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Illinois Medicaid waivers that pay for home care

Last verified April 30, 2026 · All Illinois resources

Illinois Medicaid pays for in-home personal care and related services through 3 programs, including the Persons who are Elderly Waiver and the Persons with Disabilities Waiver. Illinois operates 9 HCBS Waivers including programs for Persons with Brain Injury, Persons with Disabilities, Persons with HIV or AIDS, Persons who are Elderly, People who are Medically Fragile/Technology Dependent, the Supportive Living Program, and three Developmental Disabilities programs. HFS is the state Medicaid agency; the Department on Aging operates the Community Care Program.

Which Illinois waivers can a home care agency bill?

Each waiver below lists who it covers, the services it pays for, and how providers bill.

Persons who are Elderly Waiver

Population
Persons who are elderly and would otherwise require care in a nursing facility
Services covered
  • in-home service (homemaker)
  • personal care (dressing, bathing, grooming)
  • adult day service
  • emergency home response service
  • meal preparation
  • shopping and errands
Billing format
EVV via HHAeXchange (state aggregator) or an alternate EVV system; managed by Illinois Department on Aging Community Care Program
Prior authorization
Required
Open waiver page (opens in a new tab)

Persons with Disabilities Waiver

Population
Persons under age 60 with physical disabilities who would otherwise require nursing facility care
Services covered
  • personal assistant
  • homemaker
  • home health services
  • respite
Billing format
EVV via HHAeXchange (state aggregator) or an alternate EVV system
Prior authorization
Required
Open waiver page (opens in a new tab)

Supportive Living Program

Population
Adults 65+ or persons 22-64 with physical disabilities who need a nursing facility level of care
Services covered
  • personal care
  • homemaker
  • medication oversight
  • social and recreational programming
Billing format
Fee-for-service or managed care
Prior authorization
Required
Open waiver page (opens in a new tab)

Sources

More for Illinois

Medicaid waiver lookup: other states

Related guides

Authorizations

How to Become a Medicaid Provider for Home Care

To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.

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