Providing CCP Services

After a Case Coordination Unit (CCU) determines that an individual is eligible for CCP and develops a plan of care for the new client, the client may select a provider from among those serving the client’s geographic area. If a client does not choose a provider, the Department has established a rotation plan for referrals. The proportionate share of new referrals will vary by the number of providers in the same geographic service area.

Official notification is made by the CCU with information about the client, the services to be provided, and the initial service date. The agency will be required to provide services within 15 days* from the date the agency is notified.

All clients referred by choice or rotation to respective providers must be accepted and served within the required time frames. The provider must have sufficient back-up personnel to ensure service if there is an unexpected increase in client caseload.

*NOTE: The agency will be required to provide service within two work days from the date the agency is notified if a client is at imminent risk of nursing home placement.

The Department cannot establish contractually either the number of clients referred to a provider or the number of units of service provided by a provider. Therefore, the successful provider applicant must be prepared at any time to receive new clients and to serve those clients within required time frames. Only the rate of reimbursement per unit of service delivered can be established contractually by the Department.

No. The CCP rules require provider agencies to operate a place of business in a properly zoned area.

Yes. The CCP rules do not prohibit provider agencies from using volunteers; however, any volunteers used to serve CCP clients must meet the same requirements as paid staff, including criminal background checks and annual training requirements.

NOTE: In-home service providers who use volunteers to serve CCP clients are still required to expend a minimum of 77% of the total revenues due from the Department for direct service worker costs. For more information about provider financial reporting requirements, refer to the CCP rules, Sections 240.2020 - 240.2050.

CCP provider agencies are required to carry general liability insurance; workers compensation for direct service staff; volunteer protection, if volunteers are used; and motor vehicle liability, uninsured motorist and medical payment coverage, if agency staff transports clients in agency vehicles. For more information about minimum insurance requirements, refer to the CCP rules, Section 240.1520.

NOTE: The insurance requirements represent the minimum coverage for liability purposes in operating a business. An agency should consult a professional advisor about the possibility of additional insurance needs as part of its risk management practices.

A current CCP provider must comply with new requirements in the CCP rules as directed by the Department. For example, various amendments to the CCP rules were recently adopted by the Department with an effective date of March 23, 2009. Shortly thereafter, upon publication of a notice in the Illinois Register early in April, the Department sent out a separate notification via email to all current CCP providers to announce promulgation of the new rules in order to proceed with implementation of programmatic changes under the CCP. The notification informed provider agencies that the Department would begin to monitor for compliance starting 30 days after issuance of the notice.

A provider agency should always act in a proactive manner and contact the Department if it is encountering any unusual circumstances that impede full compliance with rule changes in a timely manner.

NOTE: Any agency that intends to cease being a service provider under CCP must give at least 30 days’ written notice to the Department to minimize disruption to clients in transferring the caseload to another vendor.

No. A CCP provider cannot make unilateral changes in its old service contract with the Department under the CCP. It must continue to offer services as described in any prior Request for Proposal that was used by the Department in awarding a contract under the CCP until expiration of the agreed upon term or the provider is successfully certified for the first time under the new CCP rules and the agency enters into a new agreement with the Department.