Section 686.200 Homemaker Service Provider Requirements

Section 686

Section 686.200  Homemaker

Service Provider Requirements

In order to provide Homemaker Services

under HSP (see 89 Ill. Adm. Code 676.40), a Homemaker Service Provider must be

in compliance with all Medicaid provider requirements for the Illinois

Department of Healthcare and Family Services (HFS) and DHS.

a)         Only Homemaker Service Providers with an approved Homemaker Agreement

may be used to provide Homemaker Services to individuals being served through

HSP.

b)         In order to be approved by HSP, the Homemaker Service Provider

must comply with the following, to the satisfaction of HSP:

1)         provide a comprehensive array of services that include, but

are not limited to, those services described in Section 686.210;

2)         assure HSP that all referrals will be responded to within 48

hours after receipt from HSP;

3)         have written billing procedures and provide a copy to HSP as

part of the compliance review;

4)         have documented procedures to cover unexpected absences and

emergencies to ensure services will be provided in an adequate and safe manner

to all individuals served by the Homemaker Service Provider;

5)         have written procedures to respond to customer and counselor

complaints regarding services;

6)         maintain comprehensive written job descriptions for, at a

minimum, the positions of Executive Director or Administrator, supervisory

staff, and Homemakers;

7)         have established a local presence to ensure regular and

on-going contact with HSP and other appropriate community groups;

8)         have procedures for regular and on-going recruitment of Homemakers

through local resources;

9)         be incorporated or provide HSP with a copy of a written

statement of purpose and function;

10)         maintain adequate records for planning, budgeting,

administration and program evaluation and planning

regular and

on-going contact with HSP and other appropriate community groups;

8)         have procedures for regular and on-going recruitment of Homemakers

through local resources;

9)         be incorporated or provide HSP with a copy of a written

statement of purpose and function;

10)         maintain adequate records for planning, budgeting,

administration and program evaluation and planning. These records shall be

available at all times to HSP and the United States Department of Health and

Human Services (HHS), or any entity designated by HSP or HHS, and shall be

maintained for a period of at least 5 years, or until advised that all State

and federal audits are completed.  These records must include, but not be

limited to:

A)        records of all referrals, including the disposition of each

referral;

B)        customer records, which include:

i)          dates and times services were provided to each individual;

ii)         dates and times of supervisor-Homemaker weekly conferences;

iii)        semi-annual reports of supervisory visits with each customer

served;

iv)        monthly service reports for each customer served that document

a summary of services, actual or anticipated changes in the customer's

condition, recommended changes in the current HSP Service Plan, and all

customer contacts;

v)         records of all staffings held pertaining to the customer;

vi)        records of all financial transactions between the customer and

any Homemaker Service Provider employee;

C)        administrative records, which include:

i)          cumulative service statistics pertaining to any agreement

with HSP;

ii)         billing and payment records that pertain to HSP;

D)        personnel records, which include:

i)          attendance records;

ii)         schedules for all direct service staff;

iii)        documentation regarding each individual's qualification for

the position held;

iv)        wage rate and effective date for each staff member;

v)         job performance evaluations for each staff pe

ii)         billing and payment records that pertain to HSP;

D)        personnel records, which include:

i)          attendance records;

ii)         schedules for all direct service staff;

iii)        documentation regarding each individual's qualification for

the position held;

iv)        wage rate and effective date for each staff member;

v)         job performance evaluations for each staff person that include

annual evaluations and at least one probationary evaluation completed within

the first six months of employment;

vi)        orientation and training attendance information for each staff

member, which must include the name of each instructor, the date, the time and

the title of each training program attended; and

vii)       verification of liability insurance in the amounts of at least

$15,000 per person bodily injury, $30,000 minimum per occurrence, and $10,000

in property damage, per occurrence, if the employee will or could be expected

to transport customers in the course of his/her work;

11)         maintain insurance coverage against any and all liability,

loss, damage and/or expense from wrongful or negligent acts of the Homemaker

Service Provider or any of its employees and provide HSP with written

verification of that coverage;

12)         maintain written procedures on reporting loss and damage

arising from the wrongful or negligent acts of the Homemaker Service Provider

or any of its employees;

13)         agree to hold harmless DHS and HSP against any and all

liability, loss, damage, cost, or expense arising from wrongful or negligent

acts of the Homemaker Service Provider or any of its employees;

14)         assist HSP in monitoring and evaluating the Homemaker Service

Provider's performance under any agreement with HSP;

15)         maintain any and all information regarding individuals

referred to the Homemaker Service Provider by HSP as confidential and not for

public release without the written consent of HSP and the customer;

16)         maintain and have available for r

employees;

14)         assist HSP in monitoring and evaluating the Homemaker Service

Provider's performance under any agreement with HSP;

15)         maintain any and all information regarding individuals

referred to the Homemaker Service Provider by HSP as confidential and not for

public release without the written consent of HSP and the customer;

16)         maintain and have available for review by customers and

purchasers of services policies governing:

A)        the nature and scope of each service provided by the Homemaker

Service Provider;

B)        a two-way receipt system for any time an employee of the Homemaker

Service Provider handles an individual's money, food stamps or other negotiable

items or tender;

C)        personnel policies governing salary, leave time, hours of work,

employee grievance procedures, and attendance at in and out-service trainings;

and

17)         have in place an Affirmative Action Plan that is approved by

its governing body.

c)         At a minimum, each Homemaker Service Provider must employ

qualified staff in the positions of:

1)         Executive Director or Administrator for each local unit

providing services, who is responsible for the administration of the Homemaker

Services program and who, at a minimum, has or is making continued progress

towards:

A)        a Bachelor's degree in health, human services, or a related

field;

B)        licensure as a Registered Nurse pursuant to the Nurse Practice

Act;

C)        certification as a home health care administrator, medical

clinic administrator, or other health services administrator; or

D)        one year of related job experience in social services or in a

health agency to replace each year of education required in subsections

h, human services, or a related

field;

B)        licensure as a Registered Nurse pursuant to the Nurse Practice

Act;

C)        certification as a home health care administrator, medical

clinic administrator, or other health services administrator; or

D)        one year of related job experience in social services or in a

health agency to replace each year of education required in subsections

(c)(1)(A) through (C), provided that at least one year of experience was in a

program that provides services to individuals with disabilities.

2)         For the purposes of subsections (c)(1)(A) through (C)

"continued progress" shall mean current registration and evidence of

successful completion of course work in an accredited junior college, college,

or university for a minimum of 2 semesters or 3 quarters of each academic

year.  Successful completion shall mean a grade of at least "C" in undergraduate

course work or a grade of "B" in graduate course work;

3)         Supervisors, in a ratio of no less than the equivalent of one

full-time supervisor to the equivalent of every 20 full-time Homemakers, who are

responsible for the supervision of Homemaker staff and who, at a minimum, have:

A)        a Bachelor's degree with course work in social science, home

economics, or nursing;

B)        knowledge and skill equivalent to completion of a Bachelor's

degree, as described in subsection (c)(1)(A); or

C)        a high school diploma or its equivalent plus health service

experience including at least 2 years supervisory experience;

4)         Homemakers who have:

A)        been determined to be in good health;

B)        knowledge and skill equivalent to a high school diploma;

C)        experience as a homemaker, either in his or her own home or

through employment; and

D)        knowledge of:

i)          nursing care;

ii)         first aid;

iii)        personal and environmental hygiene;

iv)        household budgeting;

v)         housekeeping;

vi)        nutrition;

vii)       food preparation; and

viii)      clot

knowledge and skill equivalent to a high school diploma;

C)        experience as a homemaker, either in his or her own home or

through employment; and

D)        knowledge of:

i)          nursing care;

ii)         first aid;

iii)        personal and environmental hygiene;

iv)        household budgeting;

v)         housekeeping;

vi)        nutrition;

vii)       food preparation; and

viii)      clothing care.

d)         Each supervisor and Homemaker must, at a minimum, participate

in the following training programs:

1)         Orientation, which shall include:

A)        the philosophy and purpose of Homemaker Services; and

B)        the functions of Homemaker Services;

2)         In-service training, directed at increasing the Homemaker

Service Provider's knowledge and skills, of not less than 12 hours each year in

areas including:

A)        disability awareness; and

B)        Acquired Immunodeficiency Syndrome (AIDS).

e)         The Homemaker Service Provider shall have a written policy and

procedures governing a self-evaluation process to evaluate services and case

management with an outcome of written recommendations to the governing body of

the Homemaker Service Provider to improve the services provided.

f)         The Homemaker Service Provider shall abide by provisions of

the following federal and State laws and regulations regarding employment

practices and compliance:

1)         Laws and Regulations

A)        Title VI of the Civil Rights Act of

1964 (42 USC 2000d);

B)        Section

504 of the Rehabilitation Act of 1973 (29 USC 701);

C)        the

Americans With Disabilities Act (42 USC 12101);

D)        the

Illinois Human Rights Act [775 ILCS 5];

E)        the Health Care Worker Background Check Act [225 ILCS 46]; and

F)         the Health Insurance Portability and Accountability Act (42

USC 1320(d) et seq.)

the Civil Rights Act of

1964 (42 USC 2000d);

B)        Section

504 of the Rehabilitation Act of 1973 (29 USC 701);

C)        the

Americans With Disabilities Act (42 USC 12101);

D)        the

Illinois Human Rights Act [775 ILCS 5];

E)        the Health Care Worker Background Check Act [225 ILCS 46]; and

F)         the Health Insurance Portability and Accountability Act (42

USC 1320(d) et seq.).

2)         Further, the Homemaker Service Provider shall provide HSP with

a letter certifying compliance with the provisions of the laws listed in

subsection (f)(1) and a copy of the Affirmative Action Plan for the Homemaker

Service Provider.