Request to Exceed 25-Hour ISSA Service Cap

Illinois Department of Human Services
Division of Developmental Disabilities
Information Bulletin

Request to Exceed 25-Hour ISSA Service Cap
April, 2016


This information Bulletin is intended to update and streamline the process used when additional Individual Service and Support Advocacy (ISSA) Hours are needed for monitoring an individual in the Waiver. This does not constitute a change in policy.


As one of the functions of an Independent Service Coordination (ISC) agency, ISSA provides a minimum of four visits each fiscal year to each individual receiving waiver services. These visits are conducted in various settings and are used to monitor the health, safety, well-being and satisfaction of the individual. There are instances, however, in which additional on-site monitoring or visits are needed for individuals whose care or services are being jeopardized or cases involving a provider agency with systemic problems so severe that individuals are at risk.

Process and Procedure

A request to exceed additional ISSA hours can be initiated by the Division of Developmental Disabilities (DDD) or by the ISC agencies. In either case, a Request to Exceed 25-Hour Individual Service and Support Advocacy (ISSA) Services Cap (IL462-4451) form must be completed. Prior Approval is required for activities beyond the minimum requirements that would result in an excess of 25 hours. If additional specialized monitoring is needed, ISC agencies will complete the ISC Specialized Additional Monitoring Report form for all visits.

Effective Date

This information bulletin along with the Request to Exceed 25-Hour Individual Service and Support effective immediately upon this release.