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Click ‘Get Form’ to open the Application for 60D CILA Support Services in the editor.
Begin by filling out the 'Individual Information' section. Enter the individual's name, Social Security Number, Recipient Identification Number, date of birth, and gender. Ensure all details are accurate.
Complete the 'CILA Provider & Site Information' section. Input the provider agency name, DHS number, address of the CILA site, and total residential capacity. Specify the level of support services provided.
If applicable, answer questions regarding intermittent or family/relative support services in section 17. Provide details on direct support hours and any additional staff needed.
Fill out the 'Rate Type / Resident Location Information' section by marking appropriate options based on the individual's circumstances prior to placement.
Finally, ensure both CILA provider and ISC agency representatives sign and date the application. Attach all required documents as listed at the end of the form.
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How to apply for government assistance in Illinois?
Apply for Benefits Download the application. IL444-2378 B - Request for Cash Assistance, Medical Assistance, Supplemental Nutrition Assistance Program (SNAP)(IES)(pdf) Follow the directions on the form. Once youve completed the application, carry, mail or fax it to your local Family Community Resource Center.
What qualifies you for cash assistance in Illinois?
Apply Using the Phone Please call our toll-free line ABE Help Line at 1-800-843-6154 (Voice), Nextalk 1-800-324-5553, 711 TTY Relay, if you have questions or need help with the application.
How do I apply for government assistance in Illinois?
You may be eligible for General Assistance if you are unemployed and actively seeking employment or are currently awaiting a decision on a Social Security disability claim. All General Assistance applications are strictly confidential.
Where do I apply for a link in Illinois?
How Do I Apply? In Person. Apply in person at an Illinois Department of Human Services Family Community Resource Center. By Phone. Apply by phone by calling 800-843-6154. Online. Apply online at the Illinois Application for Benefits Eligibility (ABE).
How to become a Cila provider in Illinois?
Obtain a Community Integrated Living Arrangement (CILA) license issued by the Bureau of Accreditation, Licensure and Certification. Apply for a National Provider Identification Number (NPI) on the National Plan and Provider Enumeration System website. The NPI must be a Type 2 - Organizational NPI number.
60d cila
Application for 60d cila support services dhs state il pdfApplication for 60d cila support services dhs state il onlineApplication for 60d cila support services dhs state il form60D ApplicationHow to start a CILA home in IllinoisCILA home requirements
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Program Options Help to Buy Food. Meet your familys nutritional needs. Healthcare. Support for your familys medical needs. Cash Assistance. Other aid for families in need. Community Supports. Help for adults with long term needs. Medicare Savings. Help paying Medicare premiums.
application cila
DDD Information Bulletins
Application For 60D CILA Support Services Form; Instructions Revised Alternative Day Program Request Form. DD.11.011, Report: Support Service Teams, First
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