December 17, 2021 DDD Communication

Good Afternoon,


  • Per IDPH, the preliminary seven-day statewide COVID-19 positivity for cases as a percent of total test from December 10-16, 2021 is 4.9%. The preliminary seven-day statewide test positivity from December 10-16, 2021 is 6.2%.
  • HBS participants: Please remember to update Service Authorizations with new budgets and rates if you haven't done so yet. For 2022 rates, please visit this page:
  • We have a number of DRAFT Information Bulletins for review. Please check them out!


In case you missed it, the temporary residential CILA increase of 5% (that was increased and will be maintained at 7%) has been extended to June 30, 2022. We hope this increase will help financially support our residential CILA providers to further retain and attract staff, as well as provide additional funding for vaccination, testing or other needs associated with the COVID-19 pandemic, including staffing coverage for CDS closures and potential quarantines. As a reminder, the 7% is on top of the new rates that will go into effect in January (or upon CMS approval).


By March 2023, all Division of Developmental Disabilities funded sites receiving Home and Community-Based Services (HCBS) waiver funding must comply with the federal HCBS settings rule. This includes all CILAs (24 Hour, ICILA and Host Family), CLFs (16 bed or less), CGHs and CDS programs and any site where waiver funded services are provided. The goal of the HCBS settings rule is to assure people receiving services have access to community living that meets their needs and is of their choosing. The Division is charged with validating that all provider controlled/owned sites are in compliance by March 17, 2023. If you missed the two webinars this week you can find them online. We encourage all providers to become familiar with the changes that are coming. These webinars will prepare you!


Based on feedback from providers we want to update and clarify some of the changes for Community Day Services (CDS) in the coming months.


  • The Division will be implementing hourly billing at the new rates effective April 1, 2022. This will allow us time to work with our current SODC CDS providers on operational practices.
  • If you are a CDS provider interested in serving SODC residents (and do not currently) please reach out to Tiffany Bailey, Deputy Director of SODC Operations at

to establish a connection. We are always looking for new providers!

ICF/DDs and MC/DDs:

* The Division is working with HFS on potential changes to ICF/DD and MC/DD billing. To be clear, at this time we are unsure when or if this will impact MC/DD CDS billing. For ICF/DDs, we anticipate no changes will occur until sometime in FY 23, with ample notice prior to the change. The Division is working on an appropriate way to account for individuals with higher medical or behavioral needs.

Home-Based Supports:

  • As of January 1, 2022 (or upon CMS approval), 31U, 31C and 31V will have different billing rates. If the same provider is providing both 31U, 31C and 31V services to an individual with HBS funding, the service agreement does not need to be updated on a monthly basis to reflect changes between 31U, 31C and 31V hours. CDS providers should indicate a maximum dollar amount that can be utilized for day programming services between 31U, 31C and 31V.
  • A new services agreement must be written if the CDS provider exceeds the maximum dollar amount listed on the service agreement. For example, the Service Agreement indicates an individual will participate in 31U for 20 hours at a rate of $14.33/hour with a monthly maximum of $286.60 and 31C for 10 hours at a rate of $15.96/hour with a monthly maximum of $159.60. The total monthly maximum for these services combined is $446.20. If the individual chooses to participate in 31C for 12 hours, they don't need a new Service Agreement as long as the total monthly amount of services (31U and 31C combined) to be billed doesn't exceed the total monthly maximum of $446.20 set in the Service Agreement.


DDD is asking people who are receiving home and community-based waiver services to fill out a survey to better understand your experiences in the community. Thank you to those who have already filled out the survey. If you have not already completed the survey, here is the HCBS Settings Survey in English. We also have translated documents! Please reach out to Meg Cooch at  for copies in Spanish, Chinese, Polish, Tagalog, Arabic and Hindi.


In case you missed it! The DDD is so excited for the release of our Notice of Funding Opportunity (NOFO) for the Competitive Integrated Employment Capacity (CIEC) Grant which will provide funding, contingent on achievement of key performance indicators, for up to 12 provider agencies in fiscal years 2022, 2023 and 2024. You can access the full NOFO Competitive Integrated Employment Capacity (CIEC) Grant.


A lot of exciting webinars are coming up from the Illinois Crisis Prevention Network. We want to point your attention to two ICPN webinars specifically on Trauma Responsive Care and Implementing Trauma Responsive Care. Also, the Arc's National Center on Criminal Justice and Disability will share information about projects they are working on related to violence prevention.


Allison V. Stark

Director, Division of Developmental Disabilities

Illinois Department of Human Services

600 East Ash-Building 400, Springfield, IL 62703

Tel: (217) 782 -6803

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

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