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Provider Notice Issued 04/15/2021

Date:     April 15, 2021


To:       Illinois Hospital and Long Term Care Providers


Re:      Update:  Williams Consent Decree - Front Door Diversion Program



The purpose of this notice is to remind Illinois Hospital and Long Term Care providers about the Front Door Diversion Program and describe how to refer individuals who are not currently enrolled in Medicaid. 


By informational notice dated August 6, 2020, the Department informed providers that the Williams Consent Decree, entered on September 29, 2010, in settlement of the Williams v. Quinn class action lawsuit, requires the State to promote settings that maximize individuals' independence, choice, and opportunities to develop and use independent living skills. To this end, the Department of Human Services (DHS) through its Division of Mental Health (DMH) operates and funds a Front Door Diversion Program (FDDP) to prevent unnecessary admissions to institutional settings.


What is the Front Door Diversion Program?

The FDDP is a DHS grant-funded program, the goal of which is to ensure every individual determined able to live in a community-based setting be offered community-based services and supports in order to prevent unnecessary admissions to Specialized Mental Health Rehabilitation Facilities (SMHRFs). The FDDP provides services and supports to individuals who would otherwise likely be admitted to SMHRFs, such as:

  • Temporary and Permanent Supportive Housing;
  • Community Outreach and Engagement;
  • Linkage to Community Treatment; and
  • Non-Traditional Support Services (such as emergency medications, food, clothing, cell phones, and transportation).


FDDP services are delivered through one of six community providers: Thresholds, Trilogy, Envision Unlimited, National Youth Advocate Program, HRDI, and Kenneth Young Center.


Who is Eligible for the Front Door Diversion Program?

DHS requires that an individual be Medicaid-eligible and have a current Pre-Admission Screening and Resident Review (PASRR) with a Level 2 Determination and Disposition of “Eligible for Nursing Facility – Diverted to Community Option.” Once a Front Door agency receives a referral from the PASRR screener, the Front Door agency assesses the individual’s needs. If the agency determines it can serve the individual with the needed resources in the community, the individual is offered community placement.

Update: IDHS will expedite determinations on Medicaid applications for individuals who are referred to and can be served by the FDDP, but who are not currently enrolled in Medicaid.  If the referring provider initiated a Medicaid application on behalf of the individual being referred,

FDDP providers may ask the hospital about the status and number (often referred to as a “T” number) of that application to facilitate the expedited process with DHS.


How to Contact the Front Door Diversion Program

Information about how to access FDDP services can be found here.


Currently, 36 hospitals work with the FDDP in Cook, DuPage, Kane, Lake, Will, and Kankakee counties. Hospitals that are not currently engaged with the FDDP or are in areas not paired with a community provider are encouraged to contact DHS to inquire about the feasibility of expansion to your hospital. Contact information can be found through the link above.


Questions about FDDP may be directed to  


The Future of Front Door

DHS is continuing to evaluate ways to improve the FDDP. As its sister agency, HFS will continue to seek input and inform providers of important developments as they occur. It is our hope that the FDDP will become integrated into the hospital discharge planning process and will always be considered a first and preferred option to facility placement.





Kelly Cunningham, Administrator

Division of Medical Programs



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Illinois Healthcare and Family Services

JB Pritzker, Governor • Theresa Eagleson, Director