The Centers for Medicare & Medicaid Services (CMS) has commented on the Illinois plan
for the Statewide Transition for the new CMS Rules on Home and Community-Based
Services. Illinois will now have another round of public comment.

The Arc found the Illinois Statewide Transition plan to be extremely lacking in complying
with the new CMS Rules which greatly focus on community integration, self-determination,
person-centered planning and individual choice. It is going to be very interesting to see how
this plays out here in Illinois.

The Arc has hosted a number of sessions on the new CMS Rules and what they mean to
the Illinois Disability System including the Leadership Conference and The Arc’s Annual


Read the entire letter from CMS.

Highlights include:

The Centers for Medicare & Medicaid Services (CMS) has completed its review of Illinois’
Statewide Transition STP (STP) to bring state standards and settings into compliance with
new federal home and community-based settings requirements. Illinois submitted this STP
to CMS on March 16, 2015. Overall, CMS finds Illinois’ STP to be a well-organized
document that addresses most components of the requirements. CMS appreciates the
progress Illinois has made toward ensuring compliance with the new requirements. There
are several areas where CMS needs information on key details regarding the assessment
processes and outcomes, remedial action processes, and monitoring activities. These
items and related questions are summarized below.


  • Heightened Scrutiny
  • Provider self-assessment survey
  • Validation of provider self-assessment surveys
  • Assessment results
  • Ongoing Monitoring

Remedial activities

  •  Site-specific remediation
  • Systemic remediation

Relocation of Beneficiaries

Heightened Scrutiny

Tony Paulauski
Executive Director
The Arc of Illinois
20901 S. LaGrange Rd. Suite 209
Frankfort, IL 60423
815-464-1832 (OFFICE)
815-464-1832 (CELL)