Illinois’ Adult Pr ote c tive Se r vic e s Pr ogr am Update s 1 L o is Mo o rma n, Pro g ra m Administra to r Offic e o f Adult Pro te c tive Se rvic e s E lle n Byro n, De puty Ge ne ra l Co unse l I llino is De pa rtme nt o n Ag ing - Oc to b e r 16, 2018
Ke y Ar e a s of Pr og r a m Cha ng e s 2 Adult Pr ote c tive Se r vic e s (APS) Re gistr y Se r vic e s to Individuals who se lf- ne gle c t Public Ac t 100- 0641
APS Re g istr y - Pur pose 3 Pr ote c ts e ligible adults who re side in a do me stic living situa tio n & re c e ive in-ho me o r c o mmunity-b a se d se rvic e s fro m c a re g ive rs (fo rmal o r info rmal) a g a inst who m a ve rifie d & sub sta ntia te d de c isio n o f a b use , ne g le c t, o r fina nc ia l e xplo ita tio n (ANE ) wa s ma de b y a n Adult Pro te c tive Se rvic e s (APS) Pro vide r Ag e nc y Plac e s the ide ntity of the c ar e give r with a ve rifie d & sub sta ntia te d de c isio n o n the APS Re g istry No te APS Re gistr y - 320 IL CS 20/ 7.5 and 89 IAC 270, Subpar t E T he APS Re gistr y Rule (Par t 270) was ado pte d o n June 8, 2018 and was e ffe c tive July 1, 2018 T we nty-five (25) state s have alr e ady de ve lo pe d & imple me nte d an APS Re gistr y Illino is is no w the 26 th state to imple me nt an APS Re gistr y
Ke y De finitions 4 Car e give r Pe rso n who e ithe r a s a re sult o f a fa mily re la tio nship, vo lunta rily, o r in e xc ha ng e fo r c o mpe nsa tio n ha s a ssume d re spo nsib ility fo r a ll o r a po rtio n o f the c a re o f a n e lig ib le a dult who ne e ds a ssista nc e with a c tivitie s o f da ily living o r instrume nta l a c tivitie s o f da ily living Cle ar and Convinc ing E vide nc e Sta nda rd o f pro o f tha t must b e me t to re a c h a “ve rifie d” sub sta ntia tio n de c isio n in the APS Pro g ra m ( T his standard o f pro o f is me t whe n the c re dib le e vide nc e , we ig he d in its e ntire ty, c re ate s a sub stantiate d c e rtainty that the ab use , ne g le c t, o r financ ial e xplo itatio n is o c c urring o r had o c c urre d.)
Ke y De finitions (c o ntinue d) 5 Dir e c t Car e Dire c t a c c e ss to a n e lig ib le a dult, his/ he r living q ua rte rs, o r his/ he r pe rso na l, fina nc ia l, o r me dic a l re c o rds fo r the purpo se o f pro viding nursing c a re , a ssista nc e with ADL s, o r a ssista nc e with fina nc ia l tra nsa c tio ns. E lig ible Adult Adult with a disa b ility a g e 18 thro ug h 59 o r a pe rso n a g e 60 o r o lde r who re side s in a do me stic living situa tio n a nd is, o r a lle g e d to b e , a b use d, ne g le c te d, o r fina nc ia lly e xplo ite d b y a no the r individua l.
Ke y De finitions 6 Ve r ifie d & Substantiate d De te rmina tio n b y “c le a r a nd c o nvinc ing ” e vide nc e b y a n APS PA, a fte r a sse ssme nt, tha t injury o r ha rm ha s o c c urre d a s the re sult o f a b use , ne g le c t, o r fina nc ia l e xplo ita tio n (ANE ) in a re po rte d c a se Vic tim E lig ib le a dult a g e 60 ye a rs o r o lde r o r a n a dult with a disa b ility a g e 18 thro ug h 59 who is the sub je c t o f a ve rifie d & sub sta ntia te d finding o f a b use , ne g le c t, o r fina nc ia l e xplo ita tio n
Ove r vie w of APS Re g istr y Pr oc e ss 7 Ste p 1 APS Pro vide r Ag e nc y (PA) g ive s Kno w Yo ur Rig hts no tic e to the vic tim (g ua rdia n o r a g e nt) tha t his/ he r c a re g ive r’ s ide ntity ma y b e pla c e d o n the APS Re g istry b a se d o n a Ve rifie d & Sub sta ntia te d finding o f ANE b y the APS PA.
Ove r vie w of APS Re g istr y Pr oc e ss 8 (c o ntinue d ) Ste p 2 APS PA for war ds name of vic tim to the Illinois De par tme nt on Aging (IDoA) afte r a Ve r ifie d & Substantiate d finding 24-ho urs (I mmine nt Risk) - I f vic tim is in immine nt risk o f da ng e r o r misuse o f his/ he r pe rso na l, me dic a l, o r fina nc ia l info rma tio n 5 b usine ss da ys (No n-immine nt Risk) - I f vic tim is no t in immine nt risk
Ove r vie w of APS Re g istr y Pr oc e ss 9 (c o ntinue d ) Ste p 3 IDoA APS r e vie ws c ase r e c or d as a quality assur anc e me asur e to e nsur e c or r e c t inte r pr e tation & applic ation of the following (30 c ale ndar days) Adult Pro te c tive Se rvic e s Ac t, a dministra tive rule s, a nd sta nda rds Suffic ie nt do c ume nte d e vide nc e o f a b use , ne g le c t, o r fina nc ia l e xplo ita tio n
Ove r vie w of APS Re g istr y Pr oc e ss 10 (c o ntinue d ) Ste p 4 IDoA r e vie ws APS PA’s F inding to r e c omme nd Conc ur r e nc e or Non- Conc ur r e nc e Co nc urre nc e – Ca re g ive r’ s ide ntity is re c o mme nde d fo r pla c e me nt o n APS Re g istry (APS Re g istry pro c e ss b e g ins) Offic e o f APS se nds Ca re g ive r a No tic e o f c o nc urre nc e & re c o mme nds pla c e me nt o n APS Re g istry pe nding a ny c ha lle ng e / a ppe a l No tic e inc lude s info rma tio n a b o ut the Ca re g ive r’ s rig ht to c o nte st pla c e me nt o n APS Re g istry inc luding g ro unds fo r a ppe a l & a pplic a b le le g a l b urde n No n-Co nc urre nc e - Ca re g ive r’ s ide ntity is no t re c o mme nde d fo r pla c e me nt o n APS Re g istry Offic e o f APS se nds Ca re g ive r a No tic e o f no n-c o nc urre nc e with pla c e me nt o n APS Re g istry with c o pie s to sta te a g e nc y o r dire c t c a re pro vide r a nd APS PA
Ove r vie w of APS Re g istr y Pr oc e ss 11 (c o ntinue d ) Ste p 5 Appe a l Proc e ss Initia te d by Ca re g ive r Ca re g ive r ha s a rig ht to a ppe a l pla c e me nt o f his/ he r ide ntity o n APS Re g istry I Do A sha ll no t pla c e a c a re g ive r’ s ide ntity o n the APS Re g istry pe nding c ha lle ng e s o r a ppe a l fro m c a re g ive r
Ove r vie w of APS Re g istr y Pr oc e ss 12 (c o ntinue d ) Ste p 5 Appe al Pr oc e ss Initiate d by Car e give r Ca re g ive r F ile s Re q ue st fo r Appe a l with I Do A (30 c ale ndar days afte r date o f I Do A no tic e ) Administra tive L a w Judg e , CMS-Bure a u o f Administra tive He a ring s, fa c ilita te s the he a ring pro c e ss Ca re g ive r Do e s no t F ile Re q ue st fo r Appe a l T he Offic e o f APS will pla c e the Ca re g ive r’ s ide ntity o n the APS Re g istry within 45 c a le nda r da ys a fte r the No tic e if the Re q ue st fo r Appe a l fo rm is no t file d b y Ca re g ive r T he Offic e o f APS will se nd a No tic e to the Ca re g ive r’ s e mplo ye r (sta te a g e nc y o r dire c t c a re pro vide r) re g a rding pla c e me nt o n APS Re g istry
Ove r vie w of APS Re g istr y Pr oc e ss 13 (c o ntinue ) Ste p 5 Appe a l Proc e ss Initia te d by Ca re g ive r He a ring pa rtic ipa nts ma y inc lude Ca re g ive r (atto rne y o r re pre se ntative ) Vic tim Administra tive L a w Judg e (AL J) Witne sse s I Do A Dire c to r (o r De sig ne e ) Re pre se nta tive (s) fro m c a re g ive r’ s e mplo ye r ( state ag e nc y o r dire c t c are pro vide r) No te An appe al he ar ing & APS Pr o vide r Age nc y’s c ase wo r k and fo llo w-up c an o c c ur at the same time
Ove r vie w of APS Re g istr y Pr oc e ss 14 (c o ntinue d ) Ste p 6 Administr ative L aw Judge (AL J) se nds He ar ing tic ipa n ts and . . . Notic e to all involve d Par F a c ilita te s he a ring pro c e ss, & Se nds re c o mme nda tio n(s) to I Do A Dire c to r fo r F ina l Administra tive De c isio n
Ove r vie w of APS Re g istr y Pr oc e ss 15 (c o ntinue d) Ste p 7 Appe al – Public Inte r e st So le issue o n a ppe a l is whe the r pla c e me nt o f c a re g ive r’ s ide ntity o n APS Re g istry is in the pub lic inte re st T he se a re the pub lic inte re st fa c to rs c o nside re d L e ng th o f time c a re g ive r ha s b e e n pro viding c a re to vic tim Re la tio nship b e twe e n c a re g ive r a nd vic tim Whe the r pla c e me nt o n APS Re g istry is in the vic tim’ s b e st inte re st o r tha t o f o the r pa rtic ipa nts As it re la te s to fina nc ia l e xplo ita tio n, whe the r re stitutio n ha s b e e n ma de Whe the r a dditio na l tra ining fo r c a re g ive r c o uld re me dia te the ANE Whe the r c rimina l c ha rg e s we re file d (a nd o utc o me )
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