TITLE 59: MENTAL HEALTH
CHAPTER I: DEPARTMENT OF HUMAN SERVICES
PART 120 MEDICAID HOME AND COMMUNITY-BASED SERVICES WAIVER PROGRAM FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES
SECTION 120.50 TARGET POPULATION


 

Section 120.50  Target population

 

Individuals to be served under this Part are Medicaid-eligible Illinois adults and children with developmental disabilities who otherwise would require ICF/DD (42 CFR 440.150) level of care.  Adults entering the Adults with Developmental Disabilities Waiver must be at least age 18 years or older. Children entering the Children's Residential or Children's Support Waiver must be at least age 3 years old and can remain through age 21. Individuals served shall meet Illinois Medicaid eligibility standards, non-financial eligibility criteria under this Part, and be:

 

a)         Residents of State-operated facilities who are able to live in the community and/or who prefer services in an HCBS Waiver;

 

b)         On PUNS, including Individuals currently living at home, living in private ICF/DDs and living in Medically Complex facilities for persons with Developmental Disabilities;

 

c)         Individuals being subjected to abuse, neglect, homelessness; or

 

d)         Youth who are 18 years or older, but prior to their 22nd birthday, residing as an adult in a DDD child group home;

 

e)         Illinois Department of Children and Family Services youth in care who are 18 years or older, but prior to their 22nd birthday;

 

f)         A Bogard class member, i.e., certain Individuals with developmental disabilities who currently reside or previously resided in a nursing facility; or

 

g)         Part of a DHS Intermediate Care Facility for Individuals with Developmental Disabilities (ICF/DD) Downsizing.  The ICF/DD must have an agreement with the Division.

 

(Source:  Amended at 48 Ill. Reg. 5279, effective March 21, 2024)