FY19 Month of January 2019
The Illinois Department of Human Services, Division of Developmental Disabilities must conduct ongoing annual reviews of Medicaid Waiver programs per the approved Medicaid Waivers. Personal Support services in the Adult and Children Home Based Waivers are paid at a variable rate. Personal Support providers may be either individual providers or agency staff. The rates for personal support services are negotiated within an overall monthly allotment among the individual, family, and providers.
Basis for Review:
As part of its ongoing efforts to ensure the financial integrity of the Waivers and to ensure that Personal Support services are being utilized as intended and paid at a reasonable rate, the DDD Bureau of Program Development & Medicaid Administration staff reviewed PSW provider billings of $30 or more for the month of January 2019.
Method of Review:
The DHS Bureau of Program Development and Medicaid Administration requested a report of accepted Medicaid waiver claims by Personal Support providers paid at a rate of $30 per hour or higher from the Department's Management Information Services section. For the review, DHS staff contacted the agencies of the agency employed Personal Support workers and contacted the Independent Service Coordinator's (ISC's) for the self-directed Personal Support Workers for the following information:
This post-payment review revealed 37 paid billings with a rate of $30.00 or more for the month of January 2019.
Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
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