September 9, 2022 DDD Communication

Dear Stakeholders:

The DDD is pleased to announce that earlier this afternoon the Department of Healthcare and Family Services (HFS) posted the Waiver Amendment for the Adults with Developmental Disabilities Waiver. The Waiver Amendment makes several updates including the implementation of the next set of priorities from the Guidehouse Rate Study with a January 1, 2023 effective date, pending federal CMS approval. The updates include:

  • Increases DSP, QIDP, Supervisor, Job Coach and RN wages in CILA and CDS rates;
  • Implements 15% regionality for CILA rates in Chicago, suburban Cook and the collar counties;
  • Implements the CILA rate calculator:
    • Adds the Health Risk Screening Tool with the ICAP in determining an individual's staffing hours in 24-hour shift staff CILA settings;
    • Implements the Guidehouse staff ratios in 24-hour shift staff CILA settings;
    • Increases Host Family CILA stipends;
    • Adjusts base nursing and medication administration hours based on an individual's needs;
    • Changes all nurse hours to be funded using the RN Wage Rate; and
    • Updates the rates/percentages for transportation, employee-related expenses (ERE), program and administration.
  • Revises the Restraint and Restrictive Intervention sections.

The HFS Public Notices and Public Notice for this Waiver Amendment are both available online. And, linked within the Public Notice is the proposed Waiver Amendment is also available online or at the HFS offices in Springfield or Chicago.

The posting of the Waiver Amendment begins the 30-day public comment period. Interested parties can submit comments via email or mail as follows:

Mail: Healthcare and Family Services
ATTN: Waiver Operations Management
201 South Grand Avenue East, 2FL
Springfield, IL 62763


Sarah Myerscough-Mueller
Interim Director - Division of Developmental Disabilities
Illinois Department of Human Services
401 S. Clinton St., 6th Floor Chicago, IL 60607
O: (217) 524-2512

The information contained herein should not be considered a substitute for the appropriate official statutes, rules, regulations, or the advice of legal counsel.

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