Bill Text: IL SB0187 | 2019-2020 | 101st General Assembly | Introduced


Bill Title: Amends the Illinois Act on the Aging. Expands the Community Care Program to provide services to all persons, regardless of age, who have Alzheimer's disease or a related disorder as defined under the Alzheimer's Disease Assistance Act.

Spectrum: Partisan Bill (Democrat 11-0)

Status: (Introduced) 2019-04-12 - Rule 3-9(a) / Re-referred to Assignments [SB0187 Detail]

Download: Illinois-2019-SB0187-Introduced.html


101ST GENERAL ASSEMBLY
State of Illinois
2019 and 2020
SB0187

Introduced 1/30/2019, by Sen. Ram Villivalam

SYNOPSIS AS INTRODUCED:
20 ILCS 105/4.02 from Ch. 23, par. 6104.02

Amends the Illinois Act on the Aging. Expands the Community Care Program to provide services to all persons, regardless of age, who have Alzheimer's disease or a related disorder as defined under the Alzheimer's Disease Assistance Act.
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FISCAL NOTE ACT MAY APPLY

A BILL FOR

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1 AN ACT concerning State government.
2 Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
4 Section 5. The Illinois Act on the Aging is amended by
5changing Section 4.02 as follows:
6 (20 ILCS 105/4.02) (from Ch. 23, par. 6104.02)
7 Sec. 4.02. Community Care Program. The Department shall
8establish a program of services to prevent unnecessary
9institutionalization of (i) persons age 60 and older in need of
10long term care or (ii) persons, regardless of age, who are
11established as persons who suffer from Alzheimer's disease or a
12related disorder under the Alzheimer's Disease Assistance Act,
13thereby enabling them to remain in their own homes or in other
14living arrangements. Such preventive services, which may be
15coordinated with other programs for the aged and monitored by
16area agencies on aging in cooperation with the Department, may
17include, but are not limited to, any or all of the following:
18 (a) (blank);
19 (b) (blank);
20 (c) home care aide services;
21 (d) personal assistant services;
22 (e) adult day services;
23 (f) home-delivered meals;

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1 (g) education in self-care;
2 (h) personal care services;
3 (i) adult day health services;
4 (j) habilitation services;
5 (k) respite care;
6 (k-5) community reintegration services;
7 (k-6) flexible senior services;
8 (k-7) medication management;
9 (k-8) emergency home response;
10 (l) other nonmedical social services that may enable
11 the person to become self-supporting; or
12 (m) clearinghouse for information provided by senior
13 citizen home owners who want to rent rooms to or share
14 living space with other senior citizens.
15 The Department shall establish eligibility standards for
16such services. In determining the amount and nature of services
17for which a person may qualify, consideration shall not be
18given to the value of cash, property or other assets held in
19the name of the person's spouse pursuant to a written agreement
20dividing marital property into equal but separate shares or
21pursuant to a transfer of the person's interest in a home to
22his spouse, provided that the spouse's share of the marital
23property is not made available to the person seeking such
24services.
25 Beginning January 1, 2008, the Department shall require as
26a condition of eligibility that all new financially eligible

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1applicants apply for and enroll in medical assistance under
2Article V of the Illinois Public Aid Code in accordance with
3rules promulgated by the Department.
4 The Department shall, in conjunction with the Department of
5Public Aid (now Department of Healthcare and Family Services),
6seek appropriate amendments under Sections 1915 and 1924 of the
7Social Security Act. The purpose of the amendments shall be to
8extend eligibility for home and community based services under
9Sections 1915 and 1924 of the Social Security Act to persons
10who transfer to or for the benefit of a spouse those amounts of
11income and resources allowed under Section 1924 of the Social
12Security Act. Subject to the approval of such amendments, the
13Department shall extend the provisions of Section 5-4 of the
14Illinois Public Aid Code to persons who, but for the provision
15of home or community-based services, would require the level of
16care provided in an institution, as is provided for in federal
17law. Those persons no longer found to be eligible for receiving
18noninstitutional services due to changes in the eligibility
19criteria shall be given 45 days notice prior to actual
20termination. Those persons receiving notice of termination may
21contact the Department and request the determination be
22appealed at any time during the 45 day notice period. The
23target population identified for the purposes of this Section
24are persons age 60 and older with an identified service need
25and persons, regardless of age, who suffer from Alzheimer's
26disease or a related disorder under the Alzheimer's Disease

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1Assistance Act. Priority shall be given to those who are at
2imminent risk of institutionalization. The services shall be
3provided to eligible persons age 60 and older to the extent
4that the cost of the services together with the other personal
5maintenance expenses of the persons are reasonably related to
6the standards established for care in a group facility
7appropriate to the person's condition. These non-institutional
8services, pilot projects or experimental facilities may be
9provided as part of or in addition to those authorized by
10federal law or those funded and administered by the Department
11of Human Services. The Departments of Human Services,
12Healthcare and Family Services, Public Health, Veterans'
13Affairs, and Commerce and Economic Opportunity and other
14appropriate agencies of State, federal and local governments
15shall cooperate with the Department on Aging in the
16establishment and development of the non-institutional
17services. The Department shall require an annual audit from all
18personal assistant and home care aide vendors contracting with
19the Department under this Section. The annual audit shall
20assure that each audited vendor's procedures are in compliance
21with Department's financial reporting guidelines requiring an
22administrative and employee wage and benefits cost split as
23defined in administrative rules. The audit is a public record
24under the Freedom of Information Act. The Department shall
25execute, relative to the nursing home prescreening project,
26written inter-agency agreements with the Department of Human

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1Services and the Department of Healthcare and Family Services,
2to effect the following: (1) intake procedures and common
3eligibility criteria for those persons who are receiving
4non-institutional services; and (2) the establishment and
5development of non-institutional services in areas of the State
6where they are not currently available or are undeveloped. On
7and after July 1, 1996, all nursing home prescreenings for
8individuals 60 years of age or older and for other persons
9eligible for services under the Community Care Program shall be
10conducted by the Department.
11 As part of the Department on Aging's routine training of
12case managers and case manager supervisors, the Department may
13include information on family futures planning for persons who
14are age 60 or older and who are caregivers of their adult
15children with developmental disabilities and for persons with
16Alzheimer's disease or a related disorder. The content of the
17training shall be at the Department's discretion.
18 The Department is authorized to establish a system of
19recipient copayment for services provided under this Section,
20such copayment to be based upon the recipient's ability to pay
21but in no case to exceed the actual cost of the services
22provided. Additionally, any portion of a person's income which
23is equal to or less than the federal poverty standard shall not
24be considered by the Department in determining the copayment.
25The level of such copayment shall be adjusted whenever
26necessary to reflect any change in the officially designated

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1federal poverty standard.
2 The Department, or the Department's authorized
3representative, may recover the amount of moneys expended for
4services provided to or in behalf of a person under this
5Section by a claim against the person's estate or against the
6estate of the person's surviving spouse, but no recovery may be
7had until after the death of the surviving spouse, if any, and
8then only at such time when there is no surviving child who is
9under age 21 or blind or who has a permanent and total
10disability. This paragraph, however, shall not bar recovery, at
11the death of the person, of moneys for services provided to the
12person or in behalf of the person under this Section to which
13the person was not entitled; provided that such recovery shall
14not be enforced against any real estate while it is occupied as
15a homestead by the surviving spouse or other dependent, if no
16claims by other creditors have been filed against the estate,
17or, if such claims have been filed, they remain dormant for
18failure of prosecution or failure of the claimant to compel
19administration of the estate for the purpose of payment. This
20paragraph shall not bar recovery from the estate of a spouse,
21under Sections 1915 and 1924 of the Social Security Act and
22Section 5-4 of the Illinois Public Aid Code, who precedes a
23person receiving services under this Section in death. All
24moneys for services paid to or in behalf of the person under
25this Section shall be claimed for recovery from the deceased
26spouse's estate. "Homestead", as used in this paragraph, means

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1the dwelling house and contiguous real estate occupied by a
2surviving spouse or relative, as defined by the rules and
3regulations of the Department of Healthcare and Family
4Services, regardless of the value of the property.
5 The Department shall increase the effectiveness of the
6existing Community Care Program by:
7 (1) ensuring that in-home services included in the care
8 plan are available on evenings and weekends;
9 (2) ensuring that care plans contain the services that
10 eligible participants need based on the number of days in a
11 month, not limited to specific blocks of time, as
12 identified by the comprehensive assessment tool selected
13 by the Department for use statewide, not to exceed the
14 total monthly service cost maximum allowed for each
15 service; the Department shall develop administrative rules
16 to implement this item (2);
17 (3) ensuring that the participants have the right to
18 choose the services contained in their care plan and to
19 direct how those services are provided, based on
20 administrative rules established by the Department;
21 (4) ensuring that the determination of need tool is
22 accurate in determining the participants' level of need; to
23 achieve this, the Department, in conjunction with the Older
24 Adult Services Advisory Committee, shall institute a study
25 of the relationship between the Determination of Need
26 scores, level of need, service cost maximums, and the

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1 development and utilization of service plans no later than
2 May 1, 2008; findings and recommendations shall be
3 presented to the Governor and the General Assembly no later
4 than January 1, 2009; recommendations shall include all
5 needed changes to the service cost maximums schedule and
6 additional covered services;
7 (5) ensuring that homemakers can provide personal care
8 services that may or may not involve contact with clients,
9 including but not limited to:
10 (A) bathing;
11 (B) grooming;
12 (C) toileting;
13 (D) nail care;
14 (E) transferring;
15 (F) respiratory services;
16 (G) exercise; or
17 (H) positioning;
18 (6) ensuring that homemaker program vendors are not
19 restricted from hiring homemakers who are family members of
20 clients or recommended by clients; the Department may not,
21 by rule or policy, require homemakers who are family
22 members of clients or recommended by clients to accept
23 assignments in homes other than the client;
24 (7) ensuring that the State may access maximum federal
25 matching funds by seeking approval for the Centers for
26 Medicare and Medicaid Services for modifications to the

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1 State's home and community based services waiver and
2 additional waiver opportunities, including applying for
3 enrollment in the Balance Incentive Payment Program by May
4 1, 2013, in order to maximize federal matching funds; this
5 shall include, but not be limited to, modification that
6 reflects all changes in the Community Care Program services
7 and all increases in the services cost maximum;
8 (8) ensuring that the determination of need tool
9 accurately reflects the service needs of individuals with
10 Alzheimer's disease and related dementia disorders;
11 (9) ensuring that services are authorized accurately
12 and consistently for the Community Care Program (CCP); the
13 Department shall implement a Service Authorization policy
14 directive; the purpose shall be to ensure that eligibility
15 and services are authorized accurately and consistently in
16 the CCP program; the policy directive shall clarify service
17 authorization guidelines to Care Coordination Units and
18 Community Care Program providers no later than May 1, 2013;
19 (10) working in conjunction with Care Coordination
20 Units, the Department of Healthcare and Family Services,
21 the Department of Human Services, Community Care Program
22 providers, and other stakeholders to make improvements to
23 the Medicaid claiming processes and the Medicaid
24 enrollment procedures or requirements as needed,
25 including, but not limited to, specific policy changes or
26 rules to improve the up-front enrollment of participants in

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1 the Medicaid program and specific policy changes or rules
2 to insure more prompt submission of bills to the federal
3 government to secure maximum federal matching dollars as
4 promptly as possible; the Department on Aging shall have at
5 least 3 meetings with stakeholders by January 1, 2014 in
6 order to address these improvements;
7 (11) requiring home care service providers to comply
8 with the rounding of hours worked provisions under the
9 federal Fair Labor Standards Act (FLSA) and as set forth in
10 29 CFR 785.48(b) by May 1, 2013;
11 (12) implementing any necessary policy changes or
12 promulgating any rules, no later than January 1, 2014, to
13 assist the Department of Healthcare and Family Services in
14 moving as many participants as possible, consistent with
15 federal regulations, into coordinated care plans if a care
16 coordination plan that covers long term care is available
17 in the recipient's area; and
18 (13) maintaining fiscal year 2014 rates at the same
19 level established on January 1, 2013.
20 By January 1, 2009 or as soon after the end of the Cash and
21Counseling Demonstration Project as is practicable, the
22Department may, based on its evaluation of the demonstration
23project, promulgate rules concerning personal assistant
24services, to include, but need not be limited to,
25qualifications, employment screening, rights under fair labor
26standards, training, fiduciary agent, and supervision

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1requirements. All applicants shall be subject to the provisions
2of the Health Care Worker Background Check Act.
3 The Department shall develop procedures to enhance
4availability of services on evenings, weekends, and on an
5emergency basis to meet the respite needs of caregivers.
6Procedures shall be developed to permit the utilization of
7services in successive blocks of 24 hours up to the monthly
8maximum established by the Department. Workers providing these
9services shall be appropriately trained.
10 Beginning on the effective date of this amendatory Act of
111991, no person may perform chore/housekeeping and home care
12aide services under a program authorized by this Section unless
13that person has been issued a certificate of pre-service to do
14so by his or her employing agency. Information gathered to
15effect such certification shall include (i) the person's name,
16(ii) the date the person was hired by his or her current
17employer, and (iii) the training, including dates and levels.
18Persons engaged in the program authorized by this Section
19before the effective date of this amendatory Act of 1991 shall
20be issued a certificate of all pre- and in-service training
21from his or her employer upon submitting the necessary
22information. The employing agency shall be required to retain
23records of all staff pre- and in-service training, and shall
24provide such records to the Department upon request and upon
25termination of the employer's contract with the Department. In
26addition, the employing agency is responsible for the issuance

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1of certifications of in-service training completed to their
2employees.
3 The Department is required to develop a system to ensure
4that persons working as home care aides and personal assistants
5receive increases in their wages when the federal minimum wage
6is increased by requiring vendors to certify that they are
7meeting the federal minimum wage statute for home care aides
8and personal assistants. An employer that cannot ensure that
9the minimum wage increase is being given to home care aides and
10personal assistants shall be denied any increase in
11reimbursement costs.
12 The Community Care Program Advisory Committee is created in
13the Department on Aging. The Director shall appoint individuals
14to serve in the Committee, who shall serve at their own
15expense. Members of the Committee must abide by all applicable
16ethics laws. The Committee shall advise the Department on
17issues related to the Department's program of services to
18prevent unnecessary institutionalization. The Committee shall
19meet on a bi-monthly basis and shall serve to identify and
20advise the Department on present and potential issues affecting
21the service delivery network, the program's clients, and the
22Department and to recommend solution strategies. Persons
23appointed to the Committee shall be appointed on, but not
24limited to, their own and their agency's experience with the
25program, geographic representation, and willingness to serve.
26The Director shall appoint members to the Committee to

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1represent provider, advocacy, policy research, and other
2constituencies committed to the delivery of high quality home
3and community-based services to older adults and to persons
4with Alzheimer's disease or a related disorder.
5Representatives shall be appointed to ensure representation
6from community care providers including, but not limited to,
7adult day service providers, homemaker providers, case
8coordination and case management units, emergency home
9response providers, statewide trade or labor unions that
10represent home care aides and direct care staff, area agencies
11on aging, adults over age 60, membership organizations
12representing older adults, and other organizational entities,
13providers of care, or individuals with demonstrated interest
14and expertise in the field of home and community care as
15determined by the Director.
16 Nominations may be presented from any agency or State
17association with interest in the program. The Director, or his
18or her designee, shall serve as the permanent co-chair of the
19advisory committee. One other co-chair shall be nominated and
20approved by the members of the committee on an annual basis.
21Committee members' terms of appointment shall be for 4 years
22with one-quarter of the appointees' terms expiring each year. A
23member shall continue to serve until his or her replacement is
24named. The Department shall fill vacancies that have a
25remaining term of over one year, and this replacement shall
26occur through the annual replacement of expiring terms. The

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1Director shall designate Department staff to provide technical
2assistance and staff support to the committee. Department
3representation shall not constitute membership of the
4committee. All Committee papers, issues, recommendations,
5reports, and meeting memoranda are advisory only. The Director,
6or his or her designee, shall make a written report, as
7requested by the Committee, regarding issues before the
8Committee.
9 The Department on Aging and the Department of Human
10Services shall cooperate in the development and submission of
11an annual report on programs and services provided under this
12Section. Such joint report shall be filed with the Governor and
13the General Assembly on or before September 30 each year.
14 The requirement for reporting to the General Assembly shall
15be satisfied by filing copies of the report with the Speaker,
16the Minority Leader and the Clerk of the House of
17Representatives and the President, the Minority Leader and the
18Secretary of the Senate and the Legislative Research Unit, as
19required by Section 3.1 of the General Assembly Organization
20Act and filing such additional copies with the State Government
21Report Distribution Center for the General Assembly as is
22required under paragraph (t) of Section 7 of the State Library
23Act.
24 Those persons previously found eligible for receiving
25non-institutional services whose services were discontinued
26under the Emergency Budget Act of Fiscal Year 1992, and who do

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1not meet the eligibility standards in effect on or after July
21, 1992, shall remain ineligible on and after July 1, 1992.
3Those persons previously not required to cost-share and who
4were required to cost-share effective March 1, 1992, shall
5continue to meet cost-share requirements on and after July 1,
61992. Beginning July 1, 1992, all clients will be required to
7meet eligibility, cost-share, and other requirements and will
8have services discontinued or altered when they fail to meet
9these requirements.
10 For the purposes of this Section, "flexible senior
11services" refers to services that require one-time or periodic
12expenditures including, but not limited to, respite care, home
13modification, assistive technology, housing assistance, and
14transportation.
15 The Department shall implement an electronic service
16verification based on global positioning systems or other
17cost-effective technology for the Community Care Program no
18later than January 1, 2014.
19 The Department shall require, as a condition of
20eligibility, enrollment in the medical assistance program
21under Article V of the Illinois Public Aid Code (i) beginning
22August 1, 2013, if the Auditor General has reported that the
23Department has failed to comply with the reporting requirements
24of Section 2-27 of the Illinois State Auditing Act; or (ii)
25beginning June 1, 2014, if the Auditor General has reported
26that the Department has not undertaken the required actions

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1listed in the report required by subsection (a) of Section 2-27
2of the Illinois State Auditing Act.
3 The Department shall delay Community Care Program services
4until an applicant is determined eligible for medical
5assistance under Article V of the Illinois Public Aid Code (i)
6beginning August 1, 2013, if the Auditor General has reported
7that the Department has failed to comply with the reporting
8requirements of Section 2-27 of the Illinois State Auditing
9Act; or (ii) beginning June 1, 2014, if the Auditor General has
10reported that the Department has not undertaken the required
11actions listed in the report required by subsection (a) of
12Section 2-27 of the Illinois State Auditing Act.
13 The Department shall implement co-payments for the
14Community Care Program at the federally allowable maximum level
15(i) beginning August 1, 2013, if the Auditor General has
16reported that the Department has failed to comply with the
17reporting requirements of Section 2-27 of the Illinois State
18Auditing Act; or (ii) beginning June 1, 2014, if the Auditor
19General has reported that the Department has not undertaken the
20required actions listed in the report required by subsection
21(a) of Section 2-27 of the Illinois State Auditing Act.
22 The Department shall provide a bi-monthly report on the
23progress of the Community Care Program reforms set forth in
24this amendatory Act of the 98th General Assembly to the
25Governor, the Speaker of the House of Representatives, the
26Minority Leader of the House of Representatives, the President

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1of the Senate, and the Minority Leader of the Senate.
2 The Department shall conduct a quarterly review of Care
3Coordination Unit performance and adherence to service
4guidelines. The quarterly review shall be reported to the
5Speaker of the House of Representatives, the Minority Leader of
6the House of Representatives, the President of the Senate, and
7the Minority Leader of the Senate. The Department shall collect
8and report longitudinal data on the performance of each care
9coordination unit. Nothing in this paragraph shall be construed
10to require the Department to identify specific care
11coordination units.
12 In regard to community care providers, failure to comply
13with Department on Aging policies shall be cause for
14disciplinary action, including, but not limited to,
15disqualification from serving Community Care Program clients.
16Each provider, upon submission of any bill or invoice to the
17Department for payment for services rendered, shall include a
18notarized statement, under penalty of perjury pursuant to
19Section 1-109 of the Code of Civil Procedure, that the provider
20has complied with all Department policies.
21 The Director of the Department on Aging shall make
22information available to the State Board of Elections as may be
23required by an agreement the State Board of Elections has
24entered into with a multi-state voter registration list
25maintenance system.
26 Within 30 days after July 6, 2017 (the effective date of

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1Public Act 100-23), rates shall be increased to $18.29 per
2hour, for the purpose of increasing, by at least $.72 per hour,
3the wages paid by those vendors to their employees who provide
4homemaker services. The Department shall pay an enhanced rate
5under the Community Care Program to those in-home service
6provider agencies that offer health insurance coverage as a
7benefit to their direct service worker employees consistent
8with the mandates of Public Act 95-713. For State fiscal years
92018 and 2019, the enhanced rate shall be $1.77 per hour. The
10rate shall be adjusted using actuarial analysis based on the
11cost of care, but shall not be set below $1.77 per hour. The
12Department shall adopt rules, including emergency rules under
13subsections (y) and (bb) of Section 5-45 of the Illinois
14Administrative Procedure Act, to implement the provisions of
15this paragraph.
16 The General Assembly finds it necessary to authorize an
17aggressive Medicaid enrollment initiative designed to maximize
18federal Medicaid funding for the Community Care Program which
19produces significant savings for the State of Illinois. The
20Department on Aging shall establish and implement a Community
21Care Program Medicaid Initiative. Under the Initiative, the
22Department on Aging shall, at a minimum: (i) provide an
23enhanced rate to adequately compensate care coordination units
24to enroll eligible Community Care Program clients into
25Medicaid; (ii) use recommendations from a stakeholder
26committee on how best to implement the Initiative; and (iii)

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1establish requirements for State agencies to make enrollment in
2the State's Medical Assistance program easier for seniors.
3 The Community Care Program Medicaid Enrollment Oversight
4Subcommittee is created as a subcommittee of the Older Adult
5Services Advisory Committee established in Section 35 of the
6Older Adult Services Act to make recommendations on how best to
7increase the number of medical assistance recipients who are
8enrolled in the Community Care Program. The Subcommittee shall
9consist of all of the following persons who must be appointed
10within 30 days after the effective date of this amendatory Act
11of the 100th General Assembly:
12 (1) The Director of Aging, or his or her designee, who
13 shall serve as the chairperson of the Subcommittee.
14 (2) One representative of the Department of Healthcare
15 and Family Services, appointed by the Director of
16 Healthcare and Family Services.
17 (3) One representative of the Department of Human
18 Services, appointed by the Secretary of Human Services.
19 (4) One individual representing a care coordination
20 unit, appointed by the Director of Aging.
21 (5) One individual from a non-governmental statewide
22 organization that advocates for seniors, appointed by the
23 Director of Aging.
24 (6) One individual representing Area Agencies on
25 Aging, appointed by the Director of Aging.
26 (7) One individual from a statewide association

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1 dedicated to Alzheimer's care, support, and research,
2 appointed by the Director of Aging.
3 (8) One individual from an organization that employs
4 persons who provide services under the Community Care
5 Program, appointed by the Director of Aging.
6 (9) One member of a trade or labor union representing
7 persons who provide services under the Community Care
8 Program, appointed by the Director of Aging.
9 (10) One member of the Senate, who shall serve as
10 co-chairperson, appointed by the President of the Senate.
11 (11) One member of the Senate, who shall serve as
12 co-chairperson, appointed by the Minority Leader of the
13 Senate.
14 (12) One member of the House of Representatives, who
15 shall serve as co-chairperson, appointed by the Speaker of
16 the House of Representatives.
17 (13) One member of the House of Representatives, who
18 shall serve as co-chairperson, appointed by the Minority
19 Leader of the House of Representatives.
20 (14) One individual appointed by a labor organization
21 representing frontline employees at the Department of
22 Human Services.
23 The Subcommittee shall provide oversight to the Community
24Care Program Medicaid Initiative and shall meet quarterly. At
25each Subcommittee meeting the Department on Aging shall provide
26the following data sets to the Subcommittee: (A) the number of

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1Illinois residents, categorized by planning and service area,
2who are receiving services under the Community Care Program and
3are enrolled in the State's Medical Assistance Program; (B) the
4number of Illinois residents, categorized by planning and
5service area, who are receiving services under the Community
6Care Program, but are not enrolled in the State's Medical
7Assistance Program; and (C) the number of Illinois residents,
8categorized by planning and service area, who are receiving
9services under the Community Care Program and are eligible for
10benefits under the State's Medical Assistance Program, but are
11not enrolled in the State's Medical Assistance Program. In
12addition to this data, the Department on Aging shall provide
13the Subcommittee with plans on how the Department on Aging will
14reduce the number of Illinois residents who are not enrolled in
15the State's Medical Assistance Program but who are eligible for
16medical assistance benefits. The Department on Aging shall
17enroll in the State's Medical Assistance Program those Illinois
18residents who receive services under the Community Care Program
19and are eligible for medical assistance benefits but are not
20enrolled in the State's Medicaid Assistance Program. The data
21provided to the Subcommittee shall be made available to the
22public via the Department on Aging's website.
23 The Department on Aging, with the involvement of the
24Subcommittee, shall collaborate with the Department of Human
25Services and the Department of Healthcare and Family Services
26on how best to achieve the responsibilities of the Community

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1Care Program Medicaid Initiative.
2 The Department on Aging, the Department of Human Services,
3and the Department of Healthcare and Family Services shall
4coordinate and implement a streamlined process for seniors to
5access benefits under the State's Medical Assistance Program.
6 The Subcommittee shall collaborate with the Department of
7Human Services on the adoption of a uniform application
8submission process. The Department of Human Services and any
9other State agency involved with processing the medical
10assistance application of any person enrolled in the Community
11Care Program shall include the appropriate care coordination
12unit in all communications related to the determination or
13status of the application.
14 The Community Care Program Medicaid Initiative shall
15provide targeted funding to care coordination units to help
16seniors and other persons eligible for services under the
17Community Care Program complete their applications for medical
18assistance benefits. On and after July 1, 2019, care
19coordination units shall receive no less than $200 per
20completed application.
21 The Community Care Program Medicaid Initiative shall cease
22operation 5 years after the effective date of this amendatory
23Act of the 100th General Assembly, after which the Subcommittee
24shall dissolve.
25(Source: P.A. 99-143, eff. 7-27-15; 100-23, eff. 7-6-17;
26100-587, eff. 6-4-18.)
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