Division of Developmental Disabilities Supported Employment Program (DDD SEP) FY24 Revalidation Guidelines Update

Division of Developmental Disabilities Supported Employment Program (DDD SEP)
FY24 Revalidation Guidelines

Purpose:

The Division of Developmental Disabilities (DDD) is committed to expanding and enhancing opportunities for individuals with intellectual and developmental disabilities (I/DD) to sustain Competitive integrated Employment (CIE). The Division's commitment in this area includes periodic auditing and data collection efforts through the Revalidation of the DDD's Supported Employment Program (DDD SEP) authorizations. The following is guidance on the process and procedure for FY24 DDD SEP Revalidation.

Background:

Annual Revalidation of all active DDD SEP authorizations began in FY22. DDD SEP Revalidation is built upon a foundation of data collection, informed decision making, administrative oversight and continuous improvement. DDD SEP Revalidation is cited in both the DDD SEP Information Bulletin and the DDD DRS Memorandum of Understanding PDF.

Scope:

FY24 DDD SEP Revalidation applies to current DDD SEP authorizations that are the result of either 1) approval during FY23 Revalidation or 2) approval as a New/Initial authorization from the period of July 1st, 2023, to February 29th, 2024.

New / Initial DDD SEP requests that have been authorized on or after March 1st, 2024, do not require FY24 Revalidation and will remain active into FY25.

The following service and billing codes are subject to FY24 Revalidation.

  • DDD SEP Individual (36U)
  • DDD SEP Group (36G & 33G)
  • DDD SEP SODC Individual (34U)
  • DDD SEP SODC Group (34G & 32G)

Current Impact:

FY24 DDD SEP Revalidation requests will be accepted from April 1st, 2024, through end of business May 3rd, 2024.

To be considered for FY24 DDD SEP Revalidation, an individual must:

  • Have an active authorization for one or more DDD SEP service and billing codes; and
  • Be currently employed in an integrated setting at competitive wages; and
  • Require supportive services to sustain current employment

DDD SEP Provider agencies must submit DDD SEP Revalidation requests on behalf of all individuals who have an active DDD SEP authorization, who require supportive services to sustain currently active Competitive Integrated Employment.

Any questions on the status of DDD SEP authorizations may be directed to the DDD Supported Employment Administrator casey.burke@illinois.gov.

Fully complete and accurate DDD SEP Revalidation requests which are submitted within the FY24 DDD SEP Revalidation window, and which meet all criteria of DDD SEP, will result in the continued authorization of applicable DDD SEP service and billing codes into FY25.

DDD SEP Revalidation requests which are received after the May 3rd, 2024, deadline and / or those which do not meet DDD SEP criteria will result in the applicable DDD SEP service and billing code(s) being deactivated effective June 30th, 2024. In the event of deactivation, a New/Initial Request for DDD SEP may be made, should the individual obtain employment and all other eligibility criteria are met. Please refer to the DDD SEP Information Bulletin for further details, including eligibility criteria.

Submission of Revalidation Requests:

Complete and accurate documentation must be properly transmitted from the requesting DDD SEP Provider to the respective ISC agency. After review and approval by the ISC, all documentation will be forwarded by the ISC, via Birdseye, to DDD.

The ISC is responsible for loading the respective documentation into Birdseye, properly labeling the "Day Program Requested" as DDD SEP and assigning the DDD Supported Employment Administrator as the Region Personnel.

Submission of complete and accurate versions of the following documents are required for Revalidation of each DDD SEP award.

Upon receipt of complete and accurate ADPRs and SEQs, DDD SEP Unit Personnel will:

  • Review and document the submission; and
  • Verify eligibility and determine Revalidation status; and
  • Work with staff from the DDD SEP provider agency, DDD Regions and ISC to address any processing concern/s; and
  • Communicate the outcome of Revalidation to the Division of Developmental Disabilities Rates Unit and DDD SEP Providers.

Revalidation will not result in issuance of an updated rate sheet.

Notes:

  • Requests that include documents which are not fully completed and/or contain erroneous information are subject to denial.
  • A separate SEQ must be submitted for each employment opportunity supported by DDD SEP.
  • New DDD SEP Group programs and locations must be confirmed as compliant with HCBS Settings requirements.
  • FY24 DDD SEP Revalidation applies only to DDD SEP authorizations active prior to March 1st, 2024 - Individuals authorized for New/Initial DDD SEP (Individual and or Group) on or after March 1st, 2024, do not require Revalidation at this time. These awards will be automatically reauthorized.
  • Individuals whose DDD SEP authorization(s) is (are) not Revalidated will have their current DDD SEP authorization(s) automatically deactivated for billing effective the end of the State's current Fiscal Year, June 30th, 2024.
  • DDD SEP Provider organizations must ensure each location at which DDD SEP is supported has a unique Site ID.

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

Effective Date:

3/18/24