CILA Rates Update - 06-30-22

CILA Rates Annual Update June 30, 2022

This data applies to Community Integrated Living Arrangement (CILA) Model Rates, Program Code 60D for 24 Hour and Host Family CILA and 61H for Hourly Intermittent CILA. This report shows the CILA Rate Model methodological changes for Host Family CILA from Foster Care and Hourly Intermittent from Intermittent and Family Intermittent CILA which went into effect January 1, 2022. The financial numbers (dollar amounts) in this report also show the implementation of some of the CILA Rate Model methodological changes from the Guidehouse Rate Study recommendations.

For questions, please contact:

Department of Human Services
Division of Developmental Disabilities
Bureau of Reimbursement & Program Support
600 East Ash St, Building 400, Mail Drop 2S
Springfield, IL 62703
Attention: Janice Marvel, Bureau Chief
Phone: (217) 782-0632
Fax: (217) 557-7251
Email: dhs.CILA@illinois.gov

This issue of the CILA Rates Update represents data through June 30, 2022. Please Note: The financial numbers (dollar amounts) reported in this edition of the CILA Rates Annual Update have increased because of recent increases to rate and wage funding levels. However, Topline Rates remain approximately 7 percent higher due to continued temporary rate and rate formula changes implemented last fiscal year due to COVID-19. Temporary COVID-19 adjustments changed during fiscal year 2022 and some COVID-19 premiums remain in effect on June 30, 2022, when the data for this report was developed. A comparison of FY20 and earlier fiscal year reimbursement averages to FY22 may show funding changes as a result of some rate components being switched from paid in the 60D CILA rate to other billable supports under different bill codes. As such, a comparison to previous year's or future year's financial numbers may not be an accurate comparison.

Total Number of Current Rates (Approved and/or Placed)

Type of Rate Number of 24-Hour Rates Percent of Total Rates
24-Hour Rates 9,787 88.3%
Host Family Rates 289 2.6%
Intermittent Care Rates 1,010 9.1%
Total Number of Current Rates Approved/Placed 11,086

Total Approved Annualized DHS Funding

Average Topline Rates Average Topline Total Funding
24-Hour Rate $90,728 * $887,955,250 *
Host Family Rate $66,922 * $ 19,340,492 *
Intermittent Care Rate $38,045 * + $ 38,425,705 * +
Total Annualized DHS Funding $945,721,446 *

Resident Support Need and Average Rates (24-HR and Host Family Only)

Support Need Number of Rates Approved Percent of Total Average Topline Rate
Low (ICAP 70+) 662 6.6% $67,219 *
Moderate (40-69) 5,393 53.5% $84,416 *
High (1 - 39) 4,021 39.9% $101,354 *

Average Annual Residential Transportation Allowance Per Person (24-HR and Host Family Only)

Level Allowance Per Person Rates Percentage of Total
Non-Ambulatory $2,813 * 783 7.8%
Ambulatory $3,353 * 9,293 92.2%
Average Annual Residential Transportation
Allowance Per Person (24-HR and Foster Care Only)
$3,311 *

Average Annual Administration Allowance Per Person

  • 24-Hour - $3,736 (Fixed)
  • Host Family - $5,616 (Percentage)
  • Intermittent - $5,522 (Percentage) $7.08/61H Hour * 15 Hr./Wk. * 52 Weeks = $5,522

Night Shift Staff Sleep? (24-Hour and Host Family Only)

  • "Yes" Asleep Staff at Night 1,341 (13.3%)
  • "No" Awake Staff at Night 8,735 (86.7%)

CILA Housing Capacity and Average Rates (24-Hour and Host Family Only)

Home Capacity Number of Rates Percent of Total Average Topline Rate
1 Bed 89 0.9% $153,364 *
2 Bed 251 2.5% $85,998 *
3 Bed 599 5.9% $109,325 *
4 Bed 1,950 19.4% $98,325 *
5 Bed 929 9.2% $90,117 *
6 Bed 1,864 18.5% $85,828 *
7 Bed 773 7.7% $84,143 *
8 Bed 3,621 35.9% $84,534 *

Rates Approved by Region - All CILA Types Based on County Location

Greater Illinois Regions

Region Number of Rates Percent of Total Average Topline Rate
Central 1,197 10.8% $84,962 *
North Central 1,514 13.7% $87,524 *
Northwest 797 7.2% $84,655 *
Southern 1,813 16.4% $90,215 *
Total 5,321 48.0% $465,240,223 *

Metro Chicago Regions

Region Number of Rates Percent of Total Average Topline Rate
City of Chicago 1,111 10.0% $78,264 *
North Suburban 2,079 18.8% $84,655 *
South Suburban 2,574 23.2% $84,388 *
Total 5,765 52.0% $480,481,223 *

Model CILA Clients By Health Care Level (Nursing Services Packet) and Region

Greater Illinois Regions

Region Missing HCL 1 HCL 2 HCL 3 HCL 4 HCL 5 HCL 6 Average HCL
Central 55 340 413 242 73 54 20 2.25
North Central 60 418 526 267 133 79 31 2.33
Northwest 42 352 234 103 32 21 13 1.91
Southern 58 551 584 327 141 91 61 2.33
Region Total 215 1,661 1,757 939 379 245 125 2.20

Metro Chicago Regions

Region Missing HCL 1 HCL 2 HCL 3 HCL 4 HCL 5 HCL 6 Average HCL
City of Chicago 66 591 304 81 39 22 9 1.68
North Suburban 142 933 633 232 86 39 14 1.82
South Suburban 194 1,206 731 263 105 55 20 1.79
Region Total 402 2,730 1,668 576 230 116 43 1.77

*The financial numbers (dollar amounts) reported in this edition of the CILA Rates Annual Update are approximately 7 percent higher due to temporary rate and rate formula changes implemented in fiscal year 2020 through 2022 due to COVID-19. These temporary adjustments were in effect on June 30, 2022, when the data for this report was developed. As such, a comparison to previous or future year's financial numbers may not be compared for an accurate change in last or next year's funding data.

+ The financial numbers (dollar amounts) reported for Intermittent CILA represent the total or average of all billable hours awarded for Hourly Intermittent CILA (61H) bill code and additional staff supports 53R bill code. This also assumes all awarded hours of 61H, 62H and 63H are billed at the 61H (1:1) rate.