DIVISION OF DEVELOPMENTAL

DISABILITIESUPDATEMay 7, 2019

LIGAS AND PUNS

• Continued negotiations related to reasonable pace• PUNS selections advance notice

• Subject to appropriations• Approximately 980 selected in FY19 to begin services in for

FY20 • Anticipated selection of 1150 per year for FY20 – FY24 (to begin

services the following fiscal year)• Choice of CILA and home-based services plus other

programs/supports available through waiver services• Historically, 80% have selected home-based services

• Only adults are selected from PUNS at this time• Children have option of entering waiver through crisis, as

needed• Selections are based on length of time since 18th birthday

that person has been in “seeking services” category• Crisis continues to be an option, when needed• Once selected from PUNS, no need for re-selection if needs

change and more services are needed

• DHS.DDD.PUNS@Illinois.gov• Email address to request estimated year of selection and

for other PUNS related questions• Initiated December 2018• Moderate volume (average 20/week)• Response time typically within 2 business days

LIGAS COMPLIANCE

• Review of compliance to Ligas Consent Decree has started• April 2019 – October 2019• Data analysis and report anticipated by December 31, 2019

• Directed by court monitor with input from Ligas parties• Focus on CILA at this time• Specially-trained reviewers using custom tool• http://www.dhs.state.il.us/page.aspx?item=66987 for more

information

INDEPENDENT SERVICE COORDINATION

• Notice of Funding Opportunity – Fall 2018• Merit-based scoring process

• Results announced early 2019• Total of 12 geographic areas • Total of 8 different agencies

• Transition activities underway for all areas with changes except for Madison and St Clair counties (currently served by DDSME)

• Transitions complete and changes effective July 1, 2019• DHS has entered into settlement negotiations with DDSME in

regards to suits filed in St Clair County Circuit Court• DDSME remains the ISC until settlement agreement reached

• Prairieland assumed responsibility for ISC service in the Rock Island/Mercer counties (CSO/RIM area) effective May 1, 2019.

• ISC manual revisions underway and will be posted to website prior to July 1, 2019.

• ISCs will remain responsible for all case management activities for persons receiving Medicaid Home and Community Based Waiver services.

• Continued focus on training related to person-centered planning to enhance ISC skills in this area.

• http://www.dhs.state.il.us/page.aspx?item=116491• myISC@Illinois.gov

CILA AND COMMUNITY DAY SERVICES

• Rule revisions have been initiated• Rule 115 • Rule 119• Watch website and DDDComments email for announcements

that drafts have been posted for public comment• Sign up through

http://www.dhs.state.il.us/page.aspx?item=116491• Day Services

• Increased focus on opportunities for work• Expanded day service options (meaningful day)

• HCBS Settings Rule• Deadline March 17, 2022• Where and how services are provided

• Choice• Person-centered focus• Freedoms/control of home

• Resource -- https://c-q-l.org/resource-library/resource-library/all-resources/hcbs-settings-rule-approaching-the-original-deadline

RATES• Rates work has been underway for several months

• Oversight Committee (parents, providers, Ligas party members, DD representative, chaired by Howard Peters)

• Subcommittees• Employment and Training• Staffing• Technology• Behavioral• Transportation• Nursing/Medical• ICFDD

• Recommendations will go to an independent entity (not yet selected) to establish new rates for all services

MISCELLANEOUS INFORMATION

• Medicaid “Hub” Pilot Project• Started September 2018• DHS.DD.MediRede@Illinois.gov• Redeterminations, medical spend down, SNAP, medical

savings plan, long term care admissions• Electronic Visit Verification

• Home-based services only• Requirement effective January 2020

QUESTIONS?• Jayma Bernhard Page

• Jayma.Bernhard@Illinois.gov• 217-782-9460• Until May 31, 2019

• Pamela Manning (Quality Management)• Pamela.Manning@Illinois.gov• 217-782-8269

• Derek Hedges (Waiver Services)• Derek.Hedges@Illinois.gov• 217-782-5919

• Andrea Medley (Ligas, Rules, PUNS)• Andrea.Medley@Illinois.gov• 217-524-2520