CRITERIA FOR ENROLLMENT
diagnosis of physical, developmental and/or mental disability by a
physician. Presence of a disability which prevents an individual
from living on their own.
Minimum age of 18 years.
consumer must have Medicaid and willing to work with the
organization to apply for funding from the state.
about the consumer is gathered over the telephone and/or received in
the mail from a referral source. If vacancy exists, a visit to the
residential home is arranged. During the visit, the consumer and
guardian will meet with the program director that will conduct a
tour of the residential home and provide information on the program
eligibility criteria and services offered. Questions are answered at
any time during the visit.
visit, if the consumer and guardian like to enroll in the program,
he/she is required to contact the social worker at
Access. A formal referral will be made by South Suburban Access. The
program director and CEO will review the application and make a
determination on whether the Organization has the resources to
optimally serve the consumer. If the Organization cannot serve the
consumer, alternate referral sources are discussed and made to the
individual. If a positive decision is made, a funding packet
application to the Illinois Department of Human Services (DHS) will
be initiated. A detailed history, activities of daily living and
nursing assessments using the DHS forms will be completed. The
funding packet will subsequently be forwarded to the PAS agent at
South Suburban Access. Following their review, the funding packet
will be sent to the Network Facilitator at
DHS, Chicago Office. The
packet will be reviewed and forwarded to Springfield, where an
approval is granted. The process may take 2-3 months, but an
emergency referral may be granted, if eligible.
A funding letter
is issued directly to the consumer and copied to the Organization.
Following receipt of the funding letter, an admission date can be
arranged. On the first day of admission into the CILA program, the
consumer and guardian will meet with the direct support staff and
program director. The staff will review the program guidelines with
the consumer and/or guardian and discuss the service schedule. The
consumer and guardian will receive orientation into the home and
complete several admission forms.
Within 30 days of
admission into the program, an individualized service plan (ISP)
shall be developed. The Organization staff, PAS agent, consumer and
guardian will be involved in the development of the ISP and sign the
official document. A staff note indicating why there is no signature
and why the consumerís or guardianís preferences is not reflected.
examination and other assessments will be completed within 6 months
of admission in line with the state requirements.