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1900 Third Avenue  •  Rock Island, IL 61201

Medicaid Facts

Illinois developed the Supportive Living Program as an alternative to nursing home care for low-income older persons and persons with disabilities under Medicaid.

By combining apartment-style housing with personal care and other services, residents can live independently and take part in decision-making. Personal choice, dignity, privacy and individuality are emphasized.

The Department of Healthcare and Family Services has obtained a “waiver” to allow payment for services that are not routinely covered by Medicaid. These include personal care, homemaking, laundry, medication supervision, social activities, recreation and 24-hour staff to meet residents’ scheduled and unscheduled needs. The resident is responsible for paying the cost of room and board at the facility.

 

Supportive Living Facilities  Fact Sheet

 Operating Agency

Illinois Department of Healthcare and Family Services (HFS)

 http://www2.illinois.gov/hfs/MedicalPrograms/HCBS/Pages/slf.aspx

Managed Care Organization

For those persons receiving Medical services through a managed care organization, see contact information and links below

Eligible Population

  • Persons age 22-64 with a physical disability or persons age 65 or over. NOTE:  A supportive living facility must designate which of these two populations it will serve.

Eligibility Criteria

  • U.S. citizen or legal alien

  • Resident of the State of Illinois

  • Persons age 22-64 who have a physical disability (as determined by the Social Security Administration), or persons age 65 or over

  • Screened by Health Care and Family Services or a designated screening agency, found to be in need of nursing facility level of care and Supportive Living Program is appropriate to meet the person’s needs

  • No primary or secondary diagnosis of developmental disability or serious and persistent mental illness

  • Be checked against required sex offender websites

  • Documentation of tuberculosis (TB) testing in accordance with the Control of TB Code showing absence of active TB

  • Not a participant in other HCBS waiver programs

  • Income equal to or greater than current maximum allowable amount of Supplemental Security Income (SSI), and must contribute all but $90 each month toward lodging, meals, and services

How to Access Services

Contact a supportive living facility (SLF) directly to assist with arranging for required assessments.  A list of operational SLFs and their contact information is available on the SLF website.

Services

  • Apartment-style housing with the following menu of services:

    • Intermittent nursing services

    • Meals and snacks

    • Medication oversight

    • Personal care

    • Social/recreational programming

    • Health promotion & exercise programming

    • 24-hour response/security staff

    • Emergency call system

    • Laundry

    • Housekeeping

    • Maintenance

    • Well-being check

    • Ancillary services

Managed Care

Persons who have medical services through a Medicaid managed care organization may contact their care coordinator about the need for Supportive Living Program services and for assistance with a referral.

  • Aetna Better Health: 1-866-212-2851 – member services line, press 1

  • IlliniCare Health Plan: 1-866-329-4701 – member services line, state ‘member’ at the prompt

* If applying directly to a SLF, please tell facility staff about your managed care, give them the name of your managed care organization and have your identification number available.

Contact Information

  • Bureau of Long Term Care

  • Phone:  217-524-7245

  • SLF website

Application for a 1915© Home and Community-Based Services Wavier

http://www2.illinois.gov/hfs/medicalprograms/hcbs/documents/waiver0326.pdf

 

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