General Information
Skilled Pediatric Facilities are licensed as Long-Term Care Facilities For Under Age 22 by the Illinois Department of Public Health (IDPH) and are certified for Medicaid participation by the Centers for Medicare and Medicaid Services (CMS) as Intermediate Care Facilities For Mentally Retarded (ICF/MR).
Skilled Pediatric Facilities provide high quality care for infants, children and young adults with multiple handicaps and complex medical problems. The intense complex medical needs of these children may require services such as intensive nutritional management, tracheotomy care, cardiac and/or medication monitoring, respiratory therapy, oxygen therapy, ventilatory support and, at times, hospice care.
Services are designed for children with disabilities in need of a medically oriented array of service including active treatment toward health and daily care, and acquisition of skills. Specialized supports and training provide social and educational opportunities while enhancing quality of life.
Educational services are provided for individuals with disabilities up to age 21. Infants, age 0-3 years may be eligible for Early Intervention Services, with the majority of funding through the Illinois Department of Human Services (IDHS). After age 3, children attend a public or private school or, if available, an on-site school within the home facility, depending, in part, on the individual's medical condition. School programs focus on children's developmental skills utilizing Certified Special Education Teachers and therapist. The Illinois State Board of Education (ISBE) funds these services. Educational services for adults, over age 21, with disabilities usually occur through a Developmental Training (DT) program, emphasizing individual life skills acquisition. Services for DT programs are funded through IDHS.
Through a combination of home facility programming and educational services, infants, children and adults with developmental disabilities receive rehabilitation training in all of the major life areas which include: communication, mobility, socialization and Activities of Daily Living (ADLs).
Skilled Pediatric Facilities must adhere to an extensive set of state and uniform federal regulations and are subject to unannounced on-site inspections, as well as on-site surveys when complaints are filed with the Illinois Department of Public Health.
Medicaid is the primary payer of services for individuals living in Skilled Pediatric Facilities. Because these infants, children and young adults require lifelong support, they are highly dependent on public programs to finance their long-term care needs. The Illinois Department of Public Aid is the state agency responsible for administering the federal Medicaid program (Title XIX), and is responsible for determining an individual's Medicaid eligibility. Illinois Medicaid dollars are federally matched at 50/50.
For more information contact:
Illinois Health Care Association
1029 South Fourth Street
Springfield, IL 62703-2224
800-252-8988
217-528-0452-fax
info@ihca.com
© 2004 Illinois Health Care Association, All Rights Reserved