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Illinois Adult Health Services Provider Policy Manual

$4,199.00Price
ABOUT THIS POLICY MANUAL
 
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The Illinois Adult Health Services Provider Policy Manual establishes a comprehensive framework for agencies delivering adult day health services to individuals with disabilities or older adults in community-based settings. This manual aligns with the Illinois Administrative Code (Title 89, Part 240), the Medicaid Home and Community-Based Services (HCBS) Waiver regulations (42 CFR 441.301), and the Illinois Department on Aging (IDoA) standards, ensuring compliance with state and federal requirements.
The manual provides detailed guidance for implementing adult health services under programs administered by the Illinois Department of Healthcare and Family Services (IDHFS) and IDoA. These services are designed to support individuals in maintaining their health, independence, and community involvement while reducing reliance on institutional care. 
Key areas covered include:
  • Eligibility and Service Access: Policies outline eligibility criteria for individuals who are Medicaid-eligible, require assistance with activities of daily living (ADLs), or need health monitoring and therapeutic interventions to remain in the community.
  • Service Delivery Standards: Adult health services include nursing care, medication management, physical therapy, occupational therapy, social activities, nutritional support, and assistance with ADLs.
  • Individualized Care Plans: Develops person-centered care plans based on comprehensive assessments of each individual’s medical needs, functional abilities, and personal goals.
  • Staff Qualifications and Training: Employment for licensed healthcare professionals such as Registered Nurses (RNs), therapists, and trained direct care staff who meet state licensure and certification requirements.
  • Health and Safety: Policies emphasize infection control practices, emergency preparedness plans, medication safety protocols, and procedures for reporting adverse events.
  • Client Rights: Safeguards ensure that individuals receiving adult health services are treated with dignity, respect, and autonomy while maintaining their privacy and confidentiality.
  • Funding and Reimbursement: The manual includes information on Medicaid reimbursement processes, billing procedures for adult day health services, and reporting obligations for providers.
  • Quality Assurance: Implementation of quality improvement measurements in monitoring service effectiveness, client satisfaction, and compliance with regulatory standards.
  • Coordination of Care: Guidelines encourage collaboration between adult health service providers and other healthcare professionals such as physicians, home care agencies, case managers, and community organizations.
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