DDD COMMUNICATION | December 06, 2024
FINAL IB POSTED - CLARIFYING THREE PERSON PROVIDER-CONTROLLED CILA INCENTIVE PROCESS
An Information Bulletin (IB) discussing Three-Person Community Integrated Living Arrangement (CILA) homes, formerly posted as a draft, has now been posted as final. You can view the final IB here: IDHS OneNet: Clarifying Three Person Provider-Controlled Community Integrated Living Arrangement (CILA) Incentive Process
You can view all final IBs here: DDD Information Bulletins
UPDATED ICAP AND HEALTH CARE LEVEL DATA PULL
A reminder to Community Integrated Living Arrangement (CILA) agencies the Division of Developmental Disabilities (DDD) will be asking for updated Inventory for Client and Agency Planning (ICAP) information from Independent Service Coordinator (ISC) agencies and updated Health Risk Screening Tool/Health Care Level (HRST/HCL) data from IntellectAbility on Monday, December 16, 2024. CILA Agencies need to work out any ICAP Score issues with your ISC prior to December 16th. CILA Agencies should also have complete HRST/HCL data entered with IntellectAbility by December 16th.
CILA PERSONAL NEEDS ALLOWANCE INCREASING JANUARY 1, 2025
House Bill 793 recently passed by the Illinois legislature increases the Personal Needs Allowance (PNA) for people receiving Community Integrated Living Arrangement (CILA) services to $100 per month beginning January 1, 2025. The Division of Developmental Disabilities (DDD) is working with DoIT to get the PNA allowance changed in the Third-Party Liability (TPL) calculation. As a reminder the Community Reimbursement System (CRS) which calculates the TPL and bottom-line payment for people who receive 24-Hour CILA will automatically adjust remittance payments to providers. Providers are reminded to recalculate payments due from individuals who receive Host Family or Intermittent CILA (I-CILA) to the new PNA with applicable Social Security Administration (SSA) benefit increases. Providers are reminded Information Bulletins (IB) DD.22.001 and DD.22.002 give information to how providers are to calculate such payments when applicable for individuals who receive Host Family or I-CILA services. Both of these IBs will be updated in the near future to reflect the PNA change to $100.
You can view all final IBs here: DDD Information Bulletins
ILLINOIS MEDICAID PROGRAM: PROVIDER REVALIDATIONS
In accordance with Federal Regulation 42 CFR 455.414, all Medicaid providers are required to periodically revalidate their enrollment information. Division of Developmental Disabilities (DDD) IMPACT Provider revalidations will continue to occur through 2025. Providers requiring revalidation will receive e-mail notifications prior to the assigned due date. DDD Providers are encouraged to notify the DDD IMPACT team via e-mail, DHS.DDDMedProv@illinois.gov following the completion of the revalidation process. Revalidation FAQs and instructions can be found here: Provider Revalidation.
RULE 116 INTERPRETIVE GUIDANCE
Per waiver, authorized direct support professionals (ADSPs) must be at least 18 years old, have completed high school or GED, demonstrate functional literacy, and have successfully completed 8 hours of classroom training on medication administration.
During the course of our Rule 116 reviews, surveyors come across ADSPs who do not have the requisite documentation to demonstrate a full 8 hours of classroom training. Historically, the ADSP was deauthorized until the medication class was retaken, regardless of the amount of how much classroom training was missing. We are updating our policy. The ADSP will be deauthorized until the medication class is retaken only if the deficit in documentation is more than 2 hours.
If the deficit in documentation is 2 hours or less, the ADSP will be required to complete 2 hours of classroom training to ensure the Waiver requirement is met. This must be done within 14 calendar days or the ADSP will be deauthorized until the requirement is completed. For example, if the ADSP has documentation for 7 hours of classroom training, the ADSP must meet with the Registered Nurse (RN) Trainer and complete 2 hours of additional classroom training on medication administration topics.
Another option for remediation will be to complete the entire classroom instruction within two weeks. An attestation by the RN trainer is required to be provided, including topics covered and date and time of training remediation, or the completion of the entire training class. It is up to the RN Trainer to determine what topics would be most useful to the ADSP for remediation. The ADSP will not be deauthorized if the attestation of completion of training is received by the Bureau of Clinical Services within 14 calendar days of the review's exit conference. An information bulletin on this topic will be forthcoming.
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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