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Illinois Community Transition Services Policy Manual

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The Illinois Community Transition Services Provider Policy Manual establishes a comprehensive framework for agencies facilitating the transition of individuals with disabilities or older adults from institutional settings, such as nursing facilities, to community-based living arrangements. This manual aligns with the Illinois Administrative Code (Title 89, Part 140), the Medicaid Home and Community-Based Services (HCBS) Waiver regulations (42 CFR 441.301), and the Money Follows the Person (MFP) Rebalancing Demonstration Program guidelines, ensuring compliance with state and federal standards.
The manual provides detailed guidance for implementing community transition services under programs administered by the Illinois Department of Healthcare and Family Services (IDHFS) and the Illinois Department on Aging (IDoA). These services are designed to support individuals in achieving independence and integration into their communities. 
Key areas covered include:
  • Eligibility and Service Access: Policies outline eligibility criteria for individuals residing in institutional settings who are eligible for Medicaid HCBS Waiver programs and demonstrate readiness to transition into community-based living.
  • Service Delivery Standards: Community transition services include assistance with securing housing, purchasing essential household items, arranging utility connections, coordinating transportation, and providing other supports necessary for a successful transition.
  • Individualized Transition Plans: Develops person-centered transition plans tailored to each individual’s needs, preferences, and goals for community living. Plans creation in collaboration with case managers, Independent Service Coordination (ISC) agencies, and other stakeholders.
  • Funding and Allowable Expenses: The manual specifies allowable expenses under Medicaid HCBS Waivers, such as security deposits, furniture, household supplies, moving costs, and utility setup fees. Providers must follow documentation and reimbursement procedures to ensure compliance.
  • Staff Qualifications and Training: Completion of transition services training in housing navigation, community resources, client rights, and person-centered planning.
  • Client Rights: Policies ensure that individuals transitioning to community-based settings are treated with dignity and respect while maintaining autonomy over their decisions.
  • Health and Safety: Guidelines emphasize ensuring the safety of individuals during the transition process by addressing potential risks in their new living environment and providing access to emergency resources.
  • Quality Assurance: Implementation of quality improvement measurement in monitoring the success of transitions, client satisfaction, and adherence to regulatory standards.
  • Coordination with Other Services: Policies encourage collaboration between community transition providers and other service providers such as home health agencies, personal assistance services, case management agencies, and housing authorities.
This manual serves as an essential resource for providers delivering community transition services in Illinois.
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