Provider Notice Issued 08/06/2020

Date:    August 6, 2020
To:       Illinois Hospital and Long Term Care Providers
Re:       Williams Consent Decree - Front Door Diversion Program
The Williams Consent Decree, entered on September 29, 2010, in settlement of the Williams v. Quinn class action lawsuit, requires the State to promote settings that maximize individuals' independence, choice, and opportunities to develop and use independent living skills. To this end, the Department of Human Services through its Division of Mental Health (DMH) operates and funds a Front Door Diversion Program (FDDP) to prevent unnecessary admissions to institutional settings. The purpose of this notice is to inform Illinois Hospital and Long Term Care providers about the FDDP and how to engage with it.
What is the Front Door Diversion Program?
The FDDP is a DHS grant-funded program, the goal of which is to ensure every individual determined able to live in a community-based setting be offered community-based services and supports in order to prevent unnecessary admissions to Specialized Mental Health Rehabilitation Facilities (SMHRFs). The FDDP provides services and supports to individuals who would otherwise likely be admitted to SMHRFs, such as:
  • Temporary and Permanent Supportive Housing;
  • Community Outreach and Engagement;
  • Linkage to Community Treatment; and
  • Non-Traditional Support Services (such as emergency medications, food, clothing, cell phones, and transportation).
FDDP services are delivered through one of six community providers: Thresholds, Trilogy, Envision Unlimited, National Youth Advocate Program, HRDI, and Kenneth Young Center.
Who is Eligible for the Front Door Diversion Program?
DHS requires that an individual be enrolled in Medicaid and have a current Pre-Admission Screening and Resident Review (PASRR) with a Level 2 Determination and Disposition of “Eligible for Nursing Facility – Diverted to Community Option.” Once a Front Door agency receives a referral from the PASRR screener, the Front Door agency assesses the individual’s needs. If the agency determines it can serve the individual with the needed resources in the community, the individual is offered to be diverted from a facility to community placement.
How to Contact the Front Door Diversion Program
Information about how to access FDDP services can be found here
Currently, 36 hospitals work with the FDDP in Cook, DuPage, Kane, Lake, Will, and Kankakee counties. Hospitals that are not currently engaged with the FDDP or in areas not paired with a community provider are encouraged to contact DHS to inquire about the feasibility of expansion at your hospital. Contact information can be found through the link above.

The Future of Front Door
DHS is continuing to evaluate ways to improve the FDDP. As its sister agency, HFS will continue to seek input and inform providers of important developments as they occur. It is our hope that the FDDP will become integrated into the hospital discharge planning process and will always be considered a first and preferred option to facility placement.
Kelly Cunningham
Acting Medicaid Administrator



 Need Assistance?