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What are Home-Based Support Services
& Family Assistance & How Can I Apply?
HOME
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What
Are Home-Based Support Services and Family Assistance How Can I Apply?
WHAT
THE PROGRAMS ARE
The Home-Based Support Services
Program tailors services to help adults with disabilities live at
home. The Family Assistance Program makes
monthly cash payments to families of children with severe disabilities.
The Illinois Department of Human Services accepts
applications and selects as many individual and family participants as funding
will allow.
Funds typically are appropriated for the programs during
the spring session of the General Assembly. If funding is sufficient to allow
enrollment of additional persons, new persons are selected by a random drawing
during the summer. If such a drawing is held in a given year, families and
individuals whose applications are received by May 31 of that year are eligible.
Persons not selected are notified annually by mail and are
asked whether they wish to remain on the waiting list for future funding. If you
have responded to such a mailing during the past year, there is no need to
reapply. If you believe you are eligible and have not applied, you may use the
application form attached to this brochure.
HOW
THE PROGRAMS CAN HELP
The Family Assistance Program
pays a monthly stipend to help with the costs of caring for a child (age 17 or
younger) with a severe mental disability. Participating families receive
approximately $5,000 to $7,000 yearly.
The Home-Based Support Services
Program pays for services to help adults (age 18 or older) become
more independent living on their own or with their families. Participating
adults are entitled to services worth approximately $17,000 to $19,000 per year.
WHO
IS ELIGIBLE?
Eligible disabilities:
(These are fully defined in state statute 405 ILCS 80.)
Severe autism (children
or adults)-- a lifelong disability beginning in early childhood with severe
disturbances in social interactions, communication, imaginative activity, and
activities and interests.
Severe or profound mental
retardation (children or adults)-- a lifelong disability which
results in a significantly sub-average intellectual functioning (IQ of 40 or
below) and a severe or profound impairment in adaptive behavior.
Severe and multiple impairments (children or adults)-- all of the following conditions beginning before age
18:
A developmental disability which constitutes a substantial
handicap attributable to mental retardation, cerebral palsy, epilepsy, autism or
a similar condition, and is expected to continue indefinitely.
Multiple handicaps in physical, sensory, behavioral or
cognitive functioning which constitute a severe or profound impairment.
Development substantially less than expected for the age
in cognitive, affective or psychomotor behavior.
Severe mental illness (adults)--
both of the following:
A primary diagnosis of schizophrenia, delusional disorder, schizo-affective disorder, bipolar affective disorder, atypical psychosis or
major depression (recurrent).
Functioning substantially impaired in areas such as
self-maintenance, social functioning, activities of community living or work
skills.
Severe emotional disturbance
(children)-- both of the following:
A primary diagnosis which meets criteria of a mental
illness or emotional disturbance with onset in childhood or adolescence. (Not
included in this definition are adjustment disorders, mental retardation, autism
or other disorders based on physical impairment or alcohol/substance abuse.)
Severe long-term functional impairment substantially
limiting two or more major life activities such as self-care, receptive and
expressive language, learning and social interaction and self-direction.
Eligible Residency
Participants may not live in a nursing home or in a
facility licensed under the Child Care Act, but children and adults planning to
move home with the program’s help can qualify.
Children must:
- live with a biological, adoptive or foster parent or
- live with a legal guardian.
Adults may:
- live full-time in their own home or apartment,
- live in a private home with a relative or guardian or
- live together with as many as three unrelated adults
(not service providers).
Income Eligibility
Adults must be eligible for federal Supplemental Security
Income (SSI) or Social Security Disability Income (SSDI).
The household income for the eligible child must be less
than $50,000 per year after deductions. (Look on your Income Tax Form for your
family’s "taxable income." If the child is a foster child, only his
or her income is considered.)
USING
PAYMENTS FOR CHILDREN
Each participating family decides how to spend the money
it receives. Families may use the money for such things as respite care, child
care, therapy, medical expenses, family counseling, home remodeling to meet the
child’s needs or for a special vehicle or other equipment.
PURCHASING
SERVICES FOR ADULTS
Participating adults are linked to a local community
agency where a professional helps them select services designed to allow them to
stay home, learn new skills, even get a new job. These services might include:
- home health services
- personal care services (help with dressing, etc.)
- training and assistance in self-care (help with
learning how to dress, cook meals, etc.)
- habilitation and rehabilitation services
- services related to finding a job, supported employment
- respite care
- crisis management
Adults may also use the funds to purchase medicine,
nutritional supplements, adaptive equipment, modifications to make their home
more accessible or other items.
SELECTION PROCESS
Because the money for these programs is limited, only some
of the eligible persons who apply will be selected-- by a random selection
method-- to participate when funds become available. Families or individuals
chosen through the random selection must submit additional information to verify
the severity of the disability.
If you believe you or your family member may be eligible
for one of these programs, tear off and fill out the attached application form.
QUESTIONS?
If you have a question about the Home-Based
Support Service Program or the Family
Assistance Program, please call 1-800-843-6154, extension 3,
weekdays. Speech or hearing impaired persons can access this number by using the
Illinois Relay Center Service at 1-800-526-0844 TTY.
Please print off this
application, fill it in and mail to the address below.
To print just the form (not the entire brochure), highlight the application,
select file, then print... in the printer command box, click
"selection" and then print.
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Application
Form
Family Assistance Program
and Home-Based Support Services Program
(Please Print)
Name of person with disability
__________________________________
Address
____________________________________________________
City ______________________ State ______________
Zip __________
County __________________
Telephone (incl. area code)__________________
Birth Date
__________________________________________________
Social Security
number.________________________________________
Sex (for statistical purposes only):
__Male
__Female
Race (for statistical purposes only):
__Caucasian
__Black
__Hispanic
__Other
Disability:
__Severe autism (adults or children)
__Severe or profound mental retardation (adults or
children)
__Severe mental illness (adults)
__Severe emotional disturbance (children)
__Severe or multiple disabilities (adults)
__ Severe or multiple disabilities (children)
Name of parent
or guardian
(if applicable)_________________________________________________
Address_____________________________________________________
Telephone (incl. area
code)_______________________________________
Name of another person we may contact if we are
unable to reach you:
__________________________________________________________
Address____________________________________________________
Telephone (incl. area code)
_____________________________________
I declare that the information above is true and I
understand that the Illinois Department of Human Services will conduct
an assessment to ensure eligibility if the applicant is selected.
To be signed by adult applicant or guardian or by
child's parent, foster parent or guardian.
Signature ____________________________ Date
_________________
Print out and mail to:
Family
Assistance/Home-Based Support
Illinois Department of Human Services
401 N. 4th Street, 2nd Floor
Springfield, IL 62765
Programs, activities and employment opportunities
in the Illinois Department of Human Services are open and accessible to
any individual or group without regard to age, sex, race, sexual
orientation, disability, ethnic origin, or religion. The department is
an equal opportunity employer and practices affirmative action and
reasonable accommodation programs.
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IL 462-1235FH (N-12-99)
Family Assistance and Home-Based Support Services
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