AGING-IN-HOME SERVICES-RATES

Illinois General Assembly - Full Text of SB3033

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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
SB3033

Introduced 1/28/2026, by Sen. Celina Villanueva

SYNOPSIS AS INTRODUCED:

20 ILCS 105/4.02

Amends the Illinois Act on the Aging. Provides that, subject to
federal approval, on and after January 1, 2027, rates for in-home services
shall be increased to $33.92 to sustain a minimum wage of $20.75 per hour
for direct service workers. Requires rates in subsequent State fiscal
years to be no lower than the rates put into effect upon federal approval.
Provides that in order for a provider of in-home services to be eligible to
receive the $33.92 rate, the provider must pay a minimum wage of $20.75 per
hour to all direct service workers employed by the provider. Requires
providers of in-home services to certify to the Department on Aging that
they remain in compliance with the mandated wage increase for direct
service workers. Requires each provider of in-home services to submit cost
reports to the Department consistent with a specified administrative rule
in order to be eligible for the $33.92 rate for in-home services. Provides
that fringe benefits shall not be reduced in relation to the described rate
increases. Requires the Department, beginning January 1, 2027, to ensure
that each in-home service provider spends a minimum of 79% of the total
payments the provider receives for home care aide services it furnishes
under the Community Care Program on total compensation for direct service
workers who furnish those services. Requires annual direct service worker
cost reports from providers; and requires the Department to amend existing
rules on financial reporting and minimum direct service worker costs to
reflect the increase in the direct service worker spending requirement
from 77% to 79%.
LRB104 17826 KTG 31260 b

A BILL FOR

SB3033
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1

AN ACT concerning State government.

2

Be it enacted by the People of the State of Illinois,
3
represented in the General Assembly:

4

Section 5.
The Illinois Act on the Aging is amended by
5
changing Section 4.02 as follows:

6

(20 ILCS 105/4.02)
7

Sec. 4.02.
Community Care Program.
The Department shall
8
establish a program of services to prevent unnecessary
9
institutionalization of persons age 60 and older in need of
10
long term care or who are established as persons who suffer
11
from Alzheimer's disease or a related disorder under the
12
Alzheimer's Disease Assistance Act, thereby enabling them to
13
remain in their own homes or in other living arrangements.
14
Such preventive services, which may be coordinated with other
15
programs for the aged, may include, but are not limited to, any
16
or all of the following:
17

(a) (blank);
18

(b) (blank);
19

(c) home care aide services;
20

(d) personal assistant services;
21

(e) adult day services;
22

(f) home-delivered meals;
23

(g) education in self-care;

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1

(h) personal care services;
2

(i) adult day health services;
3

(j) habilitation services;
4

(k) respite care;
5

(k-5) community reintegration services;
6

(k-6) flexible senior services;
7

(k-7) medication management;
8

(k-8) emergency home response;
9

(l) other nonmedical social services that may enable
10

the person to become self-supporting; or
11

(m) (blank).
12

The Department shall establish eligibility standards for
13
such services. In determining the amount and nature of
14
services for which a person may qualify, consideration shall
15
not be given to the value of cash, property, or other assets
16
held in the name of the person's spouse pursuant to a written
17
agreement dividing marital property into equal but separate
18
shares or pursuant to a transfer of the person's interest in a
19
home to his spouse, provided that the spouse's share of the
20
marital property is not made available to the person seeking
21
such services.
22

The Department shall require as a condition of eligibility
23
that all new financially eligible applicants apply for and
24
enroll in medical assistance under Article V of the Illinois
25
Public Aid Code in accordance with rules promulgated by the
26
Department.

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The Department shall, in conjunction with the Department
2
of Public Aid (now Department of Healthcare and Family
3
Services), seek appropriate amendments under Sections 1915 and
4
1924 of the Social Security Act. The purpose of the amendments
5
shall be to extend eligibility for home and community based
6
services under Sections 1915 and 1924 of the Social Security
7
Act to persons who transfer to or for the benefit of a spouse
8
those amounts of income and resources allowed under Section
9
1924 of the Social Security Act. Subject to the approval of
10
such amendments, the Department shall extend the provisions of
11
Section 5-4 of the Illinois Public Aid Code to persons who, but
12
for the provision of home or community-based services, would
13
require the level of care provided in an institution, as is
14
provided for in federal law. Those persons no longer found to
15
be eligible for receiving noninstitutional services due to
16
changes in the eligibility criteria shall be given 45 days
17
notice prior to actual termination. Those persons receiving
18
notice of termination may contact the Department and request
19
the determination be appealed at any time during the 45 day
20
notice period. The target population identified for the
21
purposes of this Section are persons age 60 and older with an
22
identified service need. Priority shall be given to those who
23
are at imminent risk of institutionalization. The services
24
shall be provided to eligible persons age 60 and older to the
25
extent that the cost of the services together with the other
26
personal maintenance expenses of the persons are reasonably

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1
related to the standards established for care in a group
2
facility appropriate to the person's condition. These
3
noninstitutional services, pilot projects, or experimental
4
facilities may be provided as part of or in addition to those
5
authorized by federal law or those funded and administered by
6
the Department of Human Services. The Departments of Human
7
Services, Healthcare and Family Services, Public Health,
8
Veterans' Affairs, and Commerce and Economic Opportunity and
9
other appropriate agencies of State, federal, and local
10
governments shall cooperate with the Department on Aging in
11
the establishment and development of the noninstitutional
12
services. The Department shall require an annual audit from
13
all personal assistant and home care aide vendors contracting
14
with the Department under this Section. The annual audit shall
15
assure that each audited vendor's procedures are in compliance
16
with Department's financial reporting guidelines requiring an
17
administrative and employee wage and benefits cost split as
18
defined in administrative rules. The audit is a public record
19
under the Freedom of Information Act. The Department shall
20
execute, relative to the nursing home prescreening project,
21
written inter-agency agreements with the Department of Human
22
Services and the Department of Healthcare and Family Services,
23
to effect the following: (1) intake procedures and common
24
eligibility criteria for those persons who are receiving
25
noninstitutional services; and (2) the establishment and
26
development of noninstitutional services in areas of the State

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1
where they are not currently available or are undeveloped. On
2
and after July 1, 1996, all nursing home prescreenings for
3
individuals 60 years of age or older shall be conducted by the
4
Department.
5

As part of the Department on Aging's routine training of
6
case managers and case manager supervisors, the Department may
7
include information on family futures planning for persons who
8
are age 60 or older and who are caregivers of their adult
9
children with developmental disabilities. The content of the
10
training shall be at the Department's discretion.
11

The Department is authorized to establish a system of
12
recipient copayment for services provided under this Section,
13
such copayment to be based upon the recipient's ability to pay
14
but in no case to exceed the actual cost of the services
15
provided. Additionally, any portion of a person's income which
16
is equal to or less than the federal poverty standard shall not
17
be considered by the Department in determining the copayment.
18
The level of such copayment shall be adjusted whenever
19
necessary to reflect any change in the officially designated
20
federal poverty standard.
21

The Department, or the Department's authorized
22
representative, may recover the amount of moneys expended for
23
services provided to or in behalf of a person under this
24
Section by a claim against the person's estate or against the
25
estate of the person's surviving spouse, but no recovery may
26
be had until after the death of the surviving spouse, if any,

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and then only at such time when there is no surviving child who
2
is under age 21 or blind or who has a permanent and total
3
disability. This paragraph, however, shall not bar recovery,
4
at the death of the person, of moneys for services provided to
5
the person or in behalf of the person under this Section to
6
which the person was not entitled; provided that such recovery
7
shall not be enforced against any real estate while it is
8
occupied as a homestead by the surviving spouse or other
9
dependent, if no claims by other creditors have been filed
10
against the estate, or, if such claims have been filed, they
11
remain dormant for failure of prosecution or failure of the
12
claimant to compel administration of the estate for the
13
purpose of payment. This paragraph shall not bar recovery from
14
the estate of a spouse, under Sections 1915 and 1924 of the
15
Social Security Act and Section 5-4 of the Illinois Public Aid
16
Code, who precedes a person receiving services under this
17
Section in death. All moneys for services paid to or in behalf
18
of the person under this Section shall be claimed for recovery
19
from the deceased spouse's estate. "Homestead", as used in
20
this paragraph, means the dwelling house and contiguous real
21
estate occupied by a surviving spouse or relative, as defined
22
by the rules and regulations of the Department of Healthcare
23
and Family Services, regardless of the value of the property.
24

The Department shall increase the effectiveness of the
25
existing Community Care Program by:
26

(1) ensuring that in-home services included in the

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1

care plan are available on evenings and weekends;
2

(2) ensuring that care plans contain the services that
3

eligible participants need based on the number of days in
4

a month, not limited to specific blocks of time, as
5

identified by the comprehensive assessment tool selected
6

by the Department for use statewide, not to exceed the
7

total monthly service cost maximum allowed for each
8

service; the Department shall develop administrative rules
9

to implement this item (2);
10

(3) ensuring that the participants have the right to
11

choose the services contained in their care plan and to
12

direct how those services are provided, based on
13

administrative rules established by the Department;
14

(4)(blank);
15

(5) ensuring that homemakers can provide personal care
16

services that may or may not involve contact with clients,
17

including, but not limited to:
18

(A) bathing;
19

(B) grooming;
20

(C) toileting;
21

(D) nail care;
22

(E) transferring;
23

(F) respiratory services;
24

(G) exercise; or
25

(H) positioning;
26

(6) ensuring that homemaker program vendors are not

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1

restricted from hiring homemakers who are family members
2

of clients or recommended by clients; the Department may
3

not, by rule or policy, require homemakers who are family
4

members of clients or recommended by clients to accept
5

assignments in homes other than the client;
6

(7) ensuring that the State may access maximum federal
7

matching funds by seeking approval for the Centers for
8

Medicare and Medicaid Services for modifications to the
9

State's home and community based services waiver and
10

additional waiver opportunities, including applying for
11

enrollment in the Balance Incentive Payment Program by May
12

1, 2013, in order to maximize federal matching funds; this
13

shall include, but not be limited to, modification that
14

reflects all changes in the Community Care Program
15

services and all increases in the services cost maximum;
16

(8) ensuring that the determination of need tool
17

accurately reflects the service needs of individuals with
18

Alzheimer's disease and related dementia disorders;
19

(9) ensuring that services are authorized accurately
20

and consistently for the Community Care Program (CCP); the
21

Department shall implement a Service Authorization policy
22

directive; the purpose shall be to ensure that eligibility
23

and services are authorized accurately and consistently in
24

the CCP program; the policy directive shall clarify
25

service authorization guidelines to Care Coordination
26

Units and Community Care Program providers no later than

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1

May 1, 2013;
2

(10) working in conjunction with Care Coordination
3

Units, the Department of Healthcare and Family Services,
4

the Department of Human Services, Community Care Program
5

providers, and other stakeholders to make improvements to
6

the Medicaid claiming processes and the Medicaid
7

enrollment procedures or requirements as needed,
8

including, but not limited to, specific policy changes or
9

rules to improve the up-front enrollment of participants
10

in the Medicaid program and specific policy changes or
11

rules to insure more prompt submission of bills to the
12

federal government to secure maximum federal matching
13

dollars as promptly as possible; the Department on Aging
14

shall have at least 3 meetings with stakeholders by
15

January 1, 2014 in order to address these improvements;
16

(11) requiring home care service providers to comply
17

with the rounding of hours worked provisions under the
18

federal Fair Labor Standards Act (FLSA) and as set forth
19

in 29 CFR 785.48(b) by May 1, 2013;
20

(12) implementing any necessary policy changes or
21

promulgating any rules, no later than January 1, 2014, to
22

assist the Department of Healthcare and Family Services in
23

moving as many participants as possible, consistent with
24

federal regulations, into coordinated care plans if a care
25

coordination plan that covers long term care is available
26

in the recipient's area; and

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1

(13) (blank).
2

By January 1, 2009 or as soon after the end of the Cash and
3
Counseling Demonstration Project as is practicable, the
4
Department may, based on its evaluation of the demonstration
5
project, promulgate rules concerning personal assistant
6
services, to include, but need not be limited to,
7
qualifications, employment screening, rights under fair labor
8
standards, training, fiduciary agent, and supervision
9
requirements. All applicants shall be subject to the
10
provisions of the Health Care Worker Background Check Act.
11

The Department shall develop procedures to enhance
12
availability of services on evenings, weekends, and on an
13
emergency basis to meet the respite needs of caregivers.
14
Procedures shall be developed to permit the utilization of
15
services in successive blocks of 24 hours up to the monthly
16
maximum established by the Department. Workers providing these
17
services shall be appropriately trained.
18

No person may perform chore/housekeeping and home care
19
aide services under a program authorized by this Section
20
unless that person has been issued a certificate of
21
pre-service to do so by his or her employing agency.
22
Information gathered to effect such certification shall
23
include (i) the person's name, (ii) the date the person was
24
hired by his or her current employer, and (iii) the training,
25
including dates and levels. Persons engaged in the program
26
authorized by this Section before the effective date of this

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amendatory Act of 1991 shall be issued a certificate of all
2
pre-service and in-service training from his or her employer
3
upon submitting the necessary information. The employing
4
agency shall be required to retain records of all staff
5
pre-service and in-service training, and shall provide such
6
records to the Department upon request and upon termination of
7
the employer's contract with the Department. In addition, the
8
employing agency is responsible for the issuance of
9
certifications of in-service training completed to their
10
employees.
11

The Department is required to develop a system to ensure
12
that persons working as home care aides and personal
13
assistants receive increases in their wages when the federal
14
minimum wage is increased by requiring vendors to certify that
15
they are meeting the federal minimum wage statute for home
16
care aides and personal assistants. An employer that cannot
17
ensure that the minimum wage increase is being given to home
18
care aides and personal assistants shall be denied any
19
increase in reimbursement costs.
20

The Community Care Program Advisory Committee is created
21
in the Department on Aging. The Director shall appoint
22
individuals to serve in the Committee, who shall serve at
23
their own expense. Members of the Committee must abide by all
24
applicable ethics laws. The Committee shall advise the
25
Department on issues related to the Department's program of
26
services to prevent unnecessary institutionalization. The

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Committee shall meet on a bi-monthly basis and shall serve to
2
identify and advise the Department on present and potential
3
issues affecting the service delivery network, the program's
4
clients, and the Department and to recommend solution
5
strategies. Persons appointed to the Committee shall be
6
appointed on, but not limited to, their own and their agency's
7
experience with the program, geographic representation, and
8
willingness to serve. The Director shall appoint members to
9
the Committee to represent provider, advocacy, policy
10
research, and other constituencies committed to the delivery
11
of high quality home and community-based services to older
12
adults. Representatives shall be appointed to ensure
13
representation from community care providers, including, but
14
not limited to, adult day service providers, homemaker
15
providers, case coordination and case management units,
16
emergency home response providers, statewide trade or labor
17
unions that represent home care aides and direct care staff,
18
area agencies on aging, adults over age 60, membership
19
organizations representing older adults, and other
20
organizational entities, providers of care, or individuals
21
with demonstrated interest and expertise in the field of home
22
and community care as determined by the Director.
23

Nominations may be presented from any agency or State
24
association with interest in the program. The Director, or his
25
or her designee, shall serve as the permanent co-chair of the
26
advisory committee. One other co-chair shall be nominated and

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approved by the members of the committee on an annual basis.
2
Committee members' terms of appointment shall be for 4 years
3
with one-quarter of the appointees' terms expiring each year.
4
A member shall continue to serve until his or her replacement
5
is named. The Department shall fill vacancies that have a
6
remaining term of over one year, and this replacement shall
7
occur through the annual replacement of expiring terms. The
8
Director shall designate Department staff to provide technical
9
assistance and staff support to the committee. Department
10
representation shall not constitute membership of the
11
committee. All Committee papers, issues, recommendations,
12
reports, and meeting memoranda are advisory only. The
13
Director, or his or her designee, shall make a written report,
14
as requested by the Committee, regarding issues before the
15
Committee.
16

The Department on Aging and the Department of Human
17
Services shall cooperate in the development and submission of
18
an annual report on programs and services provided under this
19
Section. Such joint report shall be filed with the Governor
20
and the General Assembly on or before March 31 of the following
21
fiscal year.
22

The requirement for reporting to the General Assembly
23
shall be satisfied by filing copies of the report as required
24
by Section 3.1 of the General Assembly Organization Act and
25
filing such additional copies with the State Government Report
26
Distribution Center for the General Assembly as is required

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1
under paragraph (t) of Section 7 of the State Library Act.
2

Those persons previously found eligible for receiving
3
noninstitutional services whose services were discontinued
4
under the Emergency Budget Act of Fiscal Year 1992, and who do
5
not meet the eligibility standards in effect on or after July
6
1, 1992, shall remain ineligible on and after July 1, 1992.
7
Those persons previously not required to cost-share and who
8
were required to cost-share effective March 1, 1992, shall
9
continue to meet cost-share requirements on and after July 1,
10
1992. Beginning July 1, 1992, all clients will be required to
11
meet eligibility, cost-share, and other requirements and will
12
have services discontinued or altered when they fail to meet
13
these requirements.
14

For the purposes of this Section, "flexible senior
15
services" refers to services that require one-time or periodic
16
expenditures, including, but not limited to, respite care,
17
home modification, assistive technology, housing assistance,
18
and transportation.
19

The Department shall implement an electronic service
20
verification based on global positioning systems or other
21
cost-effective technology for the Community Care Program no
22
later than January 1, 2014.
23

The Department shall require, as a condition of
24
eligibility, application for the medical assistance program
25
under Article V of the Illinois Public Aid Code.
26

The Department may authorize Community Care Program

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services until an applicant is determined eligible for medical
2
assistance under Article V of the Illinois Public Aid Code.
3

The Department shall continue to provide Community Care
4
Program reports as required by statute, which shall include an
5
annual report on Care Coordination Unit performance and
6
adherence to service guidelines and a 6-month supplemental
7
report.
8

In regard to community care providers, failure to comply
9
with Department on Aging policies shall be cause for
10
disciplinary action, including, but not limited to,
11
disqualification from serving Community Care Program clients.
12
Each provider, upon submission of any bill or invoice to the
13
Department for payment for services rendered, shall include a
14
notarized statement, under penalty of perjury pursuant to
15
Section 1-109 of the Code of Civil Procedure, that the
16
provider has complied with all Department policies.
17

The Director of the Department on Aging shall make
18
information available to the State Board of Elections as may
19
be required by an agreement the State Board of Elections has
20
entered into with a multi-state voter registration list
21
maintenance system.
22

The Department shall pay an enhanced rate of at least
23
$1.77 per unit under the Community Care Program to those
24
in-home service provider agencies that offer health insurance
25
coverage as a benefit to their direct service worker employees
26
pursuant to rules adopted by the Department. The Department

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shall review the enhanced rate as part of its process to rebase
2
in-home service provider reimbursement rates pursuant to
3
federal waiver requirements. Subject to federal approval,
4
beginning on January 1, 2024, rates for adult day services
5
shall be increased to $16.84 per hour and rates for each way
6
transportation services for adult day services shall be
7
increased to $12.44 per unit transportation.
8

Subject to federal approval, on and after January 1, 2024,
9
rates for homemaker services shall be increased to $28.07 to
10
sustain a minimum wage of $17 per hour for direct service
11
workers. Rates in subsequent State fiscal years shall be no
12
lower than the rates put into effect upon federal approval.
13
Providers of in-home services shall be required to certify to
14
the Department that they remain in compliance with the
15
mandated wage increase for direct service workers. Fringe
16
benefits, including, but not limited to, paid time off and
17
payment for training, health insurance, travel, or
18
transportation, shall not be reduced in relation to the rate
19
increases described in this paragraph.
20

Subject to and upon federal approval, on and after January
21
1, 2025, rates for homemaker services shall be increased to
22
$29.63 to sustain a minimum wage of $18 per hour for direct
23
service workers. Rates in subsequent State fiscal years shall
24
be no lower than the rates put into effect upon federal
25
approval. Providers of in-home services shall be required to
26
certify to the Department that they remain in compliance with

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1
the mandated wage increase for direct service workers. Fringe
2
benefits, including, but not limited to, paid time off and
3
payment for training, health insurance, travel, or
4
transportation, shall not be reduced in relation to the rate
5
increases described in this paragraph.
6

Subject to and upon federal approval, on and after January
7
1, 2026, rates for homemaker services shall be increased to
8
$30.80 to sustain a minimum wage of $18.75 per hour for direct
9
service workers. Rates in subsequent State fiscal years shall
10
be no lower than the rates put into effect upon federal
11
approval. Providers of in-home services shall be required to
12
certify to the Department that they remain in compliance with
13
the mandated wage increase for direct service workers. Fringe
14
benefits, including, but not limited to, paid time off and
15
payment for training, health insurance, travel, or
16
transportation, shall not be reduced in relation to the rate
17
increases described in this paragraph.
18

Subject to federal approval, on and after January 1, 2027,
19
rates for in-home services shall be increased to $33.92 to
20
sustain a minimum wage of $20.75 per hour for direct service
21
workers. Rates in subsequent State fiscal years shall be no
22
lower than the rates put into effect upon federal approval. In
23
order for a provider of in-home services to be eligible to
24
receive the $33.92 rate, the provider must pay a minimum wage
25
of $20.75 per hour to all direct service workers employed by
26
the provider. Providers of in-home services shall be required

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1
to certify to the Department that they remain in compliance
2
with the mandated wage increase for direct service workers. By
3
no more than 60 days after issuing notification of the rate
4
increase, the Department shall require providers of in-home
5
services to submit such certification to the Department in
6
order for the provider to be eligible for the $33.92 rate for
7
in-home services. The Department shall also require each
8
provider of in-home services to submit cost reports to the
9
Department consistent with Section 240.2023 of Title 89 of the
10
Illinois Administrative Code in order for the provider to be
11
eligible for the $33.92 rate for in-home services. Fringe
12
benefits, including, but not limited to, paid time off and
13
payment for training, health insurance, travel, or
14
transportation, shall not be reduced in relation to the rate
15
increases described in this paragraph.

16

To ensure that in-home service payment rates are adequate
17
to maintain a sufficient direct care workforce to meet the
18
needs of Community Care Program beneficiaries and provide
19
access to services in the amount, duration, and scope
20
specified in beneficiaries' person-centered service plans,
21
beginning January 1, 2027, the Department shall ensure that
22
each in-home service provider spends a minimum of 79% of the
23
total payments the provider receives for home care aide
24
services it furnishes under the Community Care Program on
25
total compensation for direct service workers who furnish
26
those services. The Department shall require each provider

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1
annually to submit a direct service worker cost report
2
certifying that the provider has met the minimum spending
3
requirement. The report must be based upon actual, documented
4
expenditures, attested to by an authorized representative of
5
the provider, and submitted within 6 months after the end of
6
the reporting period. The Department shall amend current rules
7
on financial reporting and minimum direct service worker costs
8
at Sections 240.2020 and 240.2040 of Title 89 of the Illinois
9
Administrative Code to reflect the increase in the direct
10
service worker spending requirement from 77% to 79%.

11

The General Assembly finds it necessary to authorize an
12
aggressive Medicaid enrollment initiative designed to maximize
13
federal Medicaid funding for the Community Care Program which
14
produces significant savings for the State of Illinois. The
15
Department on Aging shall establish and implement a Community
16
Care Program Medicaid Initiative. Under the Initiative, the
17
Department on Aging shall, at a minimum: (i) provide an
18
enhanced rate to adequately compensate care coordination units
19
to enroll eligible Community Care Program clients into
20
Medicaid; (ii) use recommendations from a stakeholder
21
committee on how best to implement the Initiative; and (iii)
22
establish requirements for State agencies to make enrollment
23
in the State's Medical Assistance program easier for seniors.
24

The Community Care Program Medicaid Enrollment Oversight
25
Subcommittee is created as a subcommittee of the Older Adult
26
Services Advisory Committee established in Section 35 of the

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LRB104 17826 KTG 31260 b
1
Older Adult Services Act to make recommendations on how best
2
to increase the number of medical assistance recipients who
3
are enrolled in the Community Care Program. The Subcommittee
4
shall consist of all of the following persons who must be
5
appointed within 30 days after June 4, 2018 (the effective
6
date of Public Act 100-587):
7

(1) The Director of Aging, or his or her designee, who
8

shall serve as the chairperson of the Subcommittee.
9

(2) One representative of the Department of Healthcare
10

and Family Services, appointed by the Director of
11

Healthcare and Family Services.
12

(3) One representative of the Department of Human
13

Services, appointed by the Secretary of Human Services.
14

(4) One individual representing a care coordination
15

unit, appointed by the Director of Aging.
16

(5) One individual from a non-governmental statewide
17

organization that advocates for seniors, appointed by the
18

Director of Aging.
19

(6) One individual representing Area Agencies on
20

Aging, appointed by the Director of Aging.
21

(7) One individual from a statewide association
22

dedicated to Alzheimer's care, support, and research,
23

appointed by the Director of Aging.
24

(8) One individual from an organization that employs
25

persons who provide services under the Community Care
26

Program, appointed by the Director of Aging.

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LRB104 17826 KTG 31260 b
1

(9) One member of a trade or labor union representing
2

persons who provide services under the Community Care
3

Program, appointed by the Director of Aging.
4

(10) One member of the Senate, who shall serve as
5

co-chairperson, appointed by the President of the Senate.
6

(11) One member of the Senate, who shall serve as
7

co-chairperson, appointed by the Minority Leader of the
8

Senate.
9

(12) One member of the House of Representatives, who
10

shall serve as co-chairperson, appointed by the Speaker of
11

the House of Representatives.
12

(13) One member of the House of Representatives, who
13

shall serve as co-chairperson, appointed by the Minority
14

Leader of the House of Representatives.
15

(14) One individual appointed by a labor organization
16

representing frontline employees at the Department of
17

Human Services.
18

The Subcommittee shall provide oversight to the Community
19
Care Program Medicaid Initiative and shall meet quarterly. At
20
each Subcommittee meeting the Department on Aging shall
21
provide the following data sets to the Subcommittee: (A) the
22
number of Illinois residents, categorized by planning and
23
service area, who are receiving services under the Community
24
Care Program and are enrolled in the State's Medical
25
Assistance Program; (B) the number of Illinois residents,
26
categorized by planning and service area, who are receiving

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LRB104 17826 KTG 31260 b
1
services under the Community Care Program, but are not
2
enrolled in the State's Medical Assistance Program; and (C)
3
the number of Illinois residents, categorized by planning and
4
service area, who are receiving services under the Community
5
Care Program and are eligible for benefits under the State's
6
Medical Assistance Program, but are not enrolled in the
7
State's Medical Assistance Program. In addition to this data,
8
the Department on Aging shall provide the Subcommittee with
9
plans on how the Department on Aging will reduce the number of
10
Illinois residents who are not enrolled in the State's Medical
11
Assistance Program but who are eligible for medical assistance
12
benefits. The Department on Aging shall enroll in the State's
13
Medical Assistance Program those Illinois residents who
14
receive services under the Community Care Program and are
15
eligible for medical assistance benefits but are not enrolled
16
in the State's Medicaid Assistance Program. The data provided
17
to the Subcommittee shall be made available to the public via
18
the Department on Aging's website.
19

The Department on Aging, with the involvement of the
20
Subcommittee, shall collaborate with the Department of Human
21
Services and the Department of Healthcare and Family Services
22
on how best to achieve the responsibilities of the Community
23
Care Program Medicaid Initiative.
24

The Department on Aging, the Department of Human Services,
25
and the Department of Healthcare and Family Services shall
26
coordinate and implement a streamlined process for seniors to

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LRB104 17826 KTG 31260 b
1
access benefits under the State's Medical Assistance Program.
2

The Subcommittee shall collaborate with the Department of
3
Human Services on the adoption of a uniform application
4
submission process. The Department of Human Services and any
5
other State agency involved with processing the medical
6
assistance application of any person enrolled in the Community
7
Care Program shall include the appropriate care coordination
8
unit in all communications related to the determination or
9
status of the application.
10

The Community Care Program Medicaid Initiative shall
11
provide targeted funding to care coordination units to help
12
seniors complete their applications for medical assistance
13
benefits. On and after July 1, 2019, care coordination units
14
shall receive no less than $200 per completed application,
15
which rate may be included in a bundled rate for initial intake
16
services when Medicaid application assistance is provided in
17
conjunction with the initial intake process for new program
18
participants.
19

The Community Care Program Medicaid Initiative shall cease
20
operation 5 years after June 4, 2018 (the effective date of
21
Public Act 100-587), after which the Subcommittee shall
22
dissolve.
23

Effective July 1, 2023, subject to federal approval, the
24
Department on Aging shall reimburse Care Coordination Units at
25
the following rates for case management services: $252.40 for
26
each initial assessment; $366.40 for each initial assessment

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LRB104 17826 KTG 31260 b
1
with translation; $229.68 for each redetermination assessment;
2
$313.68 for each redetermination assessment with translation;
3
$200.00 for each completed application for medical assistance
4
benefits; $132.26 for each face-to-face, choices-for-care
5
screening; $168.26 for each face-to-face, choices-for-care
6
screening with translation; $124.56 for each 6-month,
7
face-to-face visit; $132.00 for each MCO participant
8
eligibility determination; and $157.00 for each MCO
9
participant eligibility determination with translation.
10
(Source: P.A. 103-8, eff. 6-7-23; 103-102, Article 45, Section
11
45-5, eff. 1-1-24; 103-102, Article 85, Section 85-5, eff.
12
1-1-24; 103-102, Article 90, Section 90-5, eff. 1-1-24;
13
103-588, eff. 6-5-24; 103-605, eff. 7-1-24; 103-670, eff.
14
1-1-25; 104-2, eff. 6-16-25; 104-417, eff. 8-15-25.)

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