Illinois Compiled Statutes 305 ILCS 5/5F-25 – Care coordination
Current as of: 2024 | Check for updates
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Care coordination provided to all enrollees in the Demonstration Project shall conform to the following requirements:
(1) care coordination services shall be
(1) care coordination services shall be
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enrollee-driven and person-centered;
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(2) all enrollees in the Demonstration Project shall
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have the right to receive health care services in the care setting of their choice, except as permitted by Part 4 of Article III of the Nursing Home Care Act with respect to involuntary transfers and discharges; and
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(3) decisions shall be based on the enrollee‘s best
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interests.
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Terms Used In Illinois Compiled Statutes 305 ILCS 5/5F-25
- Demonstration Project: means the nursing home component of the Medicare-Medicaid Alignment Initiative Demonstration Project. See Illinois Compiled Statutes 305 ILCS 5/5F-15
- Enrollee: means an individual who resides in a nursing home or is qualified to be admitted to a nursing home and is enrolled with a managed care organization participating in the Demonstration Project. See Illinois Compiled Statutes 305 ILCS 5/5F-15
- Health care services: means the diagnosis, treatment, and prevention of disease and includes medication, primary care, nursing or medical care, mental health treatment, psychiatric rehabilitation, memory loss services, physical, occupational, and speech rehabilitation, enhanced care, medical supplies and equipment and the repair of such equipment, and assistance with activities of daily living. See Illinois Compiled Statutes 305 ILCS 5/5F-15
- Nursing home: means a facility licensed under the Nursing Home Care Act. See Illinois Compiled Statutes 305 ILCS 5/5F-15