Types of State Funded Residential Programs

Home-based support services
Also known as Individual Support Options, this is a self-directed program model that allows individuals and families to tailor services specific to their own needs and desires.  Individuals using the Home-based program are permitted to choose from an array of services and to create individual support programs. 

Individuals and/or their families provide for their own housing and use home-based funds to contract with providers of service.  Control of the services, providers, times of service, location, etc., are decided by the individual.

While the State provides support funds for Home-Based Services, funding is currently capped at a level that makes it difficult for individuals with severe needs to obtain 24 hour support.  Access to this program is also limited due to funding constraints. 

Statewide, efforts are underway to expand the Home based support model and to possibly make this the predominant funding mechanism for future programs.   

Community Integrated Living Arrangements (CILA) 
This is an all-encompassing program designed to address an individual's needs. A community support team facilitated by a licensed CILA provider provides support and direction to address all possible needs and at whatever level is necessary. The individual may live in any type of setting with 8 or fewer individuals who are developmentally disabled. The individual will have a program plan with emphasis on community inclusion in all life areas. Program services can be offered on either an intermittent or 24 hour basis; hours of services are based on the person's needs. All CILA programs are licensed and funded by Illinois Department of Human Services, Office of Developmental Disabilities (DHSDD) 

Supported Living Arrangement (SLA) 
This is an individualized living arrangement providing limited support and direction to the individual as necessary, eventually eliminating the need for staff guidance altogether. The individual is expected to be involved with a workshop, supported employment or to be in competitive employment and have a demonstrated competence in living shills. Residential staff will coordinate and administer SLA programs. SLA programs are certified and funded by DHSDD.   

Intermediate Care Facility for the Developmentally Disabled - 16 or Fewer (ICF-DD-16) 
An ICFIDD-16 is a facility for individuals who may or may not require a nursing level of care, are capable of self-preservation in emergency situations, and need 24 hour supervision. While ICF/DD-16 technically can provide nursing care, one must check with each home to determine what types of nursing care they are willing to provide. Standards for ICFDD-16 are modified standards from larger ICF/DD facilities to emphasize an atmosphere as similar to a normal home environment as possible. Persons residing in these settings must need active treatment. The facility is licensed by the Department of Public Health and persons are funded through the Department of Public Aid. 

Intermediate Care Facility for the Developmentally Disabled (ICF-DD)
An ICF-DD is a facility providing social and supportive assistance to its persons including training in self-help skills, activities, socialization, prevocational training, and vocational training, on a 24 hour basis. Medical and nursing services are available, but not the primary focus of care. All persons need active treatment. All ICF/DDs are licensed by the Department of Public Health and funded by the Department of Public Aid.

State Operated Facility - DD Unit (SOFDD)
Program services are similar to ICFDD but contained within a larger, more institutional setting. The major difference is that State Operated Facilities are owned and operated by the State of Illinois and have access to additional support services at no additional cost to the recipients. 

The following are existing State funded programs. No new enrollment will take place although access is sometimes provided to replace individuals who have permanently left a funded position.

Community Living Facility (CLF)
CLF is a facility geared to assist the individual in developing adequate social skills, vocational skills, and other skills needed in preparation for independent living. Levels of training should be progressive with decreasing levels or support until the individual is able to live on their own in the community with just natural supports. All community living facilities have 20 or fewer individuals in residence and provide 24 hour supervision. CLFs are licensed by the Department of Public Health and funded by DHSDD, Purchase of Care funding or Medicaid Wavier funding. 

Community Residential Alternative (CRA) 
A CRA is a group home for eight or fewer adults with developmentally disabilities, who are unable to live independently but are capable of community living if provided with an appropriate level of supervision, assistance and support services. A community residential alternative may provide training and guidance to individuals in the skills of daily living and shall provide opportunities for participation in community activities on a 24 hour basis. A community residential alternative is not a medical or nursing facility. They are certified and funded by DHSDD, Purchase of Care funding or Medicaid Waiver funding.
 
Specialized Living Center (SLC)
A SLC is a facility providing a structured program of care that is minimally medical in nature. Services offered include training in self-help skills, activities, socialization, prevocational training and vocational training. These programs are geared toward serving the more physically involved or persons functioning in the severe to profound range of mental retardation on a 24 hour basis. All SLCs are licensed by the Department of Health under ICFIDD standards and funded by the Department of Public Aid.     

The following provide residential opportunities but are not necessarily directed toward individuals with developmental disabilities: 

Boarding Home/Room and Board
A setting with medical supervision, with room and board paid by the Department of Public Aid, SSI or personal funds. 

Sheltered Care Home
Sheltered Care Setting provides personal care and assistance, supervision, oversight, activities, and medical care as necessary. All sheltered care facilities are licensed by the Department of Public Health and funded by Department of Public Aid.  

Intermediate Care Facility (ICF)
An ICF is a facility providing basic nursing care and other restorative services under periodic medical direction. Such facilities are for residents who have long-term illnesses or disabilities which may have reached a relatively stable plateau. All ICFs are licensed by the Department of Public Health and funded by the Department of Public Aid.   

Skilled Nursing Facility (SNF) 
A SNF is a facility providing skilled nursing care, continuous skilled nursing observations, restorative nursing, and other services under professional direction with frequent medical supervision. All SNFs are licensed by the Department of Public Health and funded by Department of Public Aid.