1. a) A participant shall be terminated from CCP for one or more of the reasons identified in this Section:

   1. 1) participant is deceased;
   2. 2) participant has been institutionalized or is otherwise not available for services for more than 60 calendar days;
   3. 3) participant's condition has improved and there is no longer a need for CCP services as measured by the CCP DON to determine need for long-term services and supports;
   4. 4) participant cannot be located;
   5. 5) participant/authorized representative has requested termination of services;
   6. 6) participant/authorized representative refuses transfer to a different provider/CCU and the current provider/CCU cannot provide services needed by the participant;
   7. 7) participant/authorized representative has failed to cooperate with the Department/CCU/provider as required and as specified in Section 240.350;
   8. 8) participant no longer meets citizenship requirements;
   9. 9) participant no longer meets residency requirements;
   10. 10) the CCU determines that an adequate person-centered plan of care cannot be developed that meets the participant's determined needs under Section 240.715.
   11. 11) the total value of a participant's non-exempt assets has increased and exceeds $17,500;
   12. 12) participant/authorized representative failed to report the transfer of non-exempt assets within the past 60 months for the purpose of obtaining CCP services;
   13. 13) participant/authorized representative has failed to report or refused to provide documentation of changes in circumstances, as required by Section 240.360;
   14. 14) participant/authorized representative refuses to sign a Participant Agreement – Person-centered Plan of Care;
   15. 15) participant refuses to sign the Participant Agreement and Consent Form in accordance with Section 240.330;
   16. 16) participant/authorized representative refuses to apply for and, if eligible, enroll in medical assistance under Article V of the Public Aid Code, as required by Section 240.865;
   17. 17) participant/authorized representative threatened violence or committed actual violence against a Department representative/CCU/provider as specified in Section 240.355; or
   18. 18) participant has been convicted of fraud or an OIG investigation has determined that fraud has occurred.
2. b) A participant cannot be terminated for attempting to exercise or exercising their right to appeal an action by the CCU or provider.

(Source: Amended at 48 Ill. Reg. 11053, effective July 16, 2024)