Ill. Admin. Code tit. 77, § 641.90 - Student Identification

The Center must develop a collaborative relationship with other health care providers, insurers, managed care entities, the school health program, students and parents/guardians with the goal of reducing duplication of services, fragmentation and discontinuous of care.

a) The enrollment and registration processes must provide for effective collection of information regarding third-party billing resources and the identity of primary care providers. The Center may not deny access to care to students without insurance.

b) At the point of initial contact and/or any subsequent contacts with the student/family, efforts must be made to obtain current information on whether the student is a member of an MCE and/or recipient of services provided through a school-based/linked health center. This may be accomplished in the following ways:

1) contact with the primary care physician;

2) a question appears on the application;

3) the service provider solicits the information from the student at the time of contact;

4) a copy of the Medical Assistance Program Card or other insurance card, is requested;

5) the parent is contacted (school or home visit);

6) the parent and/or child consent (child release vs. parental release) to the Center obtaining the information (See 410 ILCS 210/1, 2, 3 and 4);

7) written policies are on-site regarding parental consent for treatment for easy reference by Center staff;

8) the Illinois Department of Healthcare and Family Services hotline (800-226-0768) may be contacted regarding assignment; the child's name, date of birth, address and Medical Assistance program number (if known) will be necessary in order for the hotline staff to make the determination of assignment.

Notes

Ill. Admin. Code tit. 77, § 641.90

Recodified from § 2200.90 at 42 Ill. Reg. 12358.