Changing from 38U to 30U Program/Bill Codes

Illinois Department of Human Services

Division of Developmental Disabilities

Information Bulletin

DD.19.004

Purpose:

This Information Bulletin notifies all providers of the impending closure of the 38U Regular Work / Sheltered Employment program and bill code.

Background:

The Division of Developmental Disabilities (DDD) will begin adjusting Regular Work/Sheltered Employment services to promote community inclusion. The 38U service was designed to provide long-term employment in a sheltered environment for individuals whose functional levels require close and continuous supervision. The 38U program has been available to individuals 18 years or older assessed to have a developmental disability and who possess basic workplace skills.

Process:

DDD will eliminate the Regular Work/Sheltered Employment (38U) program and bill code effective July 1, 2019. Individuals currently participating in 38U will be converted temporarily to Other Day Program/bill code (30U). The 30U Other Day Program service is non-waiver and provides a structured individualized program of community habilitation activities for individuals for whom the more traditional day program is not appropriate and who choose to participate in a variety of alternative day activities.

The individuals involved in this conversion and individuals currently authorized for 30U Other Day Program will be offered the opportunity to document their preference for a long-term day program option which will include at a minimum Community Day Services (CDS), Competitive Employment or Supported Employment. Should the individual indicate a preference for Community Day Services, Competitive and/or Supported Employment, the individual's Personal Plan should be edited. In addition to editing the Plan, the Independent Service Coordination (ISC) agency should make appropriate referrals to address the requested services. Individuals electing to receive Community Day Services (31U/31C) that have been certified through the Bureau of Accreditation, Licensure and Certification may initiate these services without any additional steps in the transition process. Waiver participants are automatically authorized the 31U/31C bill codes. The CDS provider can simply start billing the applicable 31C and/or 31U bill code for the individual. The ISC agency is responsible for ensuring the Plan and services are aligned with the individual's preferences and needs.

To continue providing Other Day Services (30U) after December 31, 2019, the provider must have a Community Day Services (31U) certification through the Bureau of Accreditation, Licensure, and Certification. The DDD is waiving the required attendance at a New Provider Orientation for 38U providers which do not already have a Community Day Services certificate. By December 31, 2019, providers should ensure they have met all required staff training standards. Staff training descriptions and curricula can be found in the DD Training Requirements Manual.

The Division wants to emphasis the intent of the 30U Other Day Services is to provide an individualized program of community habilitation activities for individuals for whom a more traditional day program is not appropriate. The attached Day Services Determination document should be utilized by the individual's ISC agency which will take an active role in assisting waiver participants through this conversion process. All conversions must be completed by January 1, 2020.  Click the link below to access the form:

Request for 30U OTHER DAY PROGRAM (pdf)

Between July 1, 2019 and December 31, 2019, the Division will require the submission of Alternative Day Program Requests (IL462-0285) with the individual's updated Personal Plan documenting the person's desire to switch to Community Day Services, Competitive and/or Supported Employment or continue participation in 30U Other Day Services.

For questions related to the conversion process, please contact the DDD Region Staff in your geographic area. You may access the list of Region Staff at: https://www.dhs.state.il.us/page.aspx?item=48541. The Division has designated Janet Rolling, Employment Support Coordinator to assist with questions and issues related to pursuing Supported Employment Services. Ms. Rolling can be reached at (217) 782-5900.

The information contained herein should not be considered a substitute for the appropriate official statutes, rules, regulations, or the advice of legal counsel.

Effective Date:

July 1, 2019