Remote Supports for CILA clients - Developmental Disabilities

What is Remote Supports?

Remote Support includes the use of video, audio, door and window monitoring devices, or other technology which enables an individual to be more independent and less reliant on staff being physically present when receiving CILA supports and services. The use of this service is not intended to replace an individual's ability or right to engage with the community. The use of remote support will be considered on an individual, case-by-case basis when an individual and guardian, if applicable, requests the service and the Independent Service Coordination agency and provider support team agree it is appropriate and meets the health and safety needs of the individual. Remote Support requires prior approval from the Division of Developmental Disabilities (DDD) and may only be used with full consent of the individual, guardian, if applicable, and anyone else residing in the same living space.

How Do I Become A Provider?

  1. You must submit an IRS W-9 pdf and required supporting documentation to DHS, Division of Developmental Disabilities:
    • EMAIL:  DHS.DDDMedProv@illinois.gov
      Illinois Department of Human Services Division of Developmental Disabilities
      600 East Ash Street, Building 400, Mail Stop 3S
      Springfield, IL 62703
      Attention: Provider Enrollment
    1. The IRS W-9 pdf form must be completed accurately.  Please review the IRS W-9 Guidelines for instructions on how to complete the form based on your company's tax classification. 
    2. The IRS W-9 Guidelines will also provide instructions on the supporting documentation that may be required for some companies and LLLCs.  Please submit any required supporting documentation with the IRS W-9. 
    3. You will receive an email notification from DHS.DDDMedProv@illinois.gov when the W-9 has been certified and registered with the Illinois Office of the Comptroller. 
  2. Submit an IMPACT Provider Enrollment application for the company AFTER you have received notification that the IRS W-9 for you company has been certified:
    1. You, the person sitting at the computer, must create an IMPACT account on the IMPACT login page.  Enter the information required for this step using your personal information and NOT the company's.
    2. After creating this account, apply for approval of a Single Sign-On ID.  Please use the Single Sign-On ID PowerPoint Presentation found on the IMPACT Presentations and Materials page on the HFS website to complete this step. 
    3. When the Single Sign-On ID has been approved, return to the IMPACT login page and log into your account.  You will now have a blue IMPACT hyperlink listed under Access Your Applications.  Click on the IMPACT hyperlink to access the provider enrollment system.
    4. Click on NEW ENROLLMENT.
    5. On the next screen, select the Enrollment Type:  Atypical Agency.
    6. Use the Atypical Agency PowerPoint Presentation found on the IMPACT Presentations and Materials page on the HFS website to complete this step. In addition to the instructions provided on the PowerPoint, you must enter the information listed below on the application.
      1. Add Specialty: Assistive Equipment; Adaptive Equipment/Assistive Technology; No Subspecialty
      2. Associate Provider: DDD Billing Provide ID number 7094718
      3. Associate Billing Agent: DDD Billing Agent number 7094638
      4. Associate MCO Plan: DDD MCO Plan ID number 3000006
  3. Send an email to DHS.DDDMedProv@illinois.gov notifying DDD Provider Enrollment that the IMPACT enrollment application has been completed and submitted an IMPACT application for State Review. 
  4. You will receive an email notification when the IMPACT application has been approved.