Nursing Services, Home-Based (HBS)

What is it?

Nursing Services are in addition to any Medicaid State Plan nursing services for which the individual qualifies.  The need for these services must be documented in the individual's service plan.  Nursing Services must be within the scope of the Illinois Nursing and Advanced Practice Nursing Act (225 ILSC 65).  Nursing Services are only available to individuals in the Adult DD Waiver who are authorized for Home-Based Support Services (HBS).

How Do I Become A  Provider?

1. You Must Submit The Following Documents:

   • Letter of Interest
   • Waiver Provider Program Agreement  (HFS 1413A)
     • Instructions for HFS 1413A
   • Provider Enrollment Application (HFS 2243)
     • Instructions for HFS 2243 
   • Provider Information Form (IL462-1246)
   • IRS W-9 form and Guidelines 
   • Community Provider User ID and System Access Request  (IL444-2022)
2. You must obtain your National Provider Identification Number 

   Professionals must submit the above-listed documents and a current copy of their license from Illinois Department of Financial & Professional Regulation (IDFPR) to:

   Department of Human Services
   Division of Developmental Disabilities
   319 E. Madison Street, Suite 3M
   Springfield, IL 62701

   Attention:  Provider Enrollment

   The Division of Developmental Disabilities will confirm your professional license with IDFPR.

Important Resources for Requirements