Home Services Programs
HSP services are designed to preserve the dignity of individuals with disabilities, as well as to provide options that reflect their personal needs and preferences. Over 97% of HSP customers utilize Personal Assistant, Homemaker and/or Home- Health services. Other program services are used either alone or as a supplement to these services to address the customer's unique needs. Brief descriptions of all available services follow below:
Personal Assistant (PA) Services:
Services provided by individuals who are selected, employed, trained, and supervised by the customer. These individuals may assist with household tasks, personal care and, with the permission of a physician, perform certain health care procedures. In order to use PA services, the customer or representative must be able to appropriately supervise a PA. This service has a uniform reimbursement rate statewide per a labor agreement with Service Employees International Union (SEIU).
Homemaker Services:
Personal care and household tasks provided by trained and professionally supervised staff employed by homemaker agencies. Instruction and assistance in household management and self-care are also available. This service has a uniform reimbursement rate statewide that is provided under a rate agreement with HSP. Homemaker services are used by customers who are unable to direct a PA, who have not found a PA, or who do not wish to direct a PA.
Home Health Services:
Home health services include services prescribed by a physician that are provided by a registered or licensed practical nurse, home health aide or certified nurse assistant, or physical, occupational or speech therapist. HSP home health services are beyond the scope of services covered under the Medicaid State Plan or private health insurance. These services must be provided in the customer's home and may be provided through an agency or by private individuals who are appropriately credentialed. The private individuals who provide this service have a uniform reimbursement rate statewide per a labor agreement with Service Employees International Union (SEIU).
Home-Delivered Meals:
One or more ready-to-eat hot meals per day which are delivered to the home. This service is provided to individuals who can feed themselves but are unable to prepare a meal and is more cost effective than personal assistant services.
Emergency Home Response:
A signaling device that provides 24-hour emergency alerting coverage for medical, fire or other emergencies. The device may be worn in a variety of ways and may have a variety of mechanisms to signal an emergency need. This service has uniform rates statewide and is provided under a rate agreement with HSP.
Adult Day Care:
The direct care and supervision of customers provided in a location outside the home by a community-based organization to promote social, physical and emotional well-being. This service has a uniform reimbursement rate statewide and is provided under a rate agreement with HSP. Transportation to adult day care may also be provided, if needed.
Brain Injury Services:
Specialized Services for customers receiving services through the Brain Injury Waiver which include day habilitation, pre-vocational services, supported employment, and behavioral services.
Home Modifications & Assistive Equipment:
Devices, equipment and/or home modifications that increase an individual's independence and capability to perform household or personal care tasks safely in the home. Must be able to reduce the need for another service or address a health or safety need. Respite Services: Intermittent care for adults and children with disabilities designed to relieve caregiver stress.
Background Screening:
Background screenings are now provided through the Department of Healthcare and Family Services Illinois Medicaid Program Advanced Cloud Technology (IMPACT) program on all Medicaid providers including PAs and agency providers to ensure the safety of the customer and the suitability of the potential employee.
Case Management:
The Division utilizes Case Management Agencies to provide targeted services to Customers eligible for the Medicaid Waivers it administers who have either HIV/AIDS or Brain Injury to assist with the management, monitoring, and follow-up of these specialized cases.
Prescreening:
Prescreening of individuals conducted prior to nursing facility admission to ensure they receive the same minimum Determination of Need (DON) score required for eligibility for the HSP or the Department on Aging Community Care Program (DoA CCP), and to ensure they are offered the option of receiving home care. The screening of individuals coming from hospitals to nursing facilities is performed for both programs by community-based Case Coordination Units. Prescreening for individuals under age 60 who are going from home to nursing facility may be conducted by either CCU or HSP staff.
Special Services:
Home Services also provides specialized services for people with HIV/AIDS and/or Brain Injuries.
The Home Care Ombudsman Program helps customers of the Home Services Program receive quality services by advocating for their interests and helping them identify resources, understand procedures, resolve problems, and protect their rights. You can learn more about the Home Care Ombudsman Program by visiting the Illinois Department on Aging's Long Term Care Ombudsman Program website.
