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  HCBS Waiver for Persons with Disabilities

 

Fact Sheet

Operating State Agency: Department of Human Services (DHS), Division of Rehabilitation Services
Eligible Population:
  • Individuals with disabilities who are under age 60 at the time of application and who would otherwise require care in a nursing facility (NF).

  • Individuals 60 years or older, who began services before age 60, may choose to remain in this waiver.

Eligibility Criteria:

  • U.S. Citizen or legal alien

  • Be a resident of the State of Illinois

  • Under age 18, family non-exempt assets less than $35,000*

  • Over age 18, individual non-exempt assets under $17,500*

  • Be under age 60 at time of application

  • Medical determination of a diagnosed, severe disability, which is expected to last for 12 months or for the duration of life

  • Be at risk of nursing facility placement, as measured by the Determination of Need (DON) assessment, with a minimum score of 15 on functional impairment and a total of 29 points

  • Ability to be maintained safely in the home at a service cost which does not exceed that of NF care as measured by the DON
Level of Care: Nursing Facility
Services:
  • Personal Assistant (PA) – Services provided by individuals who are selected, employed and supervised by the customer. These individuals may assist with or perform household tasks, personal care and, with the permission of a physician, certain health care procedures.

  • Homemaker (HM) – Personal care and household tasks provided by trained and professionally supervised staff employed by homemaker agencies for customers who are unable to direct the services of a PA.


  • Adult Day Care (ADC) – ADC provides direct care and supervision in community-based setting for the purpose of providing personal attention, and promoting social, physical and emotional well being in a structured setting.

  • Environmental/Accessibility Modifications - Services to physically modify the customer’s home to accommodate the customer’s loss of function in the completion of his/her ADLs.

  • Assistive Equipment – Devices or equipment that increase an individual’s independence and ability to perform household or personal care tasks safely in the home or as necessary to promote safety of the customer/caregiver in the performance of activities of daily living.

  • Home Delivered Meals – One or more ready-to-eat meals per day which are delivered to the home. This service is provided to individuals who can feed themselves but are unable to prepare a meal.

  • Personal Emergency Response System (PERS) – A rented signaling device from a community service organization, which provides 24-hour emergency coverage permitting individuals to alert trained professionals at hospitals, fire and police departments. The client’s choice of providers is recorded and contacted prior to contacting emergency entities.

  • Respite - Temporary care for adults and children with disabilities aimed at relieving the family’s stress. Respite may be provided for vacations, rest, errands, taking a break, a family crisis or an emergency. Services may include personal assistant, homemaker, home health, or adult day care. Services are available for a maximum of 240 hours per year.

  • Individual and Agency-based Home Health Services (Extended State Plan Services) - Services may be provided under the waiver if the individual does not meet the approved eligibility requirements for the State Plan services.

    • Home health care (includes skilled nursing and home health aide)
    • Therapies: speech, hearing, and language (ST); physical (PT); and occupational (OT)

Service Exclusion:

The waiver does not cover items or services that are otherwise available under the State's approved Medical program.

Services Setting:

  • In the home of the person with a disability; and

  • Approved adult day care programs

How to Access Services:

E-mail Questions & Comments: Illinois Department of Healthcare and Family Services

* In order to receive services under the waiver, individuals must be Medicaid eligible. Persons eligible for Medicaid will receive an assessment of ineligibility for services available from other funding sources.

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