Dear Stakeholders:

The Division is thrilled to announce the approval, by the federal Centers for Medicare and Medicaid Services (CMS), of the Waiver Amendment for the Adults with Developmental Disabilities Waiver, with a January 1, 2022, effective date.

With the implementation of the Waiver Amendment, the State is implementing several recommendations from the Guidehouse Rate Study including, but not limited to, updating service definitions and rate methodologies for Residential Habilitation (24-Hour CILA, Enhanced Residential/At-Home Day, Intermittent CILA, and Host Family CILA), Community Day Services, Supported Employment – Individual Employment Supports, Supported Employment – Group Employment Supports; increasing the wages for DSPs in residential and day program settings by $1.50/hr; and increasing the day program annual hours limit to 1,200.

The Division has released a number of Information Bulletins related to the implementation of these changes. Please be on the lookout for the final Information Bulletins for those that are still in draft form in the coming days.

Rate Changes for DDD Waiver Funded Programs

Supported Employment Program (SEP) Revalidation and Future Awards IB

DRAFT – Host Family CILA

DRAFT – Converting Bed Hold to Occupancy Factor

DRAFT – Intermittent CILA (ICILA) Services and Supports Clarification of Program Scope and Billing

These changes represent an important and historic investment in the system at a critical time for the entire I/DD system. We recognize that the implementation of these updates includes significant changes for many providers. If there are questions, please do not hesitate to reach out.

Additionally, I want to acknowledge the season in which we currently find ourselves and extend my warmest wishes for a happy, safe and relaxing holiday season to all. Onward to 2022 and more system improvements!


Allison V. Stark Pronouns: she/her/hers

Director, Division of Developmental Disabilities

Illinois Department of Human Services

600 East Ash-Building 400, Springfield, IL  62703

Tel:  (217) 782 -6803


The information contained herein should not be considered a substitute for the appropriate official statutes, rules, regulations, or the advice of legal counsel.

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