The IDHS/DDD seeks to ensure that all Temporary Assistance (53C) billings for Home Based Service (HBS) individuals are accurate, justified and meet specified rules and requirements. Per Appendix C of the 1915(c) HCBS Waiver "Temporary assistance may not exceed $2,000 in any single month and may not be authorized for more than two consecutive months or 60 consecutive days."
Basis for Review
The Illinois Department of Human Services, Division of Developmental Disabilities must conduct ongoing annual reviews of Medicaid Waiver programs per the approved Medicaid Waiver Application.
Method of Review
The Bureau of Program Development & Medicaid Administration reviewed all Temporary Assistance awards that were issued during FY 2012 thru November 2015. Awards were selected for further review if they appeared more than once on the log.
Attached is a table that shows the number of HBS authorizations, Temporary Assistance awards, consecutive awards and multiple awards by fiscal year. DDD Staff found that only 0.74% of HBS consumers have utilized the program, but of those consumers that do utilize the program a significant amount (37%) have used it multiple times.
Region Staff were given the results of this review and are actively screening applications for consecutive requests. Additionally, the Division is strengthening the language used in the Waiver pertaining to the use of Temporary Assistance as a part of the Waiver renewal process.
Issued to Waiver
|% of HBS
|% of Multiple
|% of Consecutive