Division of Developmental Disabilities Medicaid Waivers

The most up to date waivers can be found on the HFS Home and Community-Based Services Waiver Programs webpage: Home and Community Based Services Waiver Programs | HFS (illinois.gov).

Components of the DDD HCBS Waivers (Adult, Children's Residential, and Children's Support)

  • Main Forum (pdf) = the introductory body of the waiver application that includes Major Changes and a Brief Waiver Description.
  • Appendix A - Waiver Administration and Operation (pdf) = specifies the administrative and operational structure of this waiver.
  • Appendix B - Participant Access and Eligibility (pdf) = specifies the target group(s) of individuals who are served in this waiver, the number of participants that the State expects to serve during each year that the waiver is in effect, applicable Medicaid eligibility and post-eligibility (if applicable) requirements, and procedures for the evaluation and reevaluation of level of care.
  • Appendix C - Participant Services (pdf) = specifies the home and community-based waiver services that are furnished through the waiver, including applicable limitations on such services.
  • Appendix D - Participant-Centered Service Planning and Delivery (pdf) = specifies the procedures and methods that the State uses to develop, implement and monitor the participant-centered service plan (of care).
  • Appendix E - Participant-Direction of Services (pdf) = specifies the participant direction opportunities that are offered in the waiver and the supports that are available to participants who direct their services
  • Appendix F - Participant Rights (pdf) = specifies how the State informs participants of their Medicaid Fair Hearing rights and other procedures to address participant grievances and complaints.
  • Appendix G - Participant Safeguards (pdf) = describes the safeguards that the State has established to assure the health and welfare of waiver participants in specified areas.
  • Appendix H - Quality Improvement Strategy (pdf) = contains the Quality Improvement Strategy for this waiver.
  • Appendix I - Financial Accountability (pdf) = describes the methods by which the State makes payments for waiver services, ensures the integrity of these payments, and complies with applicable federal requirements concerning payments and federal financial participation.
  • Appendix J - Cost-Neutrality Demonstration (pdf) = contains the State's demonstration that the waiver is cost-neutral.

Medicaid Waiver - Performance Management Reports 

Medicaid Waiver - Waiver Compliance Review Reports


For Accessible versions of the (pdf) documents linked to on this page please send a message to DHS.DDDComments.