(405 ILCS 80/Art. II heading)
ARTICLE II
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(405 ILCS 80/2-1) (from Ch. 91 1/2, par. 1802-1)
Sec. 2-1.
This Article may be cited as the
Home-Based Support Services Law for Mentally Disabled Adults.
(Source: P.A. 86-921.)
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(405 ILCS 80/2-2) (from Ch. 91 1/2, par. 1802-2)
Sec. 2-2.
The purpose of this Article is to authorize the
Department of Human Services to encourage,
develop, sponsor and fund home-based and community-based services for mentally
disabled adults in order to provide alternatives to institutionalization
and to permit mentally disabled adults to remain in their own homes.
(Source: P.A. 89-507, eff. 7-1-97.)
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(405 ILCS 80/2-3) (from Ch. 91 1/2, par. 1802-3)
Sec. 2-3. As used in this Article, unless the context requires otherwise:
(a) "Agency" means an agency or entity licensed by the Department
pursuant to this Article or pursuant to the Community Residential
Alternatives Licensing Act.
(b) "Department" means the Department of Human Services, as successor to
the Department of Mental Health and Developmental Disabilities.
(c) "Home-based services" means services provided to a mentally disabled
adult who lives in his or her own home. These services include but are
not limited to:
(1) home health services;
(2) case management;
(3) crisis management;
(4) training and assistance in self-care;
(5) personal care services;
(6) habilitation and rehabilitation services;
(7) employment-related services;
(8) respite care; and
(9) other skill training that enables a person to
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(d) "Legal guardian" means a person appointed by a court of competent
jurisdiction to exercise certain powers on behalf of a mentally disabled adult.
(e) "Mentally disabled adult" means a person over the age of 18 years
who lives in his or her own home; who needs home-based services,
but does not require 24-hour-a-day supervision; and who has one of the
following conditions: severe autism, severe mental illness, a severe or
profound intellectual disability, or severe and multiple impairments.
(f) In one's "own home" means that a mentally disabled adult lives
alone; or that a mentally disabled adult is in full-time residence with his
or her parents, legal guardian, or other relatives; or that a mentally
disabled adult is in full-time residence in a setting not subject to
licensure under the Nursing Home Care Act, the Specialized Mental Health Rehabilitation Act of 2013, the ID/DD Community Care Act, or the Child Care Act of 1969, as
now or hereafter amended, with 3 or fewer other adults unrelated to the
mentally disabled adult who do not provide home-based services to the
mentally disabled adult.
(g) "Parent" means the biological or adoptive parent
of a mentally disabled adult, or a person licensed as a
foster parent under the laws of this State who acts as a mentally disabled
adult's foster parent.
(h) "Relative" means any of the following relationships
by blood, marriage or adoption: parent, son, daughter, brother, sister,
grandparent, uncle, aunt, nephew, niece, great grandparent, great uncle,
great aunt, stepbrother, stepsister, stepson, stepdaughter, stepparent or
first cousin.
(i) "Severe autism" means a lifelong developmental disability which is
typically manifested before 30 months of age and is characterized by
severe disturbances in reciprocal social interactions; verbal and
nonverbal communication and imaginative activity; and repertoire of
activities and interests. A person shall be determined severely
autistic, for purposes of this Article, if both of the following are present:
(1) Diagnosis consistent with the criteria for
| | autistic disorder in the current edition of the Diagnostic and Statistical Manual of Mental Disorders.
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(2) Severe disturbances in reciprocal social
| | interactions; verbal and nonverbal communication and imaginative activity; repertoire of activities and interests. A determination of severe autism shall be based upon a comprehensive, documented assessment with an evaluation by a licensed clinical psychologist or psychiatrist. A determination of severe autism shall not be based solely on behaviors relating to environmental, cultural or economic differences.
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(j) "Severe mental illness" means the manifestation of all of the
following characteristics:
(1) A primary diagnosis of one of the major mental
| | disorders in the current edition of the Diagnostic and Statistical Manual of Mental Disorders listed below:
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(A) Schizophrenia disorder.
(B) Delusional disorder.
(C) Schizo-affective disorder.
(D) Bipolar affective disorder.
(E) Atypical psychosis.
(F) Major depression, recurrent.
(2) The individual's mental illness must
| | substantially impair his or her functioning in at least 2 of the following areas:
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(A) Self-maintenance.
(B) Social functioning.
(C) Activities of community living.
(D) Work skills.
(3) Disability must be present or expected to be
| | present for at least one year.
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A determination of severe mental illness shall be based upon a
comprehensive, documented assessment with an evaluation by a licensed
clinical psychologist or psychiatrist, and shall not be based solely on
behaviors relating to environmental, cultural or economic differences.
(k) "Severe or profound intellectual disability" means a manifestation of all
of the following characteristics:
(1) A diagnosis which meets Classification in Mental
| | Retardation or criteria in the current edition of the Diagnostic and Statistical Manual of Mental Disorders for severe or profound mental retardation (an IQ of 40 or below). This must be measured by a standardized instrument for general intellectual functioning.
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(2) A severe or profound level of disturbed adaptive
| | behavior. This must be measured by a standardized adaptive behavior scale or informal appraisal by the professional in keeping with illustrations in Classification in Mental Retardation, 1983.
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(3) Disability diagnosed before age of 18.
A determination of a severe or profound intellectual disability shall be based
upon a comprehensive, documented assessment with an evaluation by a
licensed clinical psychologist or certified school psychologist or a
psychiatrist, and shall not be based solely on behaviors relating to
environmental, cultural or economic differences.
(l) "Severe and multiple impairments" means the manifestation of all of
the following characteristics:
(1) The evaluation determines the presence of a
| | developmental disability which is expected to continue indefinitely, constitutes a substantial handicap and is attributable to any of the following:
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(A) Intellectual disability, which is defined as
| | general intellectual functioning that is 2 or more standard deviations below the mean concurrent with impairment of adaptive behavior which is 2 or more standard deviations below the mean. Assessment of the individual's intellectual functioning must be measured by a standardized instrument for general intellectual functioning.
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(B) Cerebral palsy.
(C) Epilepsy.
(D) Autism.
(E) Any other condition which results in
| | impairment similar to that caused by an intellectual disability and which requires services similar to those required by intellectually disabled persons.
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(2) The evaluation determines multiple handicaps in
| | physical, sensory, behavioral or cognitive functioning which constitute a severe or profound impairment attributable to one or more of the following:
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(A) Physical functioning, which severely impairs
| | the individual's motor performance that may be due to:
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(i) Neurological, psychological or physical
| | involvement resulting in a variety of disabling conditions such as hemiplegia, quadriplegia or ataxia,
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(ii) Severe organ systems involvement such as
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(iii) Physical abnormalities resulting in the
| | individual being non-mobile and non-ambulatory or confined to bed and receiving assistance in transferring, or
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(iv) The need for regular medical or nursing
| | supervision such as gastrostomy care and feeding.
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Assessment of physical functioning must be based
| | on clinical medical assessment by a physician licensed to practice medicine in all its branches, using the appropriate instruments, techniques and standards of measurement required by the professional.
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(B) Sensory, which involves severe restriction
| | due to hearing or visual impairment limiting the individual's movement and creating dependence in completing most daily activities. Hearing impairment is defined as a loss of 70 decibels aided or speech discrimination of less than 50% aided. Visual impairment is defined as 20/200 corrected in the better eye or a visual field of 20 degrees or less. Sensory functioning must be based on clinical medical assessment by a physician licensed to practice medicine in all its branches using the appropriate instruments, techniques and standards of measurement required by the professional.
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(C) Behavioral, which involves behavior that is
| | maladaptive and presents a danger to self or others, is destructive to property by deliberately breaking, destroying or defacing objects, is disruptive by fighting, or has other socially offensive behaviors in sufficient frequency or severity to seriously limit social integration. Assessment of behavioral functioning may be measured by a standardized scale or informal appraisal by a clinical psychologist or psychiatrist.
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(D) Cognitive, which involves intellectual
| | functioning at a measured IQ of 70 or below. Assessment of cognitive functioning must be measured by a standardized instrument for general intelligence.
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(3) The evaluation determines that development is
| | substantially less than expected for the age in cognitive, affective or psychomotor behavior as follows:
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(A) Cognitive, which involves intellectual
| | functioning at a measured IQ of 70 or below. Assessment of cognitive functioning must be measured by a standardized instrument for general intelligence.
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(B) Affective behavior, which involves over and
| | under responding to stimuli in the environment and may be observed in mood, attention to awareness, or in behaviors such as euphoria, anger or sadness that seriously limit integration into society. Affective behavior must be based on clinical assessment using the appropriate instruments, techniques and standards of measurement required by the professional.
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(C) Psychomotor, which includes a severe
| | developmental delay in fine or gross motor skills so that development in self-care, social interaction, communication or physical activity will be greatly delayed or restricted.
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(4) A determination that the disability originated
| | before the age of 18 years.
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A determination of severe and multiple impairments shall be based upon a
comprehensive, documented assessment with an evaluation by a licensed
clinical psychologist or psychiatrist.
If the examiner is a licensed clinical psychologist, ancillary evaluation
of physical impairment, cerebral palsy or epilepsy must be made by a
physician licensed to practice medicine in all its branches.
Regardless of the discipline of the examiner, ancillary evaluation of
visual impairment must be made by an ophthalmologist or a licensed optometrist.
Regardless of the discipline of the examiner, ancillary evaluation of
hearing impairment must be made by an otolaryngologist or an audiologist
with a certificate of clinical competency.
The only exception to the above is in the case of a person with cerebral
palsy or epilepsy who, according to the eligibility criteria listed below,
has multiple impairments which are only physical and sensory. In such a
case, a physician licensed to practice medicine in all its branches may
serve as the examiner.
(m) "Twenty-four-hour-a-day supervision" means 24-hour-a-day care by a
trained mental health or developmental disability professional on an ongoing
basis.
(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813, eff. 7-13-12; 98-104, eff. 7-22-13.)
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(405 ILCS 80/2-4) (from Ch. 91 1/2, par. 1802-4)
Sec. 2-4.
The Department shall establish a Home-Based Support
Services Program for Mentally Disabled Adults ("the Program") under this Article. The
purpose of the Program
is to provide alternatives to institutionalization of mentally
disabled adults and to permit these individuals to live in their own homes.
The Department shall implement the purpose of the
Program by providing home-based
services to mentally disabled adults who need home-based services and who
live in their own homes.
(Source: P.A. 86-921.)
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(405 ILCS 80/2-5) (from Ch. 91 1/2, par. 1802-5)
Sec. 2-5.
The Department shall establish eligibility standards for
the Program, taking into consideration the disability levels and service
needs of the target population. The Department shall create application
forms which shall be used to determine the eligibility of mentally disabled
adults to participate in the Program. The forms shall be made available by
the Department and shall require at least the following items of
information which constitute eligibility criteria for participation in the
Program:
(a) A statement that the mentally disabled adult
| | resides in the State of Illinois and is over the age of 18 years.
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(b) Verification that the mentally disabled adult has
| | one of the following conditions: severe autism, severe mental illness, a severe or profound intellectual disability, or severe and multiple impairments.
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(c) Verification that the mentally disabled adult has
| | applied and is eligible for federal Supplemental Security Income or federal Social Security Disability Income benefits.
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(d) Verification that the mentally disabled adult
| | resides full-time in his or her own home or that, within 2 months of receipt of services under this Article, he or she will reside full-time in his or her own home.
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The Department may by rule adopt provisions establishing liability of
responsible relatives of a recipient of services under this Article for the
payment of sums representing charges for services to such recipient. Such
rules shall be substantially similar to the provisions for such liability
contained in Chapter V of the Mental Health and Developmental Disabilities
Code, as now or hereafter amended, and rules adopted pursuant thereto.
(Source: P.A. 97-227, eff. 1-1-12; 98-756, eff. 7-16-14.)
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(405 ILCS 80/2-6) (from Ch. 91 1/2, par. 1802-6)
Sec. 2-6.
An application for the Program shall be submitted to the
Department by the mentally disabled adult or, if the mentally disabled adult
requires a guardian, by his or her legal guardian. If the application for
participation in the Program is approved by the Department and the mentally
disabled adult is eligible to receive services under this Article, the mentally
disabled adult shall be made aware of the availability of a community support
team and shall be offered case management services. The amount of the
home-based services provided by the Department in any month shall be determined
by the service plan of the mentally disabled adult, but in no case shall it be
more than either:
(a) three hundred percent of the monthly federal
| | Supplemental Security Income payment for an individual residing alone if the mentally disabled adult is not enrolled in a special education program by a local education agency, or
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(b) two hundred percent of the monthly Supplemental
| | Security Income payment for an individual residing alone if the mentally disabled adult is enrolled in a special education program by a local education agency.
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Upon approval of the Department, all or part of the monthly amount approved
for home-based services to participating adults may be used as a one-time or
continuing payment to the eligible adult or the adult's parent or guardian to
pay for specified tangible items that are directly related to meeting basic
needs related to the person's mental disabilities.
Tangible items include, but are not limited to: adaptive equipment,
medication not covered by third-party payments, nutritional supplements, and
residential modifications.
(Source: P.A. 88-388.)
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(405 ILCS 80/2-7) (from Ch. 91 1/2, par. 1802-7)
Sec. 2-7.
Services supported by this Article shall be offered by
community health and developmental service providers which have been
approved and designated by the Department.
(Source: P.A. 86-921.)
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(405 ILCS 80/2-8) (from Ch. 91 1/2, par. 1802-8)
Sec. 2-8.
Services provided by the Department under the
Program shall be denied:
(a) if the mentally disabled adult no longer meets the eligibility criteria,
(b) if the mentally disabled adult submits false information in an
application or
reapplication for participation in the Program, or
(c) if the mentally disabled adult fails to request or access any
services after 120 days. Prior to making the decision, if the adult with
mental disabilities has failed to request or access any services within 90
days, the Department shall give written notice to the person who signed the
application that participation in the Program will be denied if services
are not requested or accessed within 30 days.
Whenever services provided by the Department under the Program are denied
for the reasons in paragraphs (a), (b), or (c) of this Section, the Department shall give
written notice of the decision and the reasons for denial of services to
the person who signed the application. Such notice shall contain
information on requesting an appeal under Section 2-13.
(Source: P.A. 86-921; 87-1158.)
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(405 ILCS 80/2-9) (from Ch. 91 1/2, par. 1802-9)
Sec. 2-9.
Reapplication for participation in the
Program shall be made annually.
(Source: P.A. 86-921.)
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(405 ILCS 80/2-10) (from Ch. 91 1/2, par. 1802-10)
Sec. 2-10.
Before eligible mentally disabled adults receive services
under this Article, they shall maximize use of other services provided by
other governmental agencies, including but not limited to educational and
vocational services.
(Source: P.A. 86-921.)
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(405 ILCS 80/2-11) (from Ch. 91 1/2, par. 1802-11)
Sec. 2-11.
The Department, as successor to any agreements between the
Department of Mental Health and
Developmental Disabilities and the Department of Rehabilitation
Services for the provision of training, employment placement, and
employment referral services for the mentally disabled adults served under this
Article, shall carry out the responsibilities, if any, incurred by its
predecessor agencies under those agreements.
(Source: P.A. 89-507, eff. 7-1-97.)
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(405 ILCS 80/2-12) (from Ch. 91 1/2, par. 1802-12)
Sec. 2-12.
(Repealed).
(Source: P.A. 86-921. Repealed by P.A. 92-111, eff. 1-1-02.)
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(405 ILCS 80/2-13) (from Ch. 91 1/2, par. 1802-13)
Sec. 2-13.
If the Department denies an application for participation
in the Program or denies services as provided in Section 2-8,
the Department shall give written notice of the denial to the person who
signed the application. The person who signed the application may appeal
the Department's denial within 20 days after receipt of the Department's
written notice by mailing a written appeal request to the Department. The
Department's denial of an appeal shall constitute a final administrative
decision. Final administrative decisions shall be subject to judicial
review exclusively as provided in the Administrative Review Law, as now or
hereafter amended, except that any petition for judicial review of a final
administrative decision by the Department under this Article shall be filed
within 30 days after receipt of notice of the Department's final
administrative decision. The term "administrative decision" has the meaning
ascribed
to it in Section 3-101 of the Code of Civil Procedure, as now or hereafter
amended.
(Source: P.A. 86-921; 87-1158.)
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(405 ILCS 80/2-14) (from Ch. 91 1/2, par. 1802-14)
Sec. 2-14.
The Department shall make available financial assistance
to adults with a developmental disability to effectuate implementation of the
Developmental Disabilities Services Plan developed under Article I of this Act.
The Department shall develop a plan and rules for making home-based services
uniformly available to eligible adults throughout the State to the extent that
appropriations allow.
(Source: P.A. 88-380.)
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(405 ILCS 80/2-15) (from Ch. 91 1/2, par. 1802-15)
Sec. 2-15.
The Department shall have all powers and duties necessary
to implement this Article.
(Source: P.A. 86-921.)
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(405 ILCS 80/2-16) (from Ch. 91 1/2, par. 1802-16)
Sec. 2-16.
The Department shall adopt rules pursuant to the Illinois
Administrative Procedure Act to implement the Home-Based Support Services
Program for Mentally Disabled Adults. The rules shall include the intake
procedures, application process and eligibility requirements for mentally
disabled adults who apply for services under the
Program.
(Source: P.A. 86-921.)
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(405 ILCS 80/2-17)
Sec. 2-17. Transition from special education.
(a) If a person receiving special educational services under Article 14 of
the School Code at a school in this State has severe autism, severe mental
illness, a severe or profound intellectual disability, or severe and multiple
impairments and is not over 18 years of age but is otherwise eligible to
participate in the Program, the person shall be determined eligible to
participate in the
Program, subject to the availability of funds appropriated for this purpose,
when he or she becomes an adult and no longer receives special
educational services.
(b) The Department shall implement this Section for fiscal years beginning
July 1, 1996 and thereafter.
(Source: P.A. 97-227, eff. 1-1-12.)
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