Child Group Home - Developmental Disabilities

What is it?

This residential program is available to participants of the Children's Residential Waiver and is licensed by the Department of Children and Family Services to serve no more than 10 children per living arrangement.  Child Group Homes are designed as a structured environment, providing a range of habilitative and therapeutic services to children and adolescents who cannot reside in their own home.  These supports are individually tailored to assist with the acquisition, retention or improvement in skills related to living in the community.

How Do I obtain DCFS license for Child Group Home Services?

  • Contact the Illinois Department of Child and Family Services, Central Office of Licensing at (217) 785-2688 and request information about the DCFS Child Welfare Agency Licensing process.
  • AFTER obtaining a DCFS Child Welfare Agency License, contact DCFS to request an enrollment and licensing packet for Child Group Home(s)You will be assigned to one of the DCFS regional offices to assist you.

How Do I enroll as a Child Group Home Provider for the Developmental Disabilities Medicaid Waiver Program?

  1. Organizations must have a Child Welfare Agency license and Child Group Home license.  In addition, the organization must be actively providing Child Group Home Services for DCFS to be eligible to enroll in the Development Disabilities Medicaid Waiver program. 
  2. Apply for a National Provider Identification Number (NPI) on the National Plan and Provider Enumeration System website. 
    1. The NPI must be a Type 2 - Organizational NPI number. 
    2. The taxonomy code must be 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children.
  3. Send the following enrollment documents to
    • Illinois Department of Human Services
      Division of Developmental Disabilities
      600 East Ash Street, Building 400, Mail Stop 3S
      Springfield, IL 62703
      Attention: Provider Enrollment
      Email: DHS.DDDMedProv@illinois.gov 
      • Typed cover letter that includes a description of the services that your organization plans to provide and the owners or Executive Director's phone number and email address.
      • Copy of Department of Children and Family Services (DCFS) Child Welfare Agency License
      • Copy of Department of Children and Family Services (DCFS) Child Group Home license(s
      • IRS W-9 form  - Carefully review the IRS W-9 Guidelines and complete the IRS W-9 form based on the tax classification of the organization and determine if any additional IRS forms or other supporting documentation needs to be submitted with W-9
  1. Submit an IMPACT Provider Enrollment application for the company:
    1. You, the person sitting at the computer, must create an IMPACT account on the State of Illinois | HFS IMPACT: Home and apply for approval for a Single Sign-On ID.  Please use the Single Sign-On ID PowerPoint Presentation found on the Presentations and Materials | HFS (illinois.gov) page on the HFS website to complete this step.
    2. When the Single Sign-On ID has been approved, return to the State of Illinois | HFS IMPACT: Home and log into your account.  An IMPACT blue hyperlink will now be on your IMPACT home page located under the 4 green boxes.  Click on IMPACT hyperlink to access the IMPACT Provider Enrollment System. 
      1. On the next screen, click on NEW ENROLLMENT. 
      2. Select the Enrollment Type:  Facility, Agency, Organization (FAO). 
      3. Use the Facility, Agency, Organization PowerPoint Presentation found on the Presentations and Materials | HFS (illinois.gov) page as a guide for completing the application.  The application  must includes the following information:
      1. Add Specialty: Care Facility; Child Group Home; No Subspecialty
      2. Associate Provider: DDD Billing Provide ID number 7094718
      3. Associate Billing Agent: DDD Billing Agent number 7094638
      4. Associate MCO Plan: DDD MCO Plan ID number 3000006
  2. Send an email to DHS.DDDMedProv@Illinois.gov notifying DDD Provider Enrollment that the IMPACT enrollment application has been completed and submitted for State Review. 
  3. The IMPACT system will send you an email notification when your IMPACT application has been approved. 
  4. Review the information available about Using ROCS and contact the ROCS helpdesk for Technical Support.

Important Resources for Program Requirements