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Resident Fact Sheet
What:
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Affordable assisted living model administered by the Department of Healthcare and Family Services (HFS) that offers older persons (65 +) or persons with physical disabilities (ages 22-64) services to remain in a community setting. The aim of the Program is to preserve privacy and autonomy while emphasizing health and wellness for persons who would otherwise need nursing facility care.
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Who Can be a SLP Provider:
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The Supportive Living Program (SLP) is open to any provider who can meet application criteria (which include site control, zoning approval, market study, phase one environmental study, architectural drawings). A site can be certified when program requirements found at 89 Ill. Adm. Code Part 146 are met within 24 months of an approved application.
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Offered Services:
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Residents choose from the following menu of services that are provided by a SLP provider:
Providers must also regularly assess each resident's health status and consult with the resident on an ongoing service plan that promotes health and wellness.
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Resident’s Cost of Care Liability:
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An individual covered under Medicaid living in a Supportive Living Provider (SLP) will have a patient liability/group care credit (GCC). The patient liability calculation is detailed below. All countable income minus allowable deductions (medical expenses, health insurance premiums, personal needs allowance (PNA), and SLP room and board) will be used to calculate the patient liability/group care credit. Additionally, all excess resources will be counted towards the cost of care. All SLP residents will have a monthly room and board charge. This is based on the annual Supplemental Security Income (SSI). The minimum income that a SLP participant can have should be equal to the SSI amount. This is to ensure they can pay for the room and board amount and receive their PNA. Most SLP residents will have both a room and board charge and a GCC/patient liability cost. The only time a SLP resident will not have a GCC is when their income is equal to the SSI amount. An example of the group care credit (GCC) calculation is below. The SLP resident receives $1500 from Retirement, Survivors, and Disability Insurance (RSDI) disability and $900 in pension for a total of $2400 in countable income. The SLP resident also has $240 in medical premiums every month.
Total GCC is $1197 This is what is owed to the SLP every month to pay for the cost of care. This is an addition to the monthly room and board charge. Medicaid will pay the remainder. *The room and board amount and PNA are often combined on the GCC calculations, so only one deduction is shown.
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Rates:
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Certified providers can charge a different rate for private pay residents and must accept the Department's rate for services rendered on behalf of Medicaid-eligible persons. (Department rates are based upon 54.75% of weighted average nursing facility rates for the applicable geographic grouping. Certified Dementia Care Setting (DCS) rates are based upon 127% of the approved rate for the SLP services in each region.) Each Medicaid-eligible resident must have income equal to or greater than the current SSI and must contribute all but $120 (PNA) each month to the provider for lodging and meals.
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Exceptions:
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Certified providers are exempt from:
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Site Locations:
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Approval of the application is subject to various factors including, but not limited to, accuracy, completeness, geographic distribution, and waiver limits.
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Additional Information:
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Contact the Department of Healthcare and Family Services, Bureau of Long-Term Care for more information. Phone: 217-782-0545 or 844-528-8444 (toll free) Fax: 217-557-5061 E-mail: Illinois Department of Healthcare and Family Services
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Complaint Hotline:
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Complaints concerning a Supportive Living Program provider may be directed to the SLP complaint hotline: 1-844-528-8444
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