"Accreditation" - means a process establishing that a program
complies with nationally recognized standards of care set by one of the
following:
Accreditation Manual for Hospitals (Joint Commission on
Accreditation of Healthcare Organizations (JCAHO), One Renaissance Boulevard,
Oakbrook Terrace, Illinois 60181, 1993);
Manual on Agency Accreditation (Council of Accreditation of
Services for Families and Children (COA), 520 Eighth Avenue, Suite 2202B, New
York, New York 10018, 1993);
Mental Health Standards (Joint Commission on Accreditation of
Healthcare Organizations (JCAHO), One Renaissance Boulevard, Oakbrook Terrace,
Illinois 60181, 1993);
Standards for Services for People with Developmental
Disabilities (The Council on Quality and Leadership in Supports for People with
Disabilities (The Council), 100 West Road, Suite 406, Towson, Maryland 21204,
1990);
Standards Manual for Organizations Serving People with
Disabilities (Commission on Accreditation of Rehabilitation Facilities (CARF),
101 North Wilmot Road, Suite 500, Tuscon, Arizona 85711, July 1992).
"Agency" - means the individual or organization with whom the
Department has a contract/agreement for services. The term Provider is
synonymous with agency.
"Arm's Length Transaction" - means a transaction between two
parties, with neither party having the ability to control or exercise
significant influence over the other party in the making or implementing of
financial and operational decisions.
"Day" - means a calender day.
"Deemed Status" - means an agency has been accredited by an
approved accrediting body as identified in Section
509.110. The
Department may deem the agency to be in substantial compliance with all or part
of Sections
509.30
and
509.80
at the sole discretion of the Department. Deemed status, however, may be
nullified by a finding by the Department that the agency is in substantial
non-compliance with one or more of the designated Sections of this Part.
"Department" - means the Illinois Department of Human
Services.
"Fee-for-Service" - means a program for which the payments are
made on the basis of a rate, unit cost or allowable cost incurred and are based
on a statement or bill as required by the Department. Payments made as a
fee-for-service are not subject to the Illinois Grant Funds Recovery Act [30
ILCS 705 ].
"Grant" - means a program that receives all or part of the
funding in advance of the actual delivery of services. This includes prorated
prospective payments and payments made by the Department on an estimated basis
or any other basis when the Department does not know the actual amount earned
by the Provider. This does not include advance payments made under the
authority of Section 9.05 of the State Finance Act [30
ILCS 105/9.05 ]. All funds paid as a grant are subject
to the Illinois Grant Funds Recovery Act [30 ILCS 705 ].
"Secretary" - means the Secretary of the Illinois Department of
Human Services.
