Sec. 5-2.06b. Certified family health aide program for children and adults.

434 words·~2 min read·/il/chapter-305/act-5/5-2-06b

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(a)The Department of Healthcare and Family Services may seek any federal approval from the Centers for Medicare and Medicaid Services necessary to reimburse a legally responsible caregiver or a person designated by a legally responsible caregiver, as defined in the Certified Family Health Aide Program for Children and Adults Act, who has achieved certification as a certified family health aide to perform or assist in performance of services for a person who receives or is eligible to receive:

(1)in-home shift nursing services under the Early and Periodic Screening, Diagnostic and Treatment requirement of Medicaid under 42 U.S.C. 1396d(r); or

(2)the home and community-based services waiver program authorized under Section 1915(c) of the Social Security Act for a designated person or designated persons who are medically fragile and technology dependent. Implementation of any and all parts of the certified family health aide program is subject to the Department of Healthcare and Family Services receiving all necessary federal approval. If the Department of Healthcare and Family Services receives all necessary federal approval the Department may adopt rules in consultation with the Department of Public Health to specify the federally approved services eligible for reimbursement under the certified family health aide certification and to adopt any other policies or procedures necessary to implement this Section.

(b)The Department of Healthcare and Family Services, in partnership with the Department of Public Health, may consult with stakeholders for expertise regarding implementation of the certified family health aide program. Stakeholders may include, the University of Illinois at Chicago, Division of Specialized Care for Children, home nurse agencies, a physician with medical experience with the population being served by the program, children's hospitals, a legally responsible caregiver as described in item

(3)of Section 10 of the Certified Family Health Aide Program for Children and Adults Act, and a Children's Community-Based Health Care Clinic.

(c)Subject to federal approval, the Department of Healthcare and Family Services may adopt rules to disregard income earned by a legally responsible caregiver in the performance of or assisting in the performance of services for a person receiving or eligible to receive:

(1)in-home shift nursing services under the Early and Periodic Screening, Diagnostic and Treatment requirement of Medicaid under 42 U.S.C. 1396d(r); or

(2)the home and community-based services waiver program authorized under Section 1915(c) of the Social Security Act for a designated person or designated persons who are medically fragile and technology dependent, when determining the child's eligibility for medical assistance under the Medical Assistance-No Grant (MANG (AABD)) Income Standard.