (from Ch. 122, par. 14-15.01)
|
18 | | Sec. 14-15.01. Community and Residential Services |
19 | | Authority.
|
20 | | (a) (1) The Community and Residential Services Authority |
21 | | is
hereby created and shall consist of the following members:
|
22 | | A representative of the State Board of Education;
|
23 | | Four representatives of the Department of Human Services |
24 | | appointed by the Secretary of Human Services,
with one member |
25 | | from the Division of Community Health and
Prevention, one |
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1 | | member from the Division of Developmental Disabilities, one |
2 | | member
from the Division of Mental Health, and one member from |
3 | | the Division of
Rehabilitation Services;
|
4 | | A representative of the Department of Children and Family |
5 | | Services;
|
6 | | A representative of the Department of Juvenile Justice;
|
7 | | A representative of the Department of Healthcare and |
8 | | Family Services;
|
9 | | A representative of the Attorney General's Disability |
10 | | Rights Advocacy
Division;
|
11 | | The Chairperson and Minority Spokesperson of the House and |
12 | | Senate
Committees on Elementary and Secondary Education or |
13 | | their designees; and
|
14 | | Six persons appointed by the Governor. Five of such
|
15 | | appointees shall be experienced or knowledgeable relative to
|
16 | | provision of services for individuals with a behavior
disorder
|
17 | | or a severe emotional disturbance
and shall include |
18 | | representatives of
both the private and public sectors, except |
19 | | that no more than 2 of those 5
appointees may be from the |
20 | | public sector and at least 2 must be or have been
directly |
21 | | involved in provision of services to such individuals. The |
22 | | remaining
member appointed by the Governor shall be or shall |
23 | | have been a parent of an
individual with a
behavior disorder or |
24 | | a severe emotional disturbance, and
that appointee may be from |
25 | | either the private or the public sector.
|
26 | | (2) Members appointed by the Governor shall be appointed |
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1 | | for terms
of 4 years and shall continue to serve until their |
2 | | respective successors are
appointed; provided that the terms |
3 | | of the original
appointees shall expire on August 1, 1990. Any |
4 | | vacancy in the office of a
member appointed by the Governor |
5 | | shall be filled by appointment of the
Governor for the |
6 | | remainder of the term.
|
7 | | A vacancy in the office of a member appointed by the |
8 | | Governor exists when
one or more of the following events |
9 | | occur:
|
10 | | (i) An appointee dies;
|
11 | | (ii) An appointee files a written resignation with the |
12 | | Governor;
|
13 | | (iii) An appointee ceases to be a legal resident of |
14 | | the State of Illinois;
or
|
15 | | (iv) An appointee fails to attend a majority of |
16 | | regularly scheduled
Authority meetings in a fiscal year.
|
17 | | Members who are representatives of an agency shall serve |
18 | | at the will
of the agency head. Membership on the Authority |
19 | | shall cease immediately
upon cessation of their affiliation |
20 | | with the agency. If such a vacancy
occurs, the appropriate |
21 | | agency head shall appoint another person to represent
the |
22 | | agency.
|
23 | | If a legislative member of the Authority ceases to be |
24 | | Chairperson or
Minority Spokesperson of the designated |
25 | | Committees, they shall
automatically be replaced on the |
26 | | Authority by the person who assumes the
position of |
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1 | | Chairperson or Minority Spokesperson.
|
2 | | (b) The Community and Residential Services Authority shall |
3 | | have the
following powers and duties:
|
4 | | (1) Serve as a Parent/Guardian Navigator Assistance |
5 | | Program, to work directly with parents/guardians of youth |
6 | | with behavioral health concerns to provide assistance |
7 | | coordinating efforts with public agencies, including but |
8 | | not limited to local school district, State Board of |
9 | | Education, the Department of Human Services, Department of |
10 | | Children and Family Services, the Department of Healthcare |
11 | | and Family Services, Department of Public Health, and |
12 | | Department of Juvenile Justice. To conduct surveys to |
13 | | determine the extent of need, the degree to
which |
14 | | documented need is currently being met and feasible |
15 | | alternatives for
matching need with resources.
|
16 | | (2) Work in conjunction with the new Care Portal and |
17 | | Care Portal Team to utilize the centralized IT platform |
18 | | for communication and case management, including |
19 | | collaboration on the development of Portal training, |
20 | | communications to the public, business processes for case |
21 | | triage, assignment, and referral. To develop policy |
22 | | statements for interagency cooperation to cover
all |
23 | | aspects of service delivery, including laws, regulations |
24 | | and
procedures, and clear guidelines for determining |
25 | | responsibility at all times.
|
26 | | (3) To develop and submit to the Governor, the General |
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1 | | Assembly, the Directors of the agencies represented on the |
2 | | Authority, and State Board of Education a master plan for |
3 | | operating the Parent/Guardian Navigator Assistance |
4 | | Program, including how referrals are made, plan for |
5 | | dispute relative to plans of service or funding for plans |
6 | | of service, plans to include parents with lived experience |
7 | | as peer supports. To recommend policy statements
and |
8 | | provide information regarding effective programs for |
9 | | delivery of
services to all individuals under 22 years of |
10 | | age with a behavior disorder
or a severe emotional |
11 | | disturbance in public or private situations.
|
12 | | (4) (Blank). To review the criteria for service |
13 | | eligibility, provision and
availability established by the |
14 | | governmental agencies represented on this
Authority, and |
15 | | to recommend changes, additions or deletions to such |
16 | | criteria.
|
17 | | (5) (Blank). To develop and submit to the Governor, |
18 | | the General Assembly, the
Directors of the agencies |
19 | | represented on the Authority, and the
State Board of |
20 | | Education a master plan for individuals under 22 years of
|
21 | | age with a
behavior disorder or a severe emotional |
22 | | disturbance,
including
detailed plans of service ranging |
23 | | from the least to the most
restrictive options; and to |
24 | | assist local communities, upon request, in
developing
or |
25 | | strengthening collaborative interagency networks.
|
26 | | (6) (Blank). To develop a process for making |
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1 | | determinations in situations where
there is a dispute |
2 | | relative to a plan of service for
individuals or funding |
3 | | for a plan of service.
|
4 | | (7) (Blank). To provide technical assistance to |
5 | | parents, service consumers,
providers, and member agency |
6 | | personnel regarding statutory responsibilities
of human |
7 | | service and educational agencies, and to provide such |
8 | | assistance
as deemed necessary to appropriately access |
9 | | needed services.
|
10 | | (8) (Blank). To establish a pilot program to act as a |
11 | | residential research hub to research and identify |
12 | | appropriate residential settings for youth who are being |
13 | | housed in an emergency room for more than 72 hours or who |
14 | | are deemed beyond medical necessity in a psychiatric |
15 | | hospital. If a child is deemed beyond medical necessity in |
16 | | a psychiatric hospital and is in need of residential |
17 | | placement, the goal of the program is to prevent a |
18 | | lock-out pursuant to the goals of the Custody |
19 | | Relinquishment Prevention Act. |
20 | | (c) (1) The members of the Authority shall receive no |
21 | | compensation for
their services but shall be entitled to |
22 | | reimbursement of reasonable
expenses incurred while performing |
23 | | their duties.
|
24 | | (2) The Authority may appoint special study groups to |
25 | | operate under
the direction of the Authority and persons |
26 | | appointed to such groups shall
receive only reimbursement of |
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1 | | reasonable expenses incurred in the
performance of their |
2 | | duties.
|
3 | | (3) The Authority shall elect from its membership a |
4 | | chairperson,
vice-chairperson and secretary.
|
5 | | (4) The Authority may employ and fix the compensation of
|
6 | | such employees and technical assistants as it deems necessary |
7 | | to carry out
its powers and duties under this Act. Staff |
8 | | assistance for the Authority
shall be provided by the State |
9 | | Board of Education.
|
10 | | (5) Funds for the ordinary and contingent expenses of the |
11 | | Authority
shall be appropriated to the State Board of |
12 | | Education in a separate line item.
|
13 | | (d) (1) The Authority shall have power to promulgate rules |
14 | | and
regulations to carry out its powers and duties under this |
15 | | Act.
|
16 | | (2) The Authority may accept monetary gifts or grants from |
17 | | the federal
government or any agency thereof, from any |
18 | | charitable foundation or
professional association or from any |
19 | | other reputable source for
implementation of any program |
20 | | necessary or desirable to the carrying out of
the general |
21 | | purposes of the Authority. Such gifts and grants may be
held in |
22 | | trust by the Authority and expended in the exercise of its |
23 | | powers
and performance of its duties as prescribed by law.
|
24 | | (3) The Authority shall submit an annual report of its |
25 | | activities and
expenditures to the Governor, the General |
26 | | Assembly, the
directors of agencies represented on the |
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1 | | Authority, and the State
Superintendent of Education , due |
2 | | January 1 of each year .
|
3 | | (e) The Executive Director of the Authority or his or her |
4 | | designee shall be added as a participant on the Interagency |
5 | | Clinical Team established in the intergovernmental agreement |
6 | | among the Department of Healthcare and Family Services, the |
7 | | Department of Children and Family Services, the Department of |
8 | | Human Services, the State Board of Education, the Department |
9 | | of Juvenile Justice, and the Department of Public Health, with |
10 | | consent of the youth or the youth's guardian or family |
11 | | pursuant to the Custody Relinquishment Prevention Act. |
12 | | (Source: P.A. 102-43, eff. 7-6-21.)
|
13 | | Section 25. The Illinois Public Aid Code is amended by |
14 | | changing Section 5-30.1 as follows:
|
15 | | (305 ILCS 5/5-30.1) |
16 | | Sec. 5-30.1. Managed care protections. |
17 | | (a) As used in this Section: |
18 | | "Managed care organization" or "MCO" means any entity |
19 | | which contracts with the Department to provide services where |
20 | | payment for medical services is made on a capitated basis. |
21 | | "Emergency services" include: |
22 | | (1) emergency services, as defined by Section 10 of |
23 | | the Managed Care Reform and Patient Rights Act; |
24 | | (2) emergency medical screening examinations, as |
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1 | | defined by Section 10 of the Managed Care Reform and |
2 | | Patient Rights Act; |
3 | | (3) post-stabilization medical services, as defined by |
4 | | Section 10 of the Managed Care Reform and Patient Rights |
5 | | Act; and |
6 | | (4) emergency medical conditions, as defined by
|
7 | | Section 10 of the Managed Care Reform and Patient Rights
|
8 | | Act. |
9 | | (b) As provided by Section 5-16.12, managed care |
10 | | organizations are subject to the provisions of the Managed |
11 | | Care Reform and Patient Rights Act. |
12 | | (c) An MCO shall pay any provider of emergency services |
13 | | that does not have in effect a contract with the contracted |
14 | | Medicaid MCO. The default rate of reimbursement shall be the |
15 | | rate paid under Illinois Medicaid fee-for-service program |
16 | | methodology, including all policy adjusters, including but not |
17 | | limited to Medicaid High Volume Adjustments, Medicaid |
18 | | Percentage Adjustments, Outpatient High Volume Adjustments, |
19 | | and all outlier add-on adjustments to the extent such |
20 | | adjustments are incorporated in the development of the |
21 | | applicable MCO capitated rates. |
22 | | (d) An MCO shall pay for all post-stabilization services |
23 | | as a covered service in any of the following situations: |
24 | | (1) the MCO authorized such services; |
25 | | (2) such services were administered to maintain the |
26 | | enrollee's stabilized condition within one hour after a |
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1 | | request to the MCO for authorization of further |
2 | | post-stabilization services; |
3 | | (3) the MCO did not respond to a request to authorize |
4 | | such services within one hour; |
5 | | (4) the MCO could not be contacted; or |
6 | | (5) the MCO and the treating provider, if the treating |
7 | | provider is a non-affiliated provider, could not reach an |
8 | | agreement concerning the enrollee's care and an affiliated |
9 | | provider was unavailable for a consultation, in which case |
10 | | the MCO
must pay for such services rendered by the |
11 | | treating non-affiliated provider until an affiliated |
12 | | provider was reached and either concurred with the |
13 | | treating non-affiliated provider's plan of care or assumed |
14 | | responsibility for the enrollee's care. Such payment shall |
15 | | be made at the default rate of reimbursement paid under |
16 | | Illinois Medicaid fee-for-service program methodology, |
17 | | including all policy adjusters, including but not limited |
18 | | to Medicaid High Volume Adjustments, Medicaid Percentage |
19 | | Adjustments, Outpatient High Volume Adjustments and all |
20 | | outlier add-on adjustments to the extent that such |
21 | | adjustments are incorporated in the development of the |
22 | | applicable MCO capitated rates. |
23 | | (e) The following requirements apply to MCOs in |
24 | | determining payment for all emergency services: |
25 | | (1) MCOs shall not impose any requirements for prior |
26 | | approval of emergency services. |
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1 | | (2) The MCO shall cover emergency services provided to |
2 | | enrollees who are temporarily away from their residence |
3 | | and outside the contracting area to the extent that the |
4 | | enrollees would be entitled to the emergency services if |
5 | | they still were within the contracting area. |
6 | | (3) The MCO shall have no obligation to cover medical |
7 | | services provided on an emergency basis that are not |
8 | | covered services under the contract. |
9 | | (4) The MCO shall not condition coverage for emergency |
10 | | services on the treating provider notifying the MCO of the |
11 | | enrollee's screening and treatment within 10 days after |
12 | | presentation for emergency services. |
13 | | (5) The determination of the attending emergency |
14 | | physician, or the provider actually treating the enrollee, |
15 | | of whether an enrollee is sufficiently stabilized for |
16 | | discharge or transfer to another facility, shall be |
17 | | binding on the MCO. The MCO shall cover emergency services |
18 | | for all enrollees whether the emergency services are |
19 | | provided by an affiliated or non-affiliated provider. |
20 | | (6) The MCO's financial responsibility for |
21 | | post-stabilization care services it has not pre-approved |
22 | | ends when: |
23 | | (A) a plan physician with privileges at the |
24 | | treating hospital assumes responsibility for the |
25 | | enrollee's care; |
26 | | (B) a plan physician assumes responsibility for |
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1 | | the enrollee's care through transfer; |
2 | | (C) a contracting entity representative and the |
3 | | treating physician reach an agreement concerning the |
4 | | enrollee's care; or |
5 | | (D) the enrollee is discharged. |
6 | | (f) Network adequacy and transparency. |
7 | | (1) The Department shall: |
8 | | (A) ensure that an adequate provider network is in |
9 | | place, taking into consideration health professional |
10 | | shortage areas and medically underserved areas; |
11 | | (B) publicly release an explanation of its process |
12 | | for analyzing network adequacy; |
13 | | (C) periodically ensure that an MCO continues to |
14 | | have an adequate network in place; |
15 | | (D) require MCOs, including Medicaid Managed Care |
16 | | Entities as defined in Section 5-30.2, to meet |
17 | | provider directory requirements under Section 5-30.3; |
18 | | (E) require MCOs to ensure that any |
19 | | Medicaid-certified provider
under contract with an MCO |
20 | | and previously submitted on a roster on the date of |
21 | | service is
paid for any medically necessary, |
22 | | Medicaid-covered, and authorized service rendered to
|
23 | | any of the MCO's enrollees, regardless of inclusion on
|
24 | | the MCO's published and publicly available directory |
25 | | of
available providers; and |
26 | | (F) require MCOs, including Medicaid Managed Care |
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1 | | Entities as defined in Section 5-30.2, to meet each of |
2 | | the requirements under subsection (d-5) of Section 10 |
3 | | of the Network Adequacy and Transparency Act; with |
4 | | necessary exceptions to the MCO's network to ensure |
5 | | that admission and treatment with a provider or at a |
6 | | treatment facility in accordance with the network |
7 | | adequacy standards in paragraph (3) of subsection |
8 | | (d-5) of Section 10 of the Network Adequacy and |
9 | | Transparency Act is limited to providers or facilities |
10 | | that are Medicaid certified. |
11 | | (2) Each MCO shall confirm its receipt of information |
12 | | submitted specific to physician or dentist additions or |
13 | | physician or dentist deletions from the MCO's provider |
14 | | network within 3 days after receiving all required |
15 | | information from contracted physicians or dentists, and |
16 | | electronic physician and dental directories must be |
17 | | updated consistent with current rules as published by the |
18 | | Centers for Medicare and Medicaid Services or its |
19 | | successor agency. |
20 | | (g) Timely payment of claims. |
21 | | (1) The MCO shall pay a claim within 30 days of |
22 | | receiving a claim that contains all the essential |
23 | | information needed to adjudicate the claim. |
24 | | (2) The MCO shall notify the billing party of its |
25 | | inability to adjudicate a claim within 30 days of |
26 | | receiving that claim. |
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1 | | (3) The MCO shall pay a penalty that is at least equal |
2 | | to the timely payment interest penalty imposed under |
3 | | Section 368a of the Illinois Insurance Code for any claims |
4 | | not timely paid. |
5 | | (A) When an MCO is required to pay a timely payment |
6 | | interest penalty to a provider, the MCO must calculate |
7 | | and pay the timely payment interest penalty that is |
8 | | due to the provider within 30 days after the payment of |
9 | | the claim. In no event shall a provider be required to |
10 | | request or apply for payment of any owed timely |
11 | | payment interest penalties. |
12 | | (B) Such payments shall be reported separately |
13 | | from the claim payment for services rendered to the |
14 | | MCO's enrollee and clearly identified as interest |
15 | | payments. |
16 | | (4)(A) The Department shall require MCOs to expedite |
17 | | payments to providers identified on the Department's |
18 | | expedited provider list, determined in accordance with 89 |
19 | | Ill. Adm. Code 140.71(b), on a schedule at least as |
20 | | frequently as the providers are paid under the |
21 | | Department's fee-for-service expedited provider schedule. |
22 | | (B) Compliance with the expedited provider requirement |
23 | | may be satisfied by an MCO through the use of a Periodic |
24 | | Interim Payment (PIP) program that has been mutually |
25 | | agreed to and documented between the MCO and the provider, |
26 | | if the PIP program ensures that any expedited provider |
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1 | | receives regular and periodic payments based on prior |
2 | | period payment experience from that MCO. Total payments |
3 | | under the PIP program may be reconciled against future PIP |
4 | | payments on a schedule mutually agreed to between the MCO |
5 | | and the provider. |
6 | | (C) The Department shall share at least monthly its |
7 | | expedited provider list and the frequency with which it |
8 | | pays providers on the expedited list. |
9 | | (g-5) Recognizing that the rapid transformation of the |
10 | | Illinois Medicaid program may have unintended operational |
11 | | challenges for both payers and providers: |
12 | | (1) in no instance shall a medically necessary covered |
13 | | service rendered in good faith, based upon eligibility |
14 | | information documented by the provider, be denied coverage |
15 | | or diminished in payment amount if the eligibility or |
16 | | coverage information available at the time the service was |
17 | | rendered is later found to be inaccurate in the assignment |
18 | | of coverage responsibility between MCOs or the |
19 | | fee-for-service system, except for instances when an |
20 | | individual is deemed to have not been eligible for |
21 | | coverage under the Illinois Medicaid program; and |
22 | | (2) the Department shall, by December 31, 2016, adopt |
23 | | rules establishing policies that shall be included in the |
24 | | Medicaid managed care policy and procedures manual |
25 | | addressing payment resolutions in situations in which a |
26 | | provider renders services based upon information obtained |
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1 | | after verifying a patient's eligibility and coverage plan |
2 | | through either the Department's current enrollment system |
3 | | or a system operated by the coverage plan identified by |
4 | | the patient presenting for services: |
5 | | (A) such medically necessary covered services |
6 | | shall be considered rendered in good faith; |
7 | | (B) such policies and procedures shall be |
8 | | developed in consultation with industry |
9 | | representatives of the Medicaid managed care health |
10 | | plans and representatives of provider associations |
11 | | representing the majority of providers within the |
12 | | identified provider industry; and |
13 | | (C) such rules shall be published for a review and |
14 | | comment period of no less than 30 days on the |
15 | | Department's website with final rules remaining |
16 | | available on the Department's website. |
17 | | The rules on payment resolutions shall include, but |
18 | | not be limited to: |
19 | | (A) the extension of the timely filing period; |
20 | | (B) retroactive prior authorizations; and |
21 | | (C) guaranteed minimum payment rate of no less |
22 | | than the current, as of the date of service, |
23 | | fee-for-service rate, plus all applicable add-ons, |
24 | | when the resulting service relationship is out of |
25 | | network. |
26 | | The rules shall be applicable for both MCO coverage |
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1 | | and fee-for-service coverage. |
2 | | If the fee-for-service system is ultimately determined to |
3 | | have been responsible for coverage on the date of service, the |
4 | | Department shall provide for an extended period for claims |
5 | | submission outside the standard timely filing requirements. |
6 | | (g-6) MCO Performance Metrics Report. |
7 | | (1) The Department shall publish, on at least a |
8 | | quarterly basis, each MCO's operational performance, |
9 | | including, but not limited to, the following categories of |
10 | | metrics: |
11 | | (A) claims payment, including timeliness and |
12 | | accuracy; |
13 | | (B) prior authorizations; |
14 | | (C) grievance and appeals; |
15 | | (D) utilization statistics; |
16 | | (E) provider disputes; |
17 | | (F) provider credentialing; and |
18 | | (G) member and provider customer service. |
19 | | (2) The Department shall ensure that the metrics |
20 | | report is accessible to providers online by January 1, |
21 | | 2017. |
22 | | (3) The metrics shall be developed in consultation |
23 | | with industry representatives of the Medicaid managed care |
24 | | health plans and representatives of associations |
25 | | representing the majority of providers within the |
26 | | identified industry. |
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1 | | (4) Metrics shall be defined and incorporated into the |
2 | | applicable Managed Care Policy Manual issued by the |
3 | | Department. |
4 | | (g-7) MCO claims processing and performance analysis. In |
5 | | order to monitor MCO payments to hospital providers, pursuant |
6 | | to Public Act 100-580, the Department shall post an analysis |
7 | | of MCO claims processing and payment performance on its |
8 | | website every 6 months. Such analysis shall include a review |
9 | | and evaluation of a representative sample of hospital claims |
10 | | that are rejected and denied for clean and unclean claims and |
11 | | the top 5 reasons for such actions and timeliness of claims |
12 | | adjudication, which identifies the percentage of claims |
13 | | adjudicated within 30, 60, 90, and over 90 days, and the dollar |
14 | | amounts associated with those claims. |
15 | | (g-8) Dispute resolution process. The Department shall |
16 | | maintain a provider complaint portal through which a provider |
17 | | can submit to the Department unresolved disputes with an MCO. |
18 | | An unresolved dispute means an MCO's decision that denies in |
19 | | whole or in part a claim for reimbursement to a provider for |
20 | | health care services rendered by the provider to an enrollee |
21 | | of the MCO with which the provider disagrees. Disputes shall |
22 | | not be submitted to the portal until the provider has availed |
23 | | itself of the MCO's internal dispute resolution process. |
24 | | Disputes that are submitted to the MCO internal dispute |
25 | | resolution process may be submitted to the Department of |
26 | | Healthcare and Family Services' complaint portal no sooner |
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1 | | than 30 days after submitting to the MCO's internal process |
2 | | and not later than 30 days after the unsatisfactory resolution |
3 | | of the internal MCO process or 60 days after submitting the |
4 | | dispute to the MCO internal process. Multiple claim disputes |
5 | | involving the same MCO may be submitted in one complaint, |
6 | | regardless of whether the claims are for different enrollees, |
7 | | when the specific reason for non-payment of the claims |
8 | | involves a common question of fact or policy. Within 10 |
9 | | business days of receipt of a complaint, the Department shall |
10 | | present such disputes to the appropriate MCO, which shall then |
11 | | have 30 days to issue its written proposal to resolve the |
12 | | dispute. The Department may grant one 30-day extension of this |
13 | | time frame to one of the parties to resolve the dispute. If the |
14 | | dispute remains unresolved at the end of this time frame or the |
15 | | provider is not satisfied with the MCO's written proposal to |
16 | | resolve the dispute, the provider may, within 30 days, request |
17 | | the Department to review the dispute and make a final |
18 | | determination. Within 30 days of the request for Department |
19 | | review of the dispute, both the provider and the MCO shall |
20 | | present all relevant information to the Department for |
21 | | resolution and make individuals with knowledge of the issues |
22 | | available to the Department for further inquiry if needed. |
23 | | Within 30 days of receiving the relevant information on the |
24 | | dispute, or the lapse of the period for submitting such |
25 | | information, the Department shall issue a written decision on |
26 | | the dispute based on contractual terms between the provider |
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1 | | and the MCO, contractual terms between the MCO and the |
2 | | Department of Healthcare and Family Services and applicable |
3 | | Medicaid policy. The decision of the Department shall be |
4 | | final. By January 1, 2020, the Department shall establish by |
5 | | rule further details of this dispute resolution process. |
6 | | Disputes between MCOs and providers presented to the |
7 | | Department for resolution are not contested cases, as defined |
8 | | in Section 1-30 of the Illinois Administrative Procedure Act, |
9 | | conferring any right to an administrative hearing. |
10 | | (g-9)(1) The Department shall publish annually on its |
11 | | website a report on the calculation of each managed care |
12 | | organization's medical loss ratio showing the following: |
13 | | (A) Premium revenue, with appropriate adjustments. |
14 | | (B) Benefit expense, setting forth the aggregate |
15 | | amount spent for the following: |
16 | | (i) Direct paid claims. |
17 | | (ii) Subcapitation payments. |
18 | | (iii)
Other claim payments. |
19 | | (iv)
Direct reserves. |
20 | | (v)
Gross recoveries. |
21 | | (vi)
Expenses for activities that improve health |
22 | | care quality as allowed by the Department. |
23 | | (2) The medical loss ratio shall be calculated consistent |
24 | | with federal law and regulation following a claims runout |
25 | | period determined by the Department. |
26 | | (g-10)(1) "Liability effective date" means the date on |
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1 | | which an MCO becomes responsible for payment for medically |
2 | | necessary and covered services rendered by a provider to one |
3 | | of its enrollees in accordance with the contract terms between |
4 | | the MCO and the provider. The liability effective date shall |
5 | | be the later of: |
6 | | (A) The execution date of a network participation |
7 | | contract agreement. |
8 | | (B) The date the provider or its representative |
9 | | submits to the MCO the complete and accurate standardized |
10 | | roster form for the provider in the format approved by the |
11 | | Department. |
12 | | (C) The provider effective date contained within the |
13 | | Department's provider enrollment subsystem within the |
14 | | Illinois Medicaid Program Advanced Cloud Technology |
15 | | (IMPACT) System. |
16 | | (2) The standardized roster form may be submitted to the |
17 | | MCO at the same time that the provider submits an enrollment |
18 | | application to the Department through IMPACT. |
19 | | (3) By October 1, 2019, the Department shall require all |
20 | | MCOs to update their provider directory with information for |
21 | | new practitioners of existing contracted providers within 30 |
22 | | days of receipt of a complete and accurate standardized roster |
23 | | template in the format approved by the Department provided |
24 | | that the provider is effective in the Department's provider |
25 | | enrollment subsystem within the IMPACT system. Such provider |
26 | | directory shall be readily accessible for purposes of |
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1 | | selecting an approved health care provider and comply with all |
2 | | other federal and State requirements. |
3 | | (g-11) The Department shall work with relevant |
4 | | stakeholders on the development of operational guidelines to |
5 | | enhance and improve operational performance of Illinois' |
6 | | Medicaid managed care program, including, but not limited to, |
7 | | improving provider billing practices, reducing claim |
8 | | rejections and inappropriate payment denials, and |
9 | | standardizing processes, procedures, definitions, and response |
10 | | timelines, with the goal of reducing provider and MCO |
11 | | administrative burdens and conflict. The Department shall |
12 | | include a report on the progress of these program improvements |
13 | | and other topics in its Fiscal Year 2020 annual report to the |
14 | | General Assembly. |
15 | | (g-12) Notwithstanding any other provision of law, if the
|
16 | | Department or an MCO requires submission of a claim for |
17 | | payment
in a non-electronic format, a provider shall always be |
18 | | afforded
a period of no less than 90 business days, as a |
19 | | correction
period, following any notification of rejection by |
20 | | either the
Department or the MCO to correct errors or |
21 | | omissions in the
original submission. |
22 | | Under no circumstances, either by an MCO or under the
|
23 | | State's fee-for-service system, shall a provider be denied
|
24 | | payment for failure to comply with any timely submission
|
25 | | requirements under this Code or under any existing contract,
|
26 | | unless the non-electronic format claim submission occurs after
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1 | | the initial 180 days following the latest date of service on
|
2 | | the claim, or after the 90 business days correction period
|
3 | | following notification to the provider of rejection or denial
|
4 | | of payment. |
5 | | (h) The Department shall not expand mandatory MCO |
6 | | enrollment into new counties beyond those counties already |
7 | | designated by the Department as of June 1, 2014 for the |
8 | | individuals whose eligibility for medical assistance is not |
9 | | the seniors or people with disabilities population until the |
10 | | Department provides an opportunity for accountable care |
11 | | entities and MCOs to participate in such newly designated |
12 | | counties. |
13 | | (h-5) Leading indicator data sharing. By January 1, 2024, |
14 | | the Department shall obtain input from the Department of Human |
15 | | Services, the Department of Juvenile Justice, the Department |
16 | | of Children and Family Services, the State Board of Education, |
17 | | managed care organizations, providers, and clinical experts to |
18 | | identify and analyze key indicators from assessments and data |
19 | | sets available to the Department that can be shared with |
20 | | managed care organizations and similar care coordination |
21 | | entities contracted with the Department as leading indicators |
22 | | for elevated behavioral health crisis risk for children. To |
23 | | the extent permitted by State and federal law, the identified |
24 | | leading indicators shall be shared with managed care |
25 | | organizations and similar care coordination entities |
26 | | contracted with the Department within 6 months of |
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1 | | identification for the purpose of improving care coordination |
2 | | with the early detection of elevated risk. Leading indicators |
3 | | shall be reassessed annually with stakeholder input. |
4 | | (i) The requirements of this Section apply to contracts |
5 | | with accountable care entities and MCOs entered into, amended, |
6 | | or renewed after June 16, 2014 (the effective date of Public |
7 | | Act 98-651).
|
8 | | (j) Health care information released to managed care |
9 | | organizations. A health care provider shall release to a |
10 | | Medicaid managed care organization, upon request, and subject |
11 | | to the Health Insurance Portability and Accountability Act of |
12 | | 1996 and any other law applicable to the release of health |
13 | | information, the health care information of the MCO's |
14 | | enrollee, if the enrollee has completed and signed a general |
15 | | release form that grants to the health care provider |
16 | | permission to release the recipient's health care information |
17 | | to the recipient's insurance carrier. |
18 | | (k) The Department of Healthcare and Family Services, |
19 | | managed care organizations, a statewide organization |
20 | | representing hospitals, and a statewide organization |
21 | | representing safety-net hospitals shall explore ways to |
22 | | support billing departments in safety-net hospitals. |
23 | | (l) The requirements of this Section added by Public Act |
24 | | 102-4 shall apply to
services provided on or after the first |
25 | | day of the month that
begins 60 days after April 27, 2021 (the |
26 | | effective date of Public Act 102-4). |
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1 | | (Source: P.A. 101-209, eff. 8-5-19; 102-4, eff. 4-27-21; |
2 | | 102-43, eff. 7-6-21; 102-144, eff. 1-1-22; 102-454, eff. |
3 | | 8-20-21; 102-813, eff. 5-13-22.)
|
4 | | Section 30. The Juvenile Court Act of 1987 is amended by |
5 | | changing Section 3-5 as follows:
|
6 | | (705 ILCS 405/3-5) (from Ch. 37, par. 803-5)
|
7 | | Sec. 3-5. Interim crisis intervention services. |
8 | | (a) Any minor who
is taken into limited custody, or who |
9 | | independently requests
or is referred for assistance, may be |
10 | | provided crisis intervention services
by an agency or |
11 | | association, as defined in this Act,
provided the association |
12 | | or agency staff (i) immediately investigate the
circumstances |
13 | | of the minor and the facts surrounding the minor being taken
|
14 | | into custody and promptly explain these
facts and |
15 | | circumstances to the minor, and (ii) make a reasonable effort
|
16 | | to inform the minor's parent, guardian or custodian of the |
17 | | fact that the
minor has been taken into limited custody and |
18 | | where the minor is being
kept, and (iii) if the minor consents, |
19 | | make a reasonable effort
to transport, arrange for the |
20 | | transportation of, or otherwise release the
minor to the |
21 | | parent, guardian or custodian. Upon release of the child who
|
22 | | is believed to need or benefit from medical, psychological, |
23 | | psychiatric
or social services, the association or agency may |
24 | | inform the minor and the
person to whom the minor is released |
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1 | | of the nature and location of appropriate
services and shall, |
2 | | if requested, assist in establishing contact between
the |
3 | | family and other associations or agencies providing such |
4 | | services. If the
agency or association is unable by all |
5 | | reasonable efforts to contact a parent,
guardian or custodian, |
6 | | or if the person contacted lives an unreasonable
distance |
7 | | away, or if the minor refuses to be taken to his or her home
or |
8 | | other appropriate residence, or if the agency or association |
9 | | is otherwise
unable despite all reasonable efforts to make |
10 | | arrangements for the safe
return of the minor, the minor may be |
11 | | taken to a temporary living
arrangement which is in compliance |
12 | | with the Child Care Act of 1969 or which
is with persons agreed |
13 | | to by the parents and the agency or association.
|
14 | | (b) An agency or association is authorized to permit a |
15 | | minor to be sheltered
in a temporary living arrangement |
16 | | provided the agency seeks to effect the
minor's return home or |
17 | | alternative living arrangements agreeable to the
minor and the |
18 | | parent, guardian , or custodian
as soon as practicable. No |
19 | | minor shall be sheltered in a temporary living arrangement for |
20 | | more than 21 business days. Throughout such limited custody, |
21 | | the agency or association shall work with the parent, |
22 | | guardian, or custodian and the minor's local school district, |
23 | | the Department of Human Services, the Department of Healthcare |
24 | | and Family Services, the Department of Juvenile Justice, and |
25 | | the Department of Children and Family Services to identify |
26 | | immediate and long-term treatment or placement. 48 hours, |
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1 | | excluding Saturdays, Sundays, and court-designated holidays, |
2 | | when the agency has reported the minor as neglected or abused |
3 | | because the parent, guardian, or custodian refuses to permit |
4 | | the child to return home, provided that in all other instances |
5 | | the minor may be sheltered when the agency obtains the consent |
6 | | of the parent, guardian, or custodian or documents its |
7 | | unsuccessful efforts to obtain the consent or authority of the |
8 | | parent, guardian, or custodian, including recording the date |
9 | | and the staff involved in all telephone calls, telegrams, |
10 | | letters, and personal contacts to obtain the consent or |
11 | | authority, in which instances the minor may be so sheltered |
12 | | for not more than 21 days. If at any time during the crisis |
13 | | intervention there is a concern that the minor has experienced |
14 | | abuse or neglect, the Comprehensive Community Based-Youth |
15 | | Services provider shall contact the parent, guardian or |
16 | | custodian refuses to
permit the minor to return home, and no |
17 | | other living arrangement agreeable
to the parent, guardian, or |
18 | | custodian can be made, and the parent, guardian, or custodian |
19 | | has not made any other appropriate living arrangement for the |
20 | | child, the agency
may deem the minor to be neglected and report |
21 | | the neglect to the Department
of Children
and Family Services |
22 | | as provided in the Abused and Neglected Child Reporting
Act. |
23 | | The
Child Protective Service Unit of the Department of |
24 | | Children and Family Services
shall
begin an investigation of |
25 | | the report within 24 hours after receiving the report
and |
26 | | shall
determine whether to
file a petition alleging that the |
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1 | | minor is neglected or abused as
described in Section 2-3 of |
2 | | this Act. Subject to appropriation, the Department may take |
3 | | the minor into temporary protective custody at any time after |
4 | | receiving the report, provided that the Department shall take |
5 | | temporary protective custody within 48 hours of receiving the |
6 | | report if its investigation is not completed. If the |
7 | | Department of Children and Family Services determines that the |
8 | | minor is not a neglected minor because the minor is an |
9 | | immediate physical danger to himself, herself, or others |
10 | | living in the home, then the Department shall take immediate |
11 | | steps to either secure the minor's immediate admission to a |
12 | | mental health facility, arrange for law enforcement |
13 | | authorities to take temporary custody of the minor as a |
14 | | delinquent minor, or take other appropriate action to assume |
15 | | protective custody in order to safeguard the minor or others |
16 | | living in the home from immediate physical danger.
|
17 | | (c) Any agency or association or employee thereof acting |
18 | | reasonably and
in good faith in the care of a minor being |
19 | | provided interim crisis
intervention services and shelter care |
20 | | shall be immune from any civil or
criminal liability resulting |
21 | | from such care.
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22 | | (Source: P.A. 95-443, eff. 1-1-08.)
|