Date: April 15, 2021
To: Illinois Hospital and Long Term Care
Re: Update: Williams Consent Decree - Front Door Diversion
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
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?
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.
Contact the Front Door Diversion Program
Information about how to access FDDP services can be
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 firstname.lastname@example.org.
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.
of Medical Programs