Table of Contents
II. Applicable Rules
III. Program Services
IV. Program Plan and Deliverables
VI. Eligibility Criteria
VII. Reporting Requirements
VIII. Special Conditions
This information provides contractual requirements and information beyond what is provided in the Agreement and is intended to clarify programmatic areas of the Division of Rehabilitation Services. Furthermore, the grantee should reference https://www.dhs.state.il.us/page.aspx?item=29741 to obtain access to the appropriate program manual regarding specific programmatic requirements.
II. Applicable Rules
Provider must comply with all applicable federal, state and local rules and statutes including, but not limited to, the following:
20 ILCS 2405/ Disabled Persons Rehabilitation Act.
20 ILCS 2407/ Disabilities Services Act of 2003.
20 ILCS 2410/ Bureau for the Blind Act.
30 ILCS 708/ Grant Accountability and Transparency Act
30 ILCS 705/ Illinois Grant Funds Recovery Act
305 ILCS 5/5-5f(g) Save Medicaid Access and Resources Together (SMART) Act
GENERAL DIVISION RULES
PART 505 CONFIDENTIALITY OF INFORMATION
PART 510 APPEALS AND HEARINGS
PART 511 GRANTS AND GRANT FUNDS RECOVERY
PART 515 ADVISORY COUNCILS
PART 520 AUTHORIZATIONS
PART 521 PROGRAM DEFINITIONS
PART 525 GRANTS AND CONTRACTS
PART 527 RECOVERY OF MISSPENT FUNDS
PART 545 RATEMAKING
PART 546 PUBLIC USE OF DHS-ORS FACILITIES
HOME SERVICES PROGRAM RULES
PART 676 PROGRAM DESCRIPTION
PART 677 CUSTOMER RIGHTS AND RESPONSIBILITIES
PART 679 DETERMINATION OF NEED (DON) AND RESULTING SERVICE COST MAXIMUMS (SCMs)
PART 681 PRESCREENING
PART 682 ELIGIBILITY
PART 684 SERVICE PLANNING AND PROVISION
PART 686 PROVIDER REQUIREMENTS, TYPE SERVICES, AND RATES OF PAYMENT
PART 688 ILLINOIS LONG-TERM CARE PARTNERSHIP PROGRAM
TITLE XX SOCIAL SERVICE BLOCK GRANT
PART 130 ADMINISTRATION OF SOCIAL SERVICES PROGRAMS
Code of Federal Regulation
Uniform Administrative Requirements: https://www.law.cornell.edu/cfr/text/2/part-200
Home and Community-Based Services: Waiver Requirements
State Independent Living Services and Centers for Independent Living: https://www.law.cornell.edu/cfr/text/45/part-1329
Workforce Innovation and Opportunity Act: Public Law 113-128 Workforce Innovation and Opportunity Act.pdf
Independent Living Services for Older Individuals who are Blind
Social Services Block Grant Program: https://www.acf.hhs.gov/ocs/programs/ssbg
III. Program Services
A. Home Services Program (HSP) - A Medicaid Waiver Program offering individuals with disabilities who are at risk of premature or unnecessary institutionalization the alternative of in-home care when the cost of such care does not exceed the cost of a nursing facility. Services include, but are not limited to Individual Provider, Agency Home Health, Homemaker, Home Delivered Meals, Adult Day Care, Electronic Home Response, Assistive Equipment, Environmental Modification, and Respite.
Advocacy services for Home Services Program customers, formerly provided by the Client Assistance Program, are now available from the Home Care Ombudsman Program through the Illinois Department on Aging (IDoA).
Additional information about the Home Care Ombudsman Program may be found here:
- The Home Services Program also offers the following:
- 1. Agency Services - Support services meeting the definitions and requirements set forth at 89 Ill. Admin. Code 676.40 and 686 covered under the Department of Healthcare and Family Services Waiver Program Provider Agreement For Participation in the Illinois Medical Assistance Program (HFS 1413-A).
- Agencies that provide services on behalf of the Home Services Program are serving in the capacity as an agent of the State and are therefore required to appear, testify and provide any information related to customer appeals or hearings.
- Adult Day Care Services:
- Adult Day Care Service
- Adult Day Care Transportation
- Case Management:
- Case Management
- Case Management Assessment
- Case Management Reassessment
- Case Management Transportation Services
- Case Associate - AIDS - Reassessment
- Community Care Unit-Nursing Home Pre-screening:
- CCU Pre-Screen weekday
- CCU Pre-Screen weekend
- CCU Face to Face with Translation weekday
- CCU Face to Face with Translation weekend
- Emergency Home Response:
- Installation Service
- Electronic Home Response Service
- Homemaker Services:
- Homemaker Services
B. Independent Living Services (IL) -A consumer-controlled, community based, cross-disability, nonresidential, private not-for-profit agency for individuals with significant disabilities (regardless of age or income) that:
- is designed and operated within a local community by a majority of individuals with disabilities;
- provides an array of independent living services as defined in section 7(18) of the Rehabilitation Act of 1973, including, at a minimum, independent living core services; and
- complies with the standards set out in Section 725(b) of the Act, complies with the assurances in section 725(c) of the Act, and complies with 45 CFR 1329.5.
Core services include: information and referral services; independent living skills training; peer counseling, including cross-disability peer counseling; individual and system advocacy; and transitional services. Transition services include services that: facilitate the transition of individuals with significant disabilities from nursing homes and other institutions to home and community-based residences, with the requisite supports and services; aid individuals with significant disabilities who are at risk of entering institutions so that the individuals may remain in the community; and facilitate the transition of youth who are individuals with significant disabilities.
C. Independent Living Services for Older Individuals who are Blind (OIB): Services for individuals age 55 or older whose severe visual impairment makes competitive employment difficult to obtain but for whom independent living goals are feasible.
D. Title XX Social Services Block Grant - Donated Funds Initiative (DFI) - Funding is intended to address the five broad goals for the Social Services Block Grant. The DFI Program is a "match" program meaning community entities that receive DFI funding must match the DFI funding with locally generated funds. The required match is 25 percent of the total award. The State's Title XX Social Services Block Grant allocation provides the remaining 75 percent of the total award. Using locally generated funds, services can be expanded without the investment of additional state or federal funds.
IV. Program Plan and Deliverables
A. Provider Service and Funding Plan: The Provider agrees to provide services and deliverables as stated in the program plan, as well as execute service and budget forms provided by the Division of Rehabilitation Services (DRS) and submit completed forms to DRS within time frames specified. Failure to submit the required service and budget forms and obtain DRS approval may result in suspension of payments and/or loss of contract.
Payment and Billing Information: Reference Contractual Agreement for all payment and billing information.
Payments made to the Provider are based upon services, deliverables/milestones, performances measures and standards as specified in the Uniform Grant Agreement. Billings, with substantial documentation, are submitted by the Provider upon completion of service. The Provider must accurately complete and submit billings in a timely manner. The Provider understands that incorrect billings or portions of billings may not be processed in the current monthly cycle and may be returned to the Provider for correction.
The Provider must submit accurate reports (service or cost, as specified by the Department). Payments may be suspended if reports are not received in the proper format or timely as specified in the Contractual Agreement
VI. Reporting Requirements
Requirements may vary depending upon the type of program. Reference the Contractual Agreement for program specific Reporting and Monitoring Requirements.
VII. Special Conditions
A. Abuse and Neglect: Providers are mandated reporters. If the person is enrolled in a program or lives in a setting funded, licensed or certified by DHS or lives in a private home, call the Adult Protective Services Hotline 1-866-800-1409 (Voice) 1-888-206-1327 (TTY) or if the person with disabilities is enrolled in a program or lives in a setting funded, licensed or certified by Department of Public Health (DPH) (e.g. a nursing home), and the abuse/neglect occurs when service is being provided, call the DPH Nursing Home Hotline: 1-800-252-2893.
B. Mandatory Meetings and Training: DRS may designate any meeting or training it deems necessary as mandatory for Provider attendance. Providers will be given notification of such meetings or trainings via registered mail. Such meetings or trainings will be offered free of charge. Providers must support their own travel, per diem and lodging expenses. Reasonable accommodations will be made upon request 14 days prior to the meeting or training.
C. Data: The Provider must provide DRS with any and all data as specified in specific Program Manuals as well as other applicable rules. Data will be submitted in a timely manner in a format prescribed by DRS.
D. Providers providing services to individuals who are Deaf, Hard of Hearing or DeafBlind must adhere to the following:
Sign Language Interpreter Services: Interpreters must be appropriately licensed in accordance with the Interpreter for the Deaf Act of 2007. A Listing of Licensed interpreters can be found at https://www2.illinois.gov/idhhc/licensure/pages/directory.aspx. Proficiency Levels indicating License requirements for various environments can be found at http://www.ilga.gov/commission/jcar/admincode/068/068015150000900R.html
Telecommunication Services: When appropriate, Providers will use Telecommunication Relay Services when communicating with Deaf, Hard of Hearing or DeafBlind people. Dial 711 and you will be connected to a TRS operator. Give the operator the number of the person you are calling. This communication takes place via text. Others use Video Relay Services (VRS) which utilizes a sign language interpreter to call people who use Video Phones. Callers dial the 10-digit video phone number and are automatically connected to a communication assistant who will interpret the conversation.
Other Communication Services: Other appropriate methods of communication must be used as requested by the customer and may include: CART (Communication Access Realtime Translation (CART) or an Assistive Listening Device (ALD).
E. Other special conditions may be added at the discretion of the Division of Rehabilitation Services.