DDD Current Rate Table – Effective January 1, 2023

DDD Rate Table - Effective January 1, 2023

ALL Rates are subject to Federal CMS approval of DDD waiver amendments.

Chicago Metro Region Includes: Chicago; Cook, DuPage, Kane, Lake, McHenry, and Will counties.

The DDD is implementing a Regional wage and rate factor on some DDD services and supports. Currently, the Regional wage and rate factor only applies to "CILA".

PROGRAM NAME Program Bill Code HCBS Medicaid Waiver Service Unit Type Maximum Units / Hours Per FY Hourly / Unit Rate Statewide Annual Rate Statewide Hourly / Unit Rate Chicago Metro Region Annual Rate Chicago Metro Region
CHILDREN'S SERVICES - PURCHASE OF SERVICE (POS):
Children's Group Homes (CGH) 17D Y 24-Hr Day 365 days varies varies varies varies
Child Care Institutions (CCI) 19D N 24-Hr Day 365 days varies varies varies varies
CCI (LTC Campus Facilities) 19D N 24-Hr Day 365 days varies varies varies varies
DAY PROGRAMS - FFS  (Any combination of Day Program codes can be a maximum of 1,200):
Community Day Services (ON Site) 31U Y Client Hour 1,200 $15.03 $18,036 $15.03 $18,036
Community Day Services (OFF Site) 31C Y Client Hour 1,200 $16.82 $20,184 $16.82 $20,184
Virtual Day Services 31V Y Client Hour 1,200 $5.70 $6,840 $5.70 $6,840
Supported Employment - Small Group (up to 1:3) 33G Y Client Hour 1,200 $13.73 $16,476 $13.73 $16,476
Supported Employment - Large Group (up to 1:6) 36G Y Client Hour 1,200 $7.00 $8,400 $7.00 $8,400
Supported Employment - Individual (1:1) New 01/01/2022 36U Y Client Hour 300 $40.67 $12,201 $40.67 $12,201
Adult Day Services 35U Y Client Hour 1,200 $19.82 $23,779 $19.82 $23,779
Enhanced Residential (formerly At-Home) Day Program 37U Y Client Hour 1,200 $18.53 $22,236 $18.53 $22,236
SODC Day Training (On Site) New 04/01/2022 38U N Client Hour 1,200 $15.03 $18,036 $15.03 $18,036
SODC Day Training (Off Site) New 04/01/2022 38C N Client Hour 1,200 $16.82 $20,184 $16.82 $20,184
OTHER - GRANTS:
Epilepsy 250 N N/A Grant $$ N/A Annual Grant N/A Annual Grant
Dental 400 N N/A Grant $$ N/A Annual Grant N/A Annual Grant
Special Projects 450 N N/A Grant $$ N/A Annual Grant N/A Annual Grant
Pre-Admission Screening (PAS) 500 N Client Hour Grant $$ N/A Annual Grant N/A Annual Grant
Indiv Serv & Support Advocacy (ISSA) 51A through L Y - Admin. Client Hour Grant $$ $51.27 Annual Grant $51.27 Annual Grant
PAS-Bogard 781 N N/A Grant $$ N/A Annual Grant N/A Annual Grant
Case Coordination Non-Waiver 780 N N/A Grant $$ N/A Annual Grant N/A Annual Grant
In-Home - Level 1, 2 and 3 87D-L1, L2 or L3 N Client Hour 360 hours annually $22.50 Respite Allocation $22.50 Respite Allocation
Residential Respite 89D N 24 -Hr Day 60 Days varies Respite Allocation varies Respite Allocation
Group Respite 880 N Client Hour Grant $$ N/A Annual Grant N/A Annual Grant
ADULT RESIDENTIAL SUPPORTS:
Special Home Placement (SHP) - (No new authorizations) 41D N 24-Hr Day 365 days $53.36 $19,475 $53.36 $19,475
Supported Living Arrangements (SLA) - (No new authorizations) 42D N Client Day 365 days varies varies varies varies
Community Integrated Living Arrangement (CILA) - Individual Rate Model 60D Y Client Day 365 days varies varies varies varies
Community Integrated Living Arrangement (CILA) - Intermittent Hourly Supports 1:1 61H Y Client Hour Varies $50.76 varies $57.81 varies
Community Integrated Living Arrangement (CILA) - Intermittent Hourly Supports 1:2 62H Y Client Hour Varies $25.38 varies $28.90 varies
Community Integrated Living Arrangement (CILA) - Intermittent Hourly Supports 1:3 63H Y Client Hour Varies $16.92 varies $19.27 varies
Community Living Facility (CLF) 16 or fewer 67D Y 24-Hr Day 365 days varies varies varies varies
CLF greater than 16 67E N 24-Hr Day 365 days varies varies varies varies
CLF Out-of-State 67O N 24-Hr Day 365 days varies varies varies varies
OTHER SERVICES
Related Support - (No new authorizations) 73D N Client Day 365 days varies varies varies varies
HOME-BASED SUPPORTS:
HBS Self Directed Assistance (children & adults) 55A Y Hour Mo. Max. $51.27 Annual Max. $$ $51.27 Annual Max. $$
HBS Training for Unpaid Caregivers (children & adults) 55B Y Event Mo. Max. varies Annual Max. $$ varies Annual Max. $$
HBS Counseling for Unpaid Caregivers (children & adults) 55C Y Hour Mo. Max. $33.13 Annual Max. $$ $33.13 Annual Max. $$
HBS Personal Support (children & adults) 55D Y Event Mo. Max. varies Annual Max. $$ varies Annual Max. $$
HBS Nursing - Registered Nurse (adults only) 55N Y Hour 365 or Mo.Max $$ $45.00 Annual Max. $$ $45.00 Annual Max. $$
HBS Nursing - Licensed Practical Nurse (adults only) 55P Y Hour 365 or Mo.Max $$ $37.50 Annual Max. $$ $37.50 Annual Max. $$
HBS Transportation (adults only) 55T Y Events / Miles $500/Mo. $0.58 / Mile Annual Max. $$ $0.58 / Mile Annual Max. $$
HBS Emergency Home Response (adults only) 55W - - - - -
Level 1 - System Installation L1 Y Event 1/State FY $40.00 $40.00 $40.00 $40.00
Level 2 - Monthly Rate for Monitoring L2 Y Event 1/Month $28.00 Annual Max. $$ $28.00 Annual Max. $$
LONG TERM CARE (LTC):
ICF/IDD - - - - varies varies varies varies
ICF/IDD-DT - - - - varies varies varies varies
THERAPIES:
Physical Therapy 52P Y Client Hour 52 Hours $111.00 $5,772 $111.00 $5,772
Occupational Therapy 52O Y Client Hour 52 Hours $111.00 $5,772 $111.00 $5,772
Speech Therapy 52S Y Client Hour 52 Hours $111.00 $5,772 $111.00 $5,772
Behavior Intervention and Treatment 56U - - - - -
Level 1 - Licensed Professional - Statewide Rate L1 Y Hour 104 (Any combination of L1 & L2) $99.11 $10,307 $99.11 $10,307
Level 2 - Other Credentials or No Level Specified - Statewide Rate L2 Y Hour 104 (Any combination of L1 & L2) $78.07 $8,119 $78.07 $8,119
Individual Counseling 57U Y Client Hour 60 Hours (Any combination of 57U, 57G, 58U, 58G) $50.41 $3,327 $50.41 $3,327
Group Counseling 57G Y Client Hour 60 Hours (Any combination of 57U, 57G, 58U, 58G) $16.80 $1,109 $16.80 $1,109
Individual Therapy 58U Y Client Hour 60 Hours (Any combination of 57U, 57G, 58U, 58G) $69.71 $4,601 $69.71 $4,601
Group Therapy 58G Y Client Hour 60 Hours (Any combination of 57U, 57G, 58U, 58G) $23.24 $1,534 $23.24 $1,534
OTHER SUPPORTS AND SERVICES:
Crisis Services (Adult HBS only) 53C Y Hour 60 Consecutive Days varies varies varies varies
Adaptive Equipment 53E Y Event $15,000/5 Yr. Max (Any combination of 53E, 53H, 53T, 53V & Remote Supports) varies varies varies varies
Assistive Technology 53T Y Event $15,000/5 Yr. Max (Any combination of 53E, 53H, 53T, 53V & Remote Supports) varies varies varies varies
Minor Home Accessibility Modification 53H Y Event $15,000/5 Yr. Max (Any combination of 53E, 53H, 53T, 53V & Remote Supports) varies varies varies varies
Temporary Intensive Staffing - Day (31C & 31U CDS only) 53D Y Hour Tied to DSP wage rate $22.08 varies $22.08 varies
Temporary Intensive Staffing - Residential (60D and 61H only) 53R Y Hour Tied to DSP wage rate $22.08 varies $25.40 varies
Temporary Intensive Staffing - SODC Day (SODC CDS 38C & 38U Only) 53S N Hour Tied to DSP wage rate $22.08 varies $22.08 varies
Minor Vehicle Accessibility Modification 53V Y Event $15,000/5 Yr. Max (Any combination of 53E, 53H, 53T, 53V & Remote Supports) varies varies varies varies
Remote Supports 53E or 53T Y Event $15,000/5 Yr. Max (Any combination of 53E, 53H, 53T, 53V & Remote Supports) varies varies varies varies
BOGARD SPECIALIZED SERVICES - (No new authorizations) 75 through 76 N varies varies varies varies varies varies
**TO BE UPDATED IN THE FUTURE** STAFF TRAINING: (Applicable for CILA and ICF/IDD Residential Staff. Not Applicable for CDS Staff) **TO BE UPDATED AT FUTURE TIMING**
Direct Support Staff (DSP) D, DS, DC, DOA, DOC Y - Admin. Event Variable: DSP, DSP w/ STOFHLA, TABE or CASAS varies varies varies varies
AIDE Staff A, AS, AC, AOA, AOC Y - Admin. Event Variable: Aide, Aide w/ STOFHLA, TABE or CASAS varies varies varies varies
Nurse Staff N, NS, NC, NOA, NOC Y - Admin. Event Variable: Nurse, Nurse w/ STOFHLA, TABE or CASAS varies varies varies varies
Medication Administration M, MS, MC, MOA, MOC Y - Admin. Event Variable: Med Admin., Med Admin w/ STOFHLA, TABE or CASAS varies varies varies varies
C.N.A. Competency C.N.A., CNAS, CNAC, CNAOA, CNAOC Y - Admin. Event Variable: C.N.A., C.N.A. w/ STOFHLA, TABE or CASAS varies varies varies varies
Insulin - Classroom ICC, ICD, ICF Y - Admin. Event - varies varies varies varies
Insulin - Individual IPC, IPD, IPF Y - Admin. Event - varies varies varies varies
Enteral Tubes - Classroom ECC, ECD, ECF Y - Admin. Event - varies varies varies varies
Enteral Tubes - Individual EPC, EPD, EPF Y - Admin. Event - varies varies varies varies
Professional Staff - - - - Community ICF/IDD Community ICF/IDD
QIDP Q Y - Admin. Event - $1,358.92 13.16.30 $1,358.92 13.16.30
QIDP Continuing Education QE Y - Admin. Event - $336.60 $325.78 $336.60 $325.78
QIDP Train the Trainer QT Y - Admin. Event - $224.40 $217.18 $224.40 $217.18
Residential Services Director R Y - Admin. Event - $295.42 $285.91 $295.42 $285.91
Med. Administration Train the Trainer MT Y - Admin. Event - $249.70 $241.78 $249.70 $241.78
Retraining Staff
DSP Retraining DR Y - Admin. Event - $2,940.99 $2,847.29 $2,940.99 $2,847.29
AIDE Retraining AR Y - Admin. Event - $2,940.99 $2,847.29 $2,940.99 $2,847.29
Nurse Retraining NR Y - Admin. Event - $2,940.99 $2,847.29 $2,940.99 $2,847.29
Staff Hourly Wage Table - Effective January 1, 2023
Position Statewide (CILA Rate Model) Wage Rate Rate w/ Fringe Fringe Percentage - Wage Rate
Chicago Metro Region
Rate w/ Fringe Chicago Metro Region Fringe Percentage Chicago Metro Region -
DSP Residential - (Awake, Asleep & Substitute) $17.00 $22.08 29.90% - $19.55 $25.40 29.90% -
Supervisor - Residential $19.02 $24.36 28.10% BLS Wage Scale Starting 01/01/2022 $21.87 $28.03 28.10% -
QIDP - Residential $21.68 $27.77 28.10% BLS Wage Scale Starting 01/01/2022 $24.93 $31.94 28.10% -
RN - Residential $37.30 $46.29 24.10% BLS Wage Scale Starting 01/01/2022 $42.90 $53.23 24.10% -
Dietician - Residential $30.25 $37.81 25.00% BLS Wage Scale Starting 01/01/2022 $34.79 $43.48 25.00% -
DSP - Comm. Day Services (CDS) $17.00 $22.08 29.90% Guidehouse (GH) ERE starting 01/01/2022 $17.00 $22.08 29.90% -
SEP - Job Coach $18.31 $23.78 29.90% BLS Wage Scale & GH ERE starting 01/01/2022 $18.31 $23.78 29.90% -
Supervisor - CDS $19.02 $24.36 28.10% BLS Wage Scale & GH ERE starting 01/01/2022 $19.02 $24.36 28.10% -
QIDP - CDS $21.68 $27.77 28.10% BLS Wage Scale & GH ERE starting 01/01/2022 $21.68 $27.77 28.10% -
Per Diem Reimbursement Statewide Statewide Statewide - Chi. Metro Chi. Metro Chi. Metro -
Host Family Stipends ICAP 70-100 $80.00 ICAP 40-69 $90.00 ICAP 1-39 $100.00 - ICAP 70-100 $92.00 ICAP 40-69 $103.50 ICAP 1-39 $115.00 -
Host Family Mileage $6.68 $6.68 $6.68 - $6.68 $6.68 $6.68 -

All Rates & Wages Shown are pending Federal CMS approval of Technical Amendments to DDD Waivers.

All ICF/IDD Wages shown are pending Federal CMS approval of State Plan Amendments.

All Effective Dates are pending Federal CMS Approval.

Effective 01/01/2023 all "nursing" hours in CILA will be funded at an RN Wage Rate. LPNs may be used by agencies as allowed by law.

Guidehouse Rate Study Table 5 page 18.

Estimated ICF/IDD Wage Rates Effective 01/01/2023

**TO BE UPDATED IN THE FUTURE**

01/01/2023 Aide Rates w/ $1.00 Wage Increase - Bypass H.S.A. Multipliers

01/01/2023 Nurse & QIDP Rates Adjusted to BLS Wage Scale - Bypass H.S.A. Multipliers

ALL Rates are subject to Federal CMS approval of DDD waiver amendments.

Regionally adjusted for COLAs and HSA / ICF/IDD Wage Rates w/ variable ERE

Statewide Wages withOUT Fringe Benefits / Statewide Wages with Fringe

Effective 1/1/2023 AIDE Nurse QIDP - AIDE Nurse QIDP
Date: DFL $17.00 $28.46 $21.68 - $22.08 $35.55 $27.77
HSA 1 1.0357162 $17.46 $29.48 $22.45 - $22.68 $36.82 $28.76
HSA 2 0.9892171 $16.86 $28.15 $21.45 - $21.90 $35.16 $27.47
HSA 3 0.972812 $16.65 $27.69 $21.09 - $21.63 $34.58 $27.02
HSA 4 0.9892171 $16.86 $28.15 $21.45 - $21.90 $35.16 $27.47
HSA 5 0.9049194 $15.79 $25.75 $19.62 - $20.51 $32.17 $25.13
HSA 6 1.2014172 $19.57 $34.19 $26.05 - $25.42 $42.71 $33.37
HSA 7 1.2014172 $19.57 $34.19 $26.05 - $25.42 $42.71 $33.37
HSA 8 1.2014172 $19.57 $34.19 $26.05 - $25.42 $42.71 $33.37
HSA 9 1.1169271 $18.49 $31.79 $24.21 - $24.02 $39.70 $31.02
HSA 10 1.0357162 $17.46 $29.48 $22.45 - $22.68 $36.82 $28.76
HSA 11 0.9722287 $16.65 $27.67 $21.08 - $21.63 $34.56 $27.00

See other Rates Information