Updated Administrative Rule for CILAs

The Department of Human Services, Division of Developmental Disabilities has promulgated an amendment to 59 Ill. Adm. Code 115: Standards and Licensure Requirements for Community-Integrated Living Arrangements (CILAs), also known as Rule 115. This amended rule has been adopted by the Joint Commission on Administrative Rules and is now in effect.

This amendment includes the implementation of person-centered planning, conflict-free case management, monitor and receivership, application for additional support ,and revisions to discharge language. The amendment also updates various definitions and language regarding rate components and assessments.

One of the definitions updated is the definition of a CILA: the updated definition limits the administrative rule's coverage to residential settings for individuals with a developmental disability. With the adoption of this amended rule, the provisions of Rule 115 now apply only to CILA providers serving people with developmental disabilities, not those exclusively serving individuals with mental illness.

While these CILA regulations no longer apply to mental health CILA providers, most of these providers are also certified under 59 Ill. Adm. Code 132 (Rule 132). Those sites are still subject to monitoring by the Department's Bureau of Accreditation, Licensing, and Certification (BALC).

In addition, DMH is in the early stages of developing a residential rule that will cover mental health residential service providers, including mental health CILAs. There will be an opportunity for public comment when that administrative rule is proposed.

Please direct any questions about how this administrative rule change impacts your program(s) to your DMH program contact.