Illinois Department of Human Services
Division of Developmental Disabilities
The Health Risk Screening Tool (HRST) is used to detect health risks and destabilization early. The HRST is a reliable, normed and objective tool developed by Intellect Ability. The HRST assigns scores of 22 health and behaviorally related rating items. The total points result in a Health Care Level that indicates an associated degree of health risk. The Health Care Level (HCL) can range from 1 - 6; level 1 being the lowest risk for health concerns and level 6 being the highest risk of health concerns.
All Community Integrated Living Arrangement (CILA) providers funded by the Division of Developmental Disabilities (DDD) to provide waiver funded services are required to use the HRST web-based application for their individuals receiving CILA supports.
A Clinical Review occurs when an individual receives a HRST HCL of 3 or higher. Within 14 calendar days an RN/Clinical Reviewer must complete a formal Clinical Review.
If providers have questions about their HRST account, they should reach out directly to Intellect Ability: firstname.lastname@example.org
Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
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