HFSMedical ClientsHome and Community Based Services Waiver Programs

Adults with Developmental Disabilities

Operating Agency:  

Illinois Department of Human Services, Division of Developmental Disabilities (DHS-DDD)

Eligible Population:

Persons age 18 or older with developmental disabilities who are at risk of placement in an Intermediate Care Facility for persons with Developmental Disabilities (ICF/DD).

Eligibility Criteria: 

U.S. citizen or legal alien

Resident of the State of Illinois and residing in the State.

Age 18 or older

Assessed as eligible for an institutional level of care for persons with intellectual disabilities or conditions similar to intellectual disabilities.

Enrolled in Medicaid, including individuals enrolled through the Health Benefits for Workers with Disabilities (HBWD) program.    

Not in need of 24-hour nursing care.

How to Access Services

Point of Entry – Independent Service Coordination (ISC) Agencies or Preadmission Screening Agencies (PAS). 

These agencies can be contacted through the Developmental Disabilities Helpline:  1-888-DD-PLANS or 1-866-376-8446 (TTY)

Local offices can be found using DHS Office Locator  
Or Call: 1-800-843-6154 (#3 on menu) or 1-800-447-6404 (TTY)

Information regarding services available to persons with developmental disabilities and their families from the State of Illinois

Services:  (Descriptions)

Home-Based Support Services

  • Service Facilitation

  • Emergency Home Response Services

  • Home Accessibility Modifications

  • Personal Support

  • Temporary Assistance

  • Training and Counseling for Unpaid Caregivers

  • Vehicle Modification

  • Skilled Nursing

  • Non-Medical Transportation

  • Adaptive Equipment

Community-Based Supports

  • Residential Habilitation

  • Adult Day Care

  • Developmental Training

  • Supported Employment

Other Available Supports

  • Behavior Intervention and Treatment

  • Occupational Therapy

  • Speech Therapy

  • Physical Therapy

  • Behavioral Services (Psychotherapy and Counseling)

Medicaid waiver funding does not pay for room and board.

Medicaid Agency Contact Information

HFS Bureau of Long Term Care

1915 (c) Home and Community-Based Waiver Administrative Section

Phone:  217-557-1868

Service Descriptions 

Residential Habilitation: Includes services for persons living in Community Integrated Living Arrangements (CILA), as 24-hour, Intermittent, Host Family settings, and Community Living Facilities (CLF) for 16 or fewer persons.

Day Programs: Includes Developmental Training (DT), Supported Employment (SEP) and Adult Day Care (ADC)

Developmental Training (Day Habilitation): Assistance with acquisition, retention, or improvement in self-help, socialization and adaptive skills that takes place in non-residential settings, separate from the participant’s private residence or other residential living arrangement. These services focus on enabling the participant to attain or maintain his or her maximum functional level and shall be coordinated with any physical, occupational, or speech therapy.

Supported Employment: Intensive, ongoing supports that enable participants, for whom competitive employment at or above the minimum wage is unlikely absent the provision of supports, and who, because of their disabilities, needs supports, to perform in a regular work setting. This service may include assisting the participant to locate a job or develop a job on behalf of the participant.

Adult Day Care: Health and social services needed to ensure the optimal functioning of the participant in a non-institutional, community-based setting.

Home Based Support Services (HBS):  Offers an array of individually designed services. Services are subject to fiscal year and monthly maximums as set by the State. See below for a listing of services.

Service Facilitation: Provides assistance by a Qualified Support Professional, employed by or on contract with a contracted provider, to design an array of support services to meet the individual’s needs. The service facilitator may also assist in hiring, training, supervising, and firing service providers.

Personal Support: Includes services described in the individual’s service plan and services agreement, such as teaching adaptive skills to assist the individual to reach personal goals and assistance in activities of daily living. Personal support may be provided on a short-term basis because of absence or need of relief of those persons normally providing care. 

Skilled Nursing: Provides services that are listed in the service plan and are within the scope of the Illinois Nursing and Advanced Practice Nursing Act. Skilled nursing is limited in frequency and intensity to no more than 365 hours of RN services per fiscal year and no more than 365 hours of LPN services per fiscal year. 

Non-Medical Transportation: Services are offered in order to enable the individuals served on the waiver to gain access to waiver and other community services, activities and resources, specified by the service plan.  

Emergency Home Response Services (EHRS): A 24-hour emergency communication link to assistance outside the participant’s home for participants based on health and safety needs and mobility limitations.

Temporary Assistance: Provided on an emergency temporary basis because of the absence or incapacity of the persons who normally provide unpaid care. Absence or incapacity of the primary caregiver must be due to a temporary cause, such as hospitalization, illness, injury, or other emergency situation.

Training and Counseling for Unpaid Care Givers: For individuals who provide unpaid support, training, companionship, or supervision to participants. Training includes instruction about treatment regimens and other services included in the support plan, use of equipment specified in the support plan, and includes updates as necessary to safely maintain the participant at home.

Vehicle Modification: Adaptations or alterations to an automobile or van that is the participant’s primary means of transportation in order to accommodate the special needs of the participant.

Home Accessibility Modifications: Physical adaptations to the private residence of the participant or the participant’s family, required by the participant’s support plan, that are necessary to ensure the health, welfare and safety of the participant or that enable the participant to function with greater independence in the home. Example might include the installation of ramps and grab-bars, or widening doorways.

Adaptive Equipment: Includes devices, controls, or appliances that enable participants to increase their ability to perform activities of daily living; and devices, controls, or appliances that enable participants to perceive, control, access or communicate with the environment in which they live.

Other Supports

Behavior Intervention and Treatment: Includes ongoing behavioral assessment, functional analysis, development of positive intervention strategies and techniques, participation in individual support plan development, training of family, direct support and other workers on the specifics of the individual's plan, and monitoring the effectiveness of the interventions.

Behavior Services (Psychotherapy and Counseling): Psychotherapy is a treatment approach that focuses on a goal of reducing the symptoms of emotional, thinking or behavioral disorder and promoting positive emotional, thinking and behavioral development. Counseling is a treatment approach that uses relationship skills to promote the participant’s abilities to deal with daily issues associated with their thinking or behavioral problems using a variety of supports.

Extended State Plan Therapy Services: Physical Therapy, Occupational Therapy and Speech Therapy – services for the purpose of long-term habilitation needs of the participant.


Home and Community Based Services Waiver Programs

 

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