What is it?

Community Integrated Living Arrangement (CILA) is a living arrangement for adults (age 18 and older) in a group home, family home or apartment where 8 or fewer unrelated adults with developmental disabilities live under supervision of the community developmental services agency.  Residents receive complete and individualized residential habilitation, personal support services and supports under the direction of a community support team within the local agency. 

How do I Become A Provider?

Questions regarding the CILA enrollment process can be emailed to DDD Provider Enrollment.

1.  You must have a CILA License.

  1. You must FIRST attend a "New Provider Orientation" session, unless you are already licensed under another category or meet the exemption requirements
  2. AFTER Bureau of Accreditation, Licensure & Certification has received verification of your attendance at the "New Provider Orientation" session, or that you are already licensed, or that you meet the exemption requirements, you may then request the CILA Licensure Application.
  3. You may request CILA Licensure Application from:
    • Illinois Department of Human Services
      Bureau of Accreditation, Licensure & Certification
      401 N. Fourth Street, 2nd Floor
      Springfield, IL 62702
      Phone: (217) 557-9289

2.  You are required to have a National Provider Identification Number (NPI) for CILA services.

  • Only one NPI number is required, but the NPI number cannot be shared with another Medicaid program (i.e. ICF/IID, DCFS, Early Intervention, DASA, DMH, etc.).  The NPI must be a Type 2 - organizational NPI number.  The recommended taxonomy code for CILA services is:  320900000X - Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities.   To apply for a National Provider Identifier, please see the National Plan and Provider Enumeration website. 

3.  You must submit the following documents to DHS: 

  • Illinois Department of Human Services
    Division of Developmental Disabilities
    600 East Ash Street, Building 400, Mail Stop 3
    Springfield, IL 62703
    Attention:  Provider Enrollment
    • A typed cover letter describing the services that your agency plans to provide.  The letter should also include the name, phone number and email address of individuals that DDD Provider Enrollment should contact if there are questions about your enrollment information. 
    • A copy of your CILA License.
    • An IRS W-9 - Please review the  IRS W-9 Guidelines before submitting the W-9.   Inaccurately completed W-9s can significantly delay the enrollment process. Additional IRS documentation must be included with the W-9:
    • If the business is a Limited Liability Company, you must submit a copy of the IRS Employee Identification Number (EIN) assignment letter. 
    • If the business is a non-profit, you must submit a copy of the IRS Determination letter that verifies that the IRS has accepted your not-for-profit tax classification.
      • NOTE:  DDD Provider Enrollment will email a notification to the contact(s) listed in the cover letter when the W-9 has been certified by the Illinois Office of Comptroller.  A certified W-9 is required before your agency can start the IMPACT Medicaid Provider Enrollment application.
  • Provider Information Form (IL462-1246)  Please enter the company's basic information on page 1, section A.  Some information such as the legislative districts may be left blank if the information is unknown.
  • FTP Registration Request Form 
  • Community Provider User ID and System Access Request (pdf) (IL444-2022)  Please request system access to Mobius - DDD Reports, FTP Transmission and eRIN.  Please write in for Other:"ROCS Reporting."

4.  You must submit an IMPACT Medicaid Provider Enrollment application.

  • Note:  This step can not be started until the agency's W-9 has been certified by the Illinois Office of the Comptroller. 
  • The IMPACT provider enrollment system requires that users apply for a Single Sign-On ID first.  Usersmust enter personal identifying information and answer questions regarding their personal credit history.  This information is not stored in the system and is only used to verify the identity of the user.The purpose of these security features is to reduce the risk of Medicaid fraud by verifying the identity of the user that is submitting the Medicaid enrollment application.
  • After the User has an approved Single Sign-On Identification, the user may start a new application in IMPACT for the CILA agency. The correct enrollment type to select is Facility, Agency, Organization (FAO).  The IMPACT system will automatically assign an IMPACT application ID after step 1:  Basic Information has been completed.  Please save this number for your records.
  • Additional resources including PowerPoint presentations on how to complete an IMPACT application can be found on the DDD IMPACT Provider page.
  • Please ensure that the application includes the following information:
    • Step 3, Add Specialty:  Care Facility; Community-Integrated Living Arrangement (CILA); No Subspecialty
    • Step 6, Associate Billing Agent:  Billing Agent ID number 7094638; Billing Agent Name:  DDD Billing Agent
    • Step 8, Add Provider Controlling Interest/Ownership Details:Include a complete listing of the Owners, Board Members and Executive Director.
    • Step 10, Associate MCO Plan:  MCO Plan ID number 3000006; Plan Name:  DDD MCO
    • After submitting an IMPACT application, please email DDD Provider Enrollment the IMPACT application ID to ensure that the application is reviewed by a DDD Provider Enrollment Specialist.

5.  You must submit Direct Support Person (DSP) and Qualified Intellectual Disabilities Professional (QIDP) training programs for approval to:

    • Illinois Department of Human Services
      Division of Developmental Disabilities
      Bureau of Quality Management
      600 East Ash Street, Building 400, Mail Stop 2 North
      Springfield, IL  62703
    • Attention:  DSP/QIDP Training Program 

DSP program training approval process

QIDP program training approval process


Registration Form

Keep watching for the Next Prospective New Provider Agency Orientation training.


Important Resources for Program Requirements