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Home and Community Based Services Waiver Programs 

New Federal Home and Community Based Services Final Rules and Plans for Compliance in all Illinois 1915 (c) Waivers

The Centers for Medicare and Medicaid Services (CMS) issued new rules related to home and community based settings. Illinois is required to submit a Statewide Transition Plan indicating our intention to comply and obtain public input prior to submission.

What is an HCBS Waiver?

A waiver is a program that provides services that allow individuals to remain in their own home or live in a community setting. Illinois has nine HCBS waivers. Each waiver is designed for individuals with similar needs and offers a different set of services. For more information about the waivers and their services, see current HCBS Waivers.

Who is eligible for a HCBS Waiver?

  1. Individuals must be U.S. citizens or legal aliens and residents of the state of Illinois.
  2. Individuals must meet Medicaid financial eligibility criteria.
  3. Individuals must require an institutional level of care as specified by each waiver.
  4. Individuals' service needs must be able to be provided cost-effectively.

What do you mean by cost effective?

Cost effective means states cannot spend more on waiver services than it would cost to provide care in a hospital, nursing facility, or intermediate care facility for the developmentally disabled.  Each waiver uses one or more of these institutions as a cost comparison for services.

Current HCBS Waivers

The State is re-posting below the proposed renewals of the Persons who are Elderly and Persons with Disabilities waivers for an additional 30 day public comment period, as they contain further modifications.  In addition, the State is proposing to amend the HCBS Waivers for Persons with HIV/AIDS, Persons with Brain Injury and the Medically Fragile Technology Dependent waivers.  These amendments are also posted below.  A public comment for all of these waivers runs from June 19, 2015 through July 18, 2015. 

In addition, public comment period for the renewal of the Division of Developmental Disabilities Support Waiver for Children and Young Adults and Residential Waiver for Children and Young Adults with Developmental Disabilities waivers runs from May 29, 2015 through June 28, 2015.

The impacted waivers are noted*.  The public is encouraged to submit comments for all of these waivers by email to: or by U.S. mail to:  HFS, ATTN:  Waiver Management, 201 South Grand Avenue East 2FL, Springfield, IL 62763.  The State requests that you clearly identify to which waiver your comment applies. 

Children and Young Adults with Developmental Disabilities-Support Waiver

Children and Young Adults with Developmental Disabilities-Residential Waiver

Children that are Technology Dependent/Medically Fragile

Persons with Disabilities

Persons with Brain Injuries (BI)

Adults with Developmental Disabilities

Persons who are Elderly

Persons with HIV or AIDS

Supportive Living Facilities