(20 ILCS 105/3.08) (from Ch. 23, par. 6103.08)
Sec. 3.08.
"Planning and Service Area" means a geographic area of the
State that is designated by the Department for the purposes of planning,
development, delivery, and overall administration of services under the area
plan. Within each planning and service area the Department must designate
an area agency on aging. For the purposes of this Section such planning
and service areas shall be as follows:
Area 1, which is comprised of the counties of Jo Daviess, Stephenson, Winnebago,
Boone, Carroll, Ogle, DeKalb, Whiteside and Lee;
Area 2, which is comprised of the counties of McHenry, Lake, Kane, DuPage,
Kendall, Will, Grundy and Kankakee;
Area 3, which is comprised of the counties of Rock Island, Mercer, Henry,
Bureau, LaSalle, Putnam, Henderson, Warren, Knox and McDonough;
Area 4, which is comprised of the counties of Stark, Marshall, Peoria,
Woodford, Fulton and Tazewell;
Area 5, which is comprised of the counties of Livingston, Iroquois, McLean,
Ford, DeWitt, Piatt, Champaign, Vermilion, Macon, Moultrie, Douglas, Edgar,
Shelby, Coles, Clark and Cumberland;
Area 6, which is comprised of the counties of Hancock, Schuyler, Adams,
Brown, Pike and Calhoun;
Area 7, which is comprised of the counties of Mason, Logan, Cass, Menard,
Scott, Morgan, Sangamon, Christian, Greene, Macoupin, Montgomery and Jersey;
Area 8, which is comprised of the counties of Madison, Bond, St. Clair,
Clinton, Monroe, Washington and Randolph;
Area 9, which is comprised of the counties of Fayette, Effingham, Marion,
Clay and Jefferson;
Area 10, which is comprised of the counties of Jasper, Crawford, Richland,
Lawrence, Wayne, Edwards, Wabash, Hamilton and White;
Area 11, which is comprised of the counties of Perry, Franklin, Jackson,
Williamson, Saline, Gallatin, Union, Johnson, Pope, Hardin, Alexander, Pulaski
and Massac;
Area 12, which is comprised of the City of Chicago in Cook County; and
Area 13, which is comprised of the County of Cook outside the City of Chicago.
At the discretion of the Department and the county, a county of 500,000
population or more may form its own area agency.
(Source: P.A. 82‑979.)
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(20 ILCS 105/4.01) (from Ch. 23, par. 6104.01)
Sec. 4.01.
Additional powers and duties of the Department.
In addition
to powers and duties otherwise provided by law, the Department shall have the
following powers and duties:
(1) To evaluate all programs, services, and facilities for the aged
and for minority senior citizens within the State and determine the extent
to which present public or private programs, services and facilities meet the
needs of the aged.
(2) To coordinate and evaluate all programs, services, and facilities
for the Aging and for minority senior citizens presently furnished by State
agencies and make appropriate recommendations regarding such services, programs
and facilities to the Governor and/or the General Assembly.
(3) To function as the sole State agency to develop a comprehensive
plan to meet the needs of the State's senior citizens and the State's
minority senior citizens.
(4) To receive and disburse State and federal funds made available
directly to the Department including those funds made available under the
Older Americans Act and the Senior Community Service Employment Program for
providing services for senior citizens and minority senior citizens or for
purposes related thereto, and shall develop and administer any State Plan
for the Aging required by federal law.
(5) To solicit, accept, hold, and administer in behalf of the State
any grants or legacies of money, securities, or property to the State of
Illinois for services to senior citizens and minority senior citizens or
purposes related thereto.
(6) To provide consultation and assistance to communities, area agencies
on aging, and groups developing local services for senior citizens and
minority senior citizens.
(7) To promote community education regarding the problems of senior
citizens and minority senior citizens through institutes, publications,
radio, television and the local press.
(8) To cooperate with agencies of the federal government in studies
and conferences designed to examine the needs of senior citizens and minority
senior citizens and to prepare programs and facilities to meet those needs.
(9) To establish and maintain information and referral sources
throughout the State when not provided by other agencies.
(10) To provide the staff support as may reasonably be required
by the Council and the Coordinating Committee of State Agencies Serving Older
Persons.
(11) To make and enforce rules and regulations necessary and proper
to the performance of its duties.
(12) To establish and fund programs or projects or experimental facilities
that are specially designed as alternatives to institutional care.
(13) To develop a training program to train the counselors presently
employed by the Department's aging network to provide Medicare
beneficiaries with counseling and advocacy in Medicare, private health
insurance, and related health care coverage plans. The Department shall
report to the General Assembly on the implementation of the training
program on or before December 1, 1986.
(14) To make a grant to an institution of higher learning to study the
feasibility of establishing and implementing an affirmative action
employment plan for the recruitment, hiring, training and retraining of
persons 60 or more years old for jobs for which their employment would not
be precluded by law.
(15) To present one award annually in each of the categories of community
service, education, the performance and graphic arts, and the labor force
to outstanding Illinois senior citizens and minority senior citizens in
recognition of their individual contributions to either community service,
education, the performance and graphic arts, or the labor force. The awards
shall be presented to four senior citizens and minority senior citizens
selected from a list of 44 nominees compiled annually by
the Department. Nominations shall be solicited from senior citizens'
service providers, area agencies on aging, senior citizens'
centers, and senior citizens' organizations. The Department shall consult
with the Coordinating Committee of State Agencies Serving Older Persons to
determine which of the nominees shall be the recipient in each category of
community service. The Department shall establish a central location within
the State to be designated as the Senior Illinoisans Hall of Fame for the
public display of all the annual awards, or replicas thereof.
(16) To establish multipurpose senior centers through area agencies on
aging and to fund those new and existing multipurpose senior centers
through area agencies on aging, the establishment and funding to begin in
such areas of the State as the Department shall designate by rule and as
specifically appropriated funds become available.
(17) To develop the content and format of the acknowledgment regarding
non‑recourse reverse mortgage loans under Section 6.1 of the Illinois
Banking Act; to provide independent consumer information on reverse
mortgages and alternatives; and to refer consumers to independent
counseling services with expertise in reverse mortgages.
(18) To develop a pamphlet in English and Spanish which may be used by
physicians licensed to practice medicine in all of its branches pursuant
to the Medical Practice Act of 1987, pharmacists licensed pursuant to the
Pharmacy Practice Act of 1987, and Illinois residents 65 years of age or
older for the purpose of assisting physicians, pharmacists, and patients in
monitoring prescriptions provided by various physicians and to aid persons
65 years of age or older in complying with directions for proper use of
pharmaceutical prescriptions. The pamphlet may provide space for recording
information including but not limited to the following:
(a) name and telephone number of the patient;
(b) name and telephone number of the prescribing |
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(c) date of prescription;
(d) name of drug prescribed;
(e) directions for patient compliance; and
(f) name and telephone number of dispensing pharmacy.
In developing the pamphlet, the Department shall consult with the
Illinois State Medical Society, the Center for Minority Health Services,
the Illinois Pharmacists Association and
senior citizens organizations. The Department shall distribute the
pamphlets to physicians, pharmacists and persons 65 years of age or older
or various senior citizen organizations throughout the State.
(19) To conduct a study by April 1, 1994 of the feasibility of
implementing the Senior Companion Program throughout the State for the fiscal
year beginning July 1, 1994.
(20) With respect to contracts in effect on July 1, 1994, the Department
shall increase the grant amounts so that the reimbursement rates paid through
the community care program for chore housekeeping services and homemakers are
at the same rate, which shall be the higher of the 2 rates currently paid.
With respect to all contracts entered into, renewed, or extended on or after
July 1, 1994, the reimbursement rates paid through the community care program
for chore housekeeping services and homemakers shall be the same.
(21) From funds appropriated to the Department from the Meals on Wheels
Fund, a special fund in the State treasury that is hereby created, and in
accordance with State and federal guidelines and the intrastate funding
formula, to make grants to area agencies on aging, designated by the
Department, for the sole purpose of delivering meals to homebound persons 60
years of age and older.
(22) To distribute, through its area agencies on aging, information
alerting seniors on safety issues regarding emergency weather
conditions, including extreme heat and cold, flooding, tornadoes, electrical
storms, and other severe storm weather. The information shall include all
necessary instructions for safety and all emergency telephone numbers of
organizations that will provide additional information and assistance.
(23) To develop guidelines for the organization and implementation of
Volunteer Services Credit Programs to be administered by Area Agencies on
Aging or community based senior service organizations. The Department shall
hold public hearings on the proposed guidelines for public comment, suggestion,
and determination of public interest. The guidelines shall be based on the
findings of other states and of community organizations in Illinois that are
currently operating volunteer services credit programs or demonstration
volunteer services credit programs. The Department shall offer guidelines for
all aspects of the programs including, but not limited to, the following:
(a) types of services to be offered by volunteers;
(b) types of services to be received upon the
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redemption of service credits;
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(c) issues of liability for the volunteers and the
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administering organizations;
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(d) methods of tracking service credits earned and
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service credits redeemed;
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(e) issues of time limits for redemption of service
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(f) methods of recruitment of volunteers;
(g) utilization of community volunteers, community
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service groups, and other resources for delivering services to be received by service credit program clients;
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(h) accountability and assurance that services will
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be available to individuals who have earned service credits; and
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(i) volunteer screening and qualifications.
The Department shall submit a written copy of the guidelines to the General
Assembly by July 1, 1998.
(Source: P.A. 92‑651, eff. 7‑11‑02.)
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(20 ILCS 105/4.02) (from Ch. 23, par. 6104.02)
Sec. 4.02. The Department shall establish a program of services to
prevent unnecessary institutionalization of persons age 60 and older in
need of long term care or who are established as persons who suffer from
Alzheimer's disease or a related disorder under the Alzheimer's Disease
Assistance Act, thereby enabling them
to remain in their own homes or in other living arrangements. Such
preventive services, which may be coordinated with other programs for the
aged and monitored by area agencies on aging in cooperation with the
Department, may include, but are not limited to, any or all of the following:
(a) home health services;
(b) home nursing services;
(c) homemaker services;
(d) chore and housekeeping services;
(e) adult day services;
(f) home‑delivered meals;
(g) education in self‑care;
(h) personal care services;
(i) adult day health services;
(j) habilitation services;
(k) respite care;
(k‑5) community reintegration services;
(l) other nonmedical social services that may enable
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the person to become self‑supporting; or
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(m) clearinghouse for information provided by senior
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citizen home owners who want to rent rooms to or share living space with other senior citizens.
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The Department shall establish eligibility standards for such
services taking into consideration the unique economic and social needs
of the target population for whom they are to be provided. Such eligibility
standards shall be based on the recipient's ability to pay for services;
provided, however, that in determining the amount and nature of services
for which a person may qualify, consideration shall not be given to the
value of cash, property or other assets held in the name of the person's
spouse pursuant to a written agreement dividing marital property into equal
but separate shares or pursuant to a transfer of the person's interest in a
home to his spouse, provided that the spouse's share of the marital
property is not made available to the person seeking such services.
Beginning July 1, 2002, the Department shall require as a condition of
eligibility that all financially eligible applicants and recipients apply
for medical assistance
under Article V of the Illinois Public Aid Code in accordance with rules
promulgated by the Department.
The Department shall, in conjunction with the Department of Public Aid (now Department of Healthcare and Family Services),
seek appropriate amendments under Sections 1915 and 1924 of the Social
Security Act. The purpose of the amendments shall be to extend eligibility
for home and community based services under Sections 1915 and 1924 of the
Social Security Act to persons who transfer to or for the benefit of a
spouse those amounts of income and resources allowed under Section 1924 of
the Social Security Act. Subject to the approval of such amendments, the
Department shall extend the provisions of Section 5‑4 of the Illinois
Public Aid Code to persons who, but for the provision of home or
community‑based services, would require the level of care provided in an
institution, as is provided for in federal law. Those persons no longer
found to be eligible for receiving noninstitutional services due to changes
in the eligibility criteria shall be given 60 days notice prior to actual
termination. Those persons receiving notice of termination may contact the
Department and request the determination be appealed at any time during the
60 day notice period. With the exception of the lengthened notice and time
frame for the appeal request, the appeal process shall follow the normal
procedure. In addition, each person affected regardless of the
circumstances for discontinued eligibility shall be given notice and the
opportunity to purchase the necessary services through the Community Care
Program. If the individual does not elect to purchase services, the
Department shall advise the individual of alternative services. The target
population identified for the purposes of this Section are persons age 60
and older with an identified service need. Priority shall be given to those
who are at imminent risk of institutionalization. The services shall be
provided to eligible persons age 60 and older to the extent that the cost
of the services together with the other personal maintenance
expenses of the persons are reasonably related to the standards
established for care in a group facility appropriate to the person's
condition. These non‑institutional services, pilot projects or
experimental facilities may be provided as part of or in addition to
those authorized by federal law or those funded and administered by the
Department of Human Services. The Departments of Human Services, Healthcare and Family Services,
Public Health, Veterans' Affairs, and Commerce and Economic Opportunity and
other appropriate agencies of State, federal and local governments shall
cooperate with the Department on Aging in the establishment and development
of the non‑institutional services. The Department shall require an annual
audit from all chore/housekeeping and homemaker vendors contracting with
the Department under this Section. The annual audit shall assure that each
audited vendor's procedures are in compliance with Department's financial
reporting guidelines requiring an administrative and employee wage and benefits cost split as defined in administrative rules. The audit is a public record under
the Freedom of Information Act. The Department shall execute, relative to
the nursing home prescreening project, written inter‑agency
agreements with the Department of Human Services and the Department
of Healthcare and Family Services, to effect the following: (1) intake procedures and common
eligibility criteria for those persons who are receiving non‑institutional
services; and (2) the establishment and development of non‑institutional
services in areas of the State where they are not currently available or are
undeveloped. On and after July 1, 1996, all nursing home prescreenings for
individuals 60 years of age or older shall be conducted by the Department.
As part of the Department on Aging's routine training of case managers and case manager supervisors, the Department may include information on family futures planning for persons who are age 60 or older and who are caregivers of their adult children with developmental disabilities. The content of the training shall be at the Department's discretion.
The Department is authorized to establish a system of recipient copayment
for services provided under this Section, such copayment to be based upon
the recipient's ability to pay but in no case to exceed the actual cost of
the services provided. Additionally, any portion of a person's income which
is equal to or less than the federal poverty standard shall not be
considered by the Department in determining the copayment. The level of
such copayment shall be adjusted whenever necessary to reflect any change
in the officially designated federal poverty standard.
The Department, or the Department's authorized representative, shall
recover the amount of moneys expended for services provided to or in
behalf of a person under this Section by a claim against the person's
estate or against the estate of the person's surviving spouse, but no
recovery may be had until after the death of the surviving spouse, if
any, and then only at such time when there is no surviving child who
is under age 21, blind, or permanently and totally disabled. This
paragraph, however, shall not bar recovery, at the death of the person, of
moneys for services provided to the person or in behalf of the person under
this Section to which the person was not entitled;
provided that such recovery shall not be enforced against any real estate while
it is occupied as a homestead by the surviving spouse or other dependent, if no
claims by other creditors have been filed against the estate, or, if such
claims have been filed, they remain dormant for failure of prosecution or
failure of the claimant to compel administration of the estate for the purpose
of payment. This paragraph shall not bar recovery from the estate of a spouse,
under Sections 1915 and 1924 of the Social Security Act and Section 5‑4 of the
Illinois Public Aid Code, who precedes a person receiving services under this
Section in death. All moneys for services
paid to or in behalf of the person under this Section shall be claimed for
recovery from the deceased spouse's estate. "Homestead", as used
in this paragraph, means the dwelling house and
contiguous real estate occupied by a surviving spouse
or relative, as defined by the rules and regulations of the Department of Healthcare and Family Services, regardless of the value of the property.
The Department shall develop procedures to enhance availability of
services on evenings, weekends, and on an emergency basis to meet the
respite needs of caregivers. Procedures shall be developed to permit the
utilization of services in successive blocks of 24 hours up to the monthly
maximum established by the Department. Workers providing these services
shall be appropriately trained.
Beginning on the effective date of this Amendatory Act of 1991, no person
may perform chore/housekeeping and homemaker services under a program
authorized by this Section unless that person has been issued a certificate
of pre‑service to do so by his or her employing agency. Information
gathered to effect such certification shall include (i) the person's name,
(ii) the date the person was hired by his or her current employer, and
(iii) the training, including dates and levels. Persons engaged in the
program authorized by this Section before the effective date of this
amendatory Act of 1991 shall be issued a certificate of all pre‑ and
in‑service training from his or her employer upon submitting the necessary
information. The employing agency shall be required to retain records of
all staff pre‑ and in‑service training, and shall provide such records to
the Department upon request and upon termination of the employer's contract
with the Department. In addition, the employing agency is responsible for
the issuance of certifications of in‑service training completed to their
employees.
The Department is required to develop a system to ensure that persons
working as homemakers and chore housekeepers receive increases in their
wages when the federal minimum wage is increased by requiring vendors to
certify that they are meeting the federal minimum wage statute for homemakers
and chore housekeepers. An employer that cannot ensure that the minimum
wage increase is being given to homemakers and chore housekeepers
shall be denied any increase in reimbursement costs.
The Community Care Program Advisory Committee is created in the Department on Aging. The Director shall appoint individuals to serve in the Committee, who shall serve at their own expense. Members of the Committee must abide by all applicable ethics laws. The Committee shall advise the Department on issues related to the Department's program of services to prevent unnecessary institutionalization. The Committee shall meet on a bi‑monthly basis and shall serve to identify and advise the Department on present and potential issues affecting the service delivery network, the program's clients, and the Department and to recommend solution strategies. Persons appointed to the Committee shall be appointed on, but not limited to, their own and their agency's experience with the program, geographic representation, and willingness to serve. The Committee shall include, but not be limited to, representatives from the following agencies and organizations:
(a) at least 4 adult day service representatives;
(b) at least 4 case coordination unit representatives;
(c) at least 4 representatives from in‑home direct
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(d) at least 2 representatives of statewide trade or
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labor unions that represent in‑home direct care service staff;
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(e) at least 2 representatives of Area Agencies on
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(f) at least 2 non‑provider representatives from a
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policy, advocacy, research, or other service organization;
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(g) at least 2 representatives from a statewide
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membership organization for senior citizens; and
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(h) at least 2 citizen members 60 years of age or
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Nominations may be presented from any agency or State
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association with interest in the program. The Director, or his or her designee, shall serve as the permanent co‑chair of the advisory committee. One other co‑chair shall be nominated and approved by the members of the committee on an annual basis. Committee members' terms of appointment shall be for 4 years with one‑quarter of the appointees' terms expiring each year. At no time may a member serve more than one consecutive term in any capacity on the committee. The Department shall fill vacancies that have a remaining term of over one year, and this replacement shall occur through the annual replacement of expiring terms. The Director shall designate Department staff to provide technical assistance and staff support to the committee. Department representation shall not constitute membership of the committee. All Committee papers, issues, recommendations, reports, and meeting memoranda are advisory only. The Director, or his or her designee, shall make a written report, as requested by the Committee, regarding issues before the Committee.
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The Department on Aging and the Department of Human Services
shall cooperate in the development and submission of an annual report on
programs and services provided under this Section. Such joint report
shall be filed with the Governor and the General Assembly on or before
September 30 each year.
The requirement for reporting to the General Assembly shall be satisfied
by filing copies of the report with the Speaker, the Minority Leader and
the Clerk of the House of Representatives and the President, the Minority
Leader and the Secretary of the Senate and the Legislative Research Unit,
as required by Section 3.1 of the General Assembly Organization Act and
filing such additional copies with the State Government Report Distribution
Center for the General Assembly as is required under paragraph (t) of
Section 7 of the State Library Act.
Those persons previously found eligible for receiving non‑institutional
services whose services were discontinued under the Emergency Budget Act of
Fiscal Year 1992, and who do not meet the eligibility standards in effect
on or after July 1, 1992, shall remain ineligible on and after July 1,
1992. Those persons previously not required to cost‑share and who were
required to cost‑share effective March 1, 1992, shall continue to meet
cost‑share requirements on and after July 1, 1992. Beginning July 1, 1992,
all clients will be required to meet
eligibility, cost‑share, and other requirements and will have services
discontinued or altered when they fail to meet these requirements.
(Source: P.A. 93‑85, eff. 1‑1‑04; 93‑902, eff. 8‑10‑04; 94‑48, eff. 7‑1‑05; 94‑269, eff. 7‑19‑05; 94‑336, eff. 7‑26‑05; 94‑954, eff. 6‑27‑06.)
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(20 ILCS 105/4.02c)
Sec. 4.02c. Comprehensive Care in Residential Settings Demonstration Project.
(a) The Department may establish and fund a demonstration program of bundled services designed to support the specialized needs of clients currently residing in projects that were formerly designated as Community Based Residential Facilities. Participating projects must hold a valid license, which remains unsuspended, unrevoked, and unexpired, under the provisions of the Assisted Living and Shared Housing Act.
(b) The demonstration program must include, at a minimum:
(1) 3 meals per day;
(2) routine housekeeping services;
(3) 24‑hour‑a‑day security;
(4) an emergency response system;
(5) personal laundry and linen service;
(6) assistance with activities of daily living;
(7) medication management; and
(8) money management.
Optional services, such as transportation and social |
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activities, may be provided.
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(c) Reimbursement for the program shall be based on the
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client's level of need and functional impairment, as determined by the Department. Clients must meet all eligibility requirements established by rule. The Department may establish a capitated reimbursement mechanism based on the client's level of need and functional impairment. Reimbursement for program must be made to the Department‑contracted provider delivering the services.
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(d) The Department shall adopt rules and provide
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oversight for the project, with assistance and advice provided by the Assisted Living and Shared Housing Advisory Board and Assisted Living and Shared Housing Quality of Life Committee.
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The project may be funded through the Department
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appropriations that may include Medicaid waiver funds.
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(e) Before January 1, 2008, the Department, in
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consultation with the Assisted Living and Shared Housing Advisory Board, must report to the General Assembly on the results of the demonstration project. The report must include, without limitation, any recommendations for changes or improvements, including changes or improvements in the administration of the program and an evaluation.
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(Source: P.A. 93‑775, eff. 1‑1‑05.)
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(20 ILCS 105/4.04) (from Ch. 23, par. 6104.04)
Sec. 4.04. Long Term Care Ombudsman Program.
(a) Long Term Care Ombudsman Program. The Department shall
establish a Long Term Care Ombudsman Program, through the Office of State
Long Term Care Ombudsman ("the Office"), in accordance with the provisions of
the Older Americans Act of 1965, as now or hereafter amended.
(b) Definitions. As used in this Section, unless the context requires
otherwise:
(1) "Access" has the same meaning as in Section |
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1‑104 of the Nursing Home Care Act, as now or hereafter amended; that is, it means the right to:
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(i) Enter any long term care facility or
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assisted living or shared housing establishment or supportive living facility;
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(ii) Communicate privately and without
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restriction with any resident who consents to the communication;
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(iii) Seek consent to communicate privately and
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without restriction with any resident;
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(iv) Inspect the clinical and other records of a
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resident with the express written consent of the resident;
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(v) Observe all areas of the long term care
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facility or supportive living facilities, assisted living or shared housing establishment except the living area of any resident who protests the observation.
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(2) "Long Term Care Facility" means (i) any facility
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as defined by Section 1‑113 of the Nursing Home Care Act, as now or hereafter amended; and (ii) any skilled nursing facility or a nursing facility which meets the requirements of Section 1819(a), (b), (c), and (d) or Section 1919(a), (b), (c), and (d) of the Social Security Act, as now or hereafter amended (42 U.S.C. 1395i‑3(a), (b), (c), and (d) and 42 U.S.C. 1396r(a), (b), (c), and (d)).
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(2.5) "Assisted living establishment" and "shared
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housing establishment" have the meanings given those terms in Section 10 of the Assisted Living and Shared Housing Act.
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(2.7) "Supportive living facility" means a facility
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established under Section 5‑5.01a of the Illinois Public Aid Code.
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(3) "State Long Term Care Ombudsman" means any
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person employed by the Department to fulfill the requirements of the Office of State Long Term Care Ombudsman as required under the Older Americans Act of 1965, as now or hereafter amended, and Departmental policy.
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(3.1) "Ombudsman" means any designated
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representative of a regional long term care ombudsman program; provided that the representative, whether he is paid for or volunteers his ombudsman services, shall be qualified and designated by the Office to perform the duties of an ombudsman as specified by the Department in rules and in accordance with the provisions of the Older Americans Act of 1965, as now or hereafter amended.
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(c) Ombudsman; rules. The Office of State Long Term Care Ombudsman shall
be composed of at least one full‑time ombudsman and shall include a system of
designated regional long term care ombudsman programs. Each regional program
shall be designated by the State Long Term Care Ombudsman as a subdivision of
the Office and any representative of a regional program shall be treated as a
representative of the Office.
The Department, in consultation with the Office, shall promulgate
administrative rules in accordance with the provisions of the Older Americans
Act of 1965, as now or hereafter amended, to establish the responsibilities of
the Department and the Office of State Long Term Care Ombudsman and the
designated regional Ombudsman programs. The administrative rules shall include
the responsibility of the Office and designated regional programs to
investigate and resolve complaints made by or on behalf of residents of long
term care facilities, supportive living facilities, and assisted living and
shared housing establishments relating to actions, inaction, or
decisions of providers, or their representatives, of long term care
facilities, of supported living facilities, of assisted living and shared
housing establishments, of public agencies, or of social services agencies,
which may adversely affect the health, safety, welfare, or rights of such
residents.
When necessary and appropriate, representatives of the Office shall refer
complaints to the appropriate regulatory State agency.
The Department, in consultation with the Office, shall cooperate with the
Department of Human Services in providing information and training to
designated regional long term care ombudsman programs about the appropriate
assessment and treatment (including information about appropriate supportive
services, treatment options, and assessment of rehabilitation potential) of
persons with mental illness (other than Alzheimer's disease and related
disorders).
The State Long Term Care Ombudsman and all other ombudsmen, as defined in paragraph (3.1) of subsection (b) must submit to background checks under the Health Care Worker Background Check Act and receive training, as prescribed by the Illinois Department on Aging, before visiting facilities. The training must include information specific to assisted living establishments, supportive living facilities, and shared housing establishments and to the rights of residents guaranteed under the corresponding Acts and administrative rules.
(d) Access and visitation rights.
(1) In accordance with subparagraphs (A) and (E) of
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paragraph (3) of subsection (c) of Section 1819 and subparagraphs (A) and (E) of paragraph (3) of subsection (c) of Section 1919 of the Social Security Act, as now or hereafter amended (42 U.S.C. 1395i‑3 (c)(3)(A) and (E) and 42 U.S.C. 1396r (c)(3)(A) and (E)), and Section 712 of the Older Americans Act of 1965, as now or hereafter amended (42 U.S.C. 3058f), a long term care facility, supportive living facility, assisted living establishment, and shared housing establishment must:
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(i) permit immediate access to any resident by a
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designated ombudsman; and
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(ii) permit representatives of the Office, with
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the permission of the resident's legal representative or legal guardian, to examine a resident's clinical and other records, and if a resident is unable to consent to such review, and has no legal guardian, permit representatives of the Office appropriate access, as defined by the Department, in consultation with the Office, in administrative rules, to the resident's records.
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(2) Each long term care facility, supportive living
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facility, assisted living establishment, and shared housing establishment shall display, in multiple, conspicuous public places within the facility accessible to both visitors and residents and in an easily readable format, the address and phone number of the Office of the Long Term Care Ombudsman, in a manner prescribed by the Office.
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(e) Immunity. An ombudsman or any representative of the Office participating
in the good faith performance of his or her official duties
shall have immunity from any liability (civil, criminal or otherwise) in
any proceedings (civil, criminal or otherwise) brought as a consequence of
the performance of his official duties.
(f) Business offenses.
(1) No person shall:
(i) Intentionally prevent, interfere with, or
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attempt to impede in any way any representative of the Office in the performance of his official duties under this Act and the Older Americans Act of 1965; or
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(ii) Intentionally retaliate, discriminate
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against, or effect reprisals against any long term care facility resident or employee for contacting or providing information to any representative of the Office.
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(2) A violation of this Section is a business
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offense, punishable by a fine not to exceed $501.
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(3) The Director of Aging, in consultation with the
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Office, shall notify the State's Attorney of the county in which the long term care facility, supportive living facility, or assisted living or shared housing establishment is located, or the Attorney General, of any violations of this Section.
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(g) Confidentiality of records and identities. The Department shall
establish procedures for the disclosure by the State Ombudsman or the regional
ombudsmen
entities of files maintained by the program. The procedures shall provide that
the files and records may be disclosed only at the discretion of the State Long
Term Care
Ombudsman or the person designated by the State Ombudsman to disclose the files
and records, and the procedures shall prohibit the disclosure of the identity
of any complainant, resident, witness, or employee of a long term care provider
unless:
(1) the complainant, resident, witness, or employee
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of a long term care provider or his or her legal representative consents to the disclosure and the consent is in writing;
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(2) the complainant, resident, witness, or employee
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of a long term care provider gives consent orally; and the consent is documented contemporaneously in writing in accordance with such requirements as the Department shall establish; or
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(3) the disclosure is required by court order.
(h) Legal representation. The Attorney General shall
provide legal representation to any representative of the Office
against
whom suit or other legal action is brought in connection with the
performance of the representative's official duties, in accordance with the
State Employee Indemnification Act.
(i) Treatment by prayer and spiritual means. Nothing in this Act shall
be construed to authorize or require the medical supervision, regulation
or control of remedial care or treatment of any resident in a long term
care facility operated exclusively by and for members or adherents of any
church or religious denomination the tenets and practices of which include
reliance solely upon spiritual means through prayer for healing.
(Source: P.A. 93‑241, eff. 7‑22‑03; 93‑878, eff. 1‑1‑05.)
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(20 ILCS 105/4.04a)
Sec. 4.04a.
Illinois Long‑Term Care Council.
(a) Purpose. The purpose of this Section is to ensure that consumers over
the age of 60
residing in facilities licensed or regulated under the Nursing Home Care Act,
Skilled Nursing and Intermediate Care Facilities Code, Sheltered Care
Facilities Code, and the Illinois Veterans' Homes Code receive high
quality long‑term care through an effective
Illinois Long‑Term Care Council.
(b) Maintenance and operation of the Illinois Long‑Term Care Council.
(1) The Department shall develop a fair and |
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impartial process for recruiting and receiving nominations for members for the Illinois Long‑Term Care Council from the State Long‑Term Care Ombudsman, the area agencies on aging, regional ombudsman programs, provider agencies, and other public agencies, using a nomination form provided by the Department.
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(2) The Department shall appoint members to the
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Illinois Long‑Term Care Council in a timely manner.
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(3) The Department shall consider and act in good
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faith regarding the Illinois Long‑Term Care Council's annual report and its recommendations.
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(4) The Director shall appoint to the Illinois
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Long‑Term Care Council at least 18 but not more than 25 members.
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(c) Responsibilities of the State Long‑Term Care Ombudsman, area agencies on
aging, regional long‑term care
ombudsman
programs, and provider agencies. The State Long‑Term Care Ombudsman and each
area agency on aging, regional long‑term
care
ombudsman program, and provider agency shall solicit names and
recommend members to the Department for appointment to the Illinois Long‑Term
Care Council.
(d) Powers and duties. The Illinois Long‑Term Care Council shall do the
following:
(1) Make recommendations and comment on issues
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pertaining to long‑term care and the State Long‑Term Care Ombudsman Program to the Department.
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(2) Advise the Department on matters pertaining to
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the quality of life and quality of care in the continuum of long‑term care.
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(3) Evaluate, comment on reports regarding, and make
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recommendations on, the quality of life and quality of care in long‑term care facilities and on the duties and responsibilities of the State Long‑Term Care Ombudsman Program.
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(4) Prepare and circulate an annual report to the
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Governor, the General Assembly, and other interested parties concerning the duties and accomplishments of the Illinois Long‑Term Care Council and all other related matters pertaining to long‑term care and the protection of residents' rights.
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(5) Provide an opportunity for public input at each
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(6) Make recommendations to the Director, upon his
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or her request, as to individuals who are capable of serving as the State Long‑Term Care Ombudsman and who should make appropriate application for that position should it become vacant.
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(e) Composition and operation. The Illinois Long‑Term Care Council shall
be composed of at least 18 but not more than 25 members concerned about the
quality of life in long‑term care facilities and protecting the rights of
residents,
including members from long‑term care facilities.
The State Long‑Term Care Ombudsman shall be a permanent member of the
Long‑Term Care Council.
Members
shall be appointed for a 4‑year term with initial appointments staggered with
2‑year, 3‑year, and 4‑year terms. A lottery will determine the terms of office
for the
members of the first term. Members may be reappointed to a term but no
member may be reappointed to more than 2 consecutive terms. The Illinois
Long‑Term Care Council shall meet a minimum of 3 times per calendar year.
(f) Member requirements. All members shall be individuals who have
demonstrated concern about the quality of life in long‑term care facilities. A
minimum of 3 members must be current or former residents of long‑term care
facilities or the family member of a current or former resident of a long‑term
care
facility. A minimum of 2 members shall represent current or former long‑term
care
facility resident councils or family councils. A minimum of 4 members shall be
selected from recommendations by organizations whose members consist of
long‑term care facilities.
A representative of long‑term care
facility employees must also be included as a member.
A minimum of 2 members shall be selected from recommendations of
membership‑based senior advocacy groups or consumer organizations that engage
solely in
legal representation on behalf of residents and immediate families.
There shall be
non‑voting State agency members on the Long‑Term Care Council from the
following agencies: (i) the
Department of Veterans' Affairs; (ii) the Department of Human Services; (iii)
the
Department of Public Health; (iv) the Department on Aging; (v) the Department
of
Public Aid; (vi) the Illinois State Police Medicaid Fraud Control Unit; and
(vii)
others as appropriate.
(Source: P.A. 93‑498, eff. 8‑11‑03.)
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(20 ILCS 105/8.05) (from Ch. 23, par. 6108.05)
Sec. 8.05.
Alzheimer's disease grants.
(a) As used in this Section, unless the context requires otherwise:
(1) "Participant" means an individual with |
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Alzheimer's disease or a disease of a related type, particularly in the moderate to severe stage, whose care, needs and behavioral problems make it difficult for the individual to participate in existing care programs. The individual may be 60 years of age or older on the presumption that he or she is a prospective recipient of service under this Act.
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(2) "Disease of a related type" means any of those
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irreversible brain disorders which result in the symptoms described in paragraph (4). This includes but is not limited to multi‑infarct dementia and Parkinson's disease.
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(3) "Grantee" means any public or private nonprofit
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agency selected by the Department to develop a care program for participants under this Section.
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(4) "Care needs" or "behavioral problems" means the
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manifestations of symptoms which may include but are not limited to memory loss, aphasia (communication disorder), becoming lost or disoriented, confusion and agitation with the potential for combativeness and incontinence.
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(b) In an effort to address the needs of persons suffering from
Alzheimer's disease or a disease of a related type, the Department shall
encourage the development of adult day care for these persons through
administration of specialized Alzheimer's Day Care Resource Centers. These
projects shall be designed to identify and meet the unique needs of the
affected population, including the use of special evaluation standards and
techniques that take into consideration both the physical and cognitive
abilities of individual applicants or recipients.
The Department shall establish at least one urban and one rural
specialized Alzheimer's Day Care Resource Center. Each center shall be
designed so as to meet the unique needs and protect the safety of each
participant. Each center shall be staffed by persons specially trained to
work with participants. Each center shall operate in concert with regional
ADA Centers.
The Department shall contract with a public or private nonprofit
agency or with professional persons in the fields of health or social
services with expertise in Alzheimer's disease, a disease of a related
type, or a related dementia to develop a training module that includes
information on the symptoms and progress of the diseases and to develop
appropriate techniques for dealing with the psychosocial, health, and
physical needs of participants.
The training module shall be developed for specialized Alzheimer's Day
Care Resource Centers and shall be available to other community based
providers who serve this client population. The training module shall be
owned and may be distributed by the Department.
Grants shall be awarded at current rates as set by the Department on
Aging under Section 240.1910 of Title 89 of the Illinois Administrative
Code, with at least one urban and one rural program for the specialized
Alzheimer's Day Care Resource Centers. The Department shall adopt policies,
priorities and guidelines to carry out the purposes of this Section.
(c) A prospective grantee shall apply in a manner prescribed by the
Department and shall:
(1) Identify the special care needs and behavioral
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problems of participants and design its program to meet those needs.
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(2) Demonstrate that its program has adequate and
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appropriate staffing to meet the nursing, psychosocial and recreational needs of participants.
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(3) Provide an outline of the design of its physical
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facilities and the safeguards which shall be used to protect the participants.
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(4) Submit a plan for assisting individuals who
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cannot afford the entire cost of the program. This may include eligibility policies, standards and criteria that are unique to the needs and requirements of the population being served under this Act, notwithstanding the provisions of Section 4.02 and related rules and regulations. This may also include but need not be limited to additional funding sources to provide supplemental aid and allowing family members to participate as volunteers at the facility.
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(5) Submit a plan for using volunteers and volunteer
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aids and provide an outline for adequate training of those volunteers.
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(6) Identify potential sources of funding for its
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facility and outline plans to seek additional funding to remain solvent. This may include private donations and foundation grants, Medicare reimbursement for specific services and the use of adult education and public health services.
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(7) Establish family support groups.
(8) Encourage family members to provide
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transportation to and from the facility for participants.
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(9) Concentrate on participants in the moderate to
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severe range of disability.
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(10) Provide a noon meal to participants. The meal
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may be provided by an organization providing meals to the elderly or needy.
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(11) Establish contact with local educational
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programs such as nursing and gerontology programs to provide onsite training to students.
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(12) Provide services to assist family members,
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including counseling and referral to other resources.
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(13) Serve as a model available to service providers
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for onsite training in the care of participants.
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(d) The Department shall annually report to the General Assembly before
December 1 on the pilot project grants. The report shall include but not
be limited to the following:
(1) A description of the progress made in
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implementing the programs.
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(2) The number of grantees who have established
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programs under this Section.
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(3) The number and characteristics of participants
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served by the programs, including but not limited to age, sex, diagnosis, reason for admission, functional impairment, referral source, living situation, and payment source.
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(4) An evaluation of the usefulness of the programs
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in delaying the placement of the participants in institutions, providing respite to families who care for participants in the home and providing a setting for onsite training in the care of participants.
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(5) A description of findings on the appropriate
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level and type of care required to meet the nursing and psychosocial needs of the participants and appropriate environmental conditions and treatment methods.
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(Source: P.A. 87‑316; 87‑895.)
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