Tell Us How Illinois Can Better Support Children With Medical Complexity
Federal funds are available to help enhance, expand and strengthen home and community-based supports for children with complex medical needs
We’re excited to announce a unique opportunity for you to share feedback to help Illinois improve its support and services for children and youth with complex medical needs.
In March, President Joe Biden signed the American Rescue Plan Act of 2021 in response to the COVID-19 pandemic. Under this act, Illinois can qualify for a temporary 10 percent increase in federal funding for home and community-based services (HCBS). This 10 percent increase is called the Federal Medical Assistance Percentage or FMAP.
Illinois must use the FMAP funds to enhance, expand or strengthen HCBS beyond what is available under the Medicaid program as of April 1, 2021.
HCBS includes the waiver for children who are medically fragile and technology-dependent (MFTD). Therefore, the FMAP can provide additional funds to help support children and youth in the Home Care Program and their caregivers.
Illinois must submit its ideas for how to use FMAP funds to the federal government by June 12.
We’ve put together a brief overview of the FMAP requirements. The video features Molly Hofmann, our Director of Care Coordination, Systems Development and Education, and Stephanie Leach, our Assistant Director of Operations for Home Care for our southern offices and our Illinois Department of Healthcare and Family Services (HFS) Liaison.
Please watch their short presentation below –
We’d like to know what you think about the Division of Specialized Care for Children’s (DSCC) suggestions. What concerns do you have about them? What additional ideas do you have?
Please send your thoughts to email@example.com with the subject of “FMAP Feedback” by June 6, 2021.
For more information about the available FMAP funds, you can review the public notice on the HFS website. The notice includes HFS’s suggested recommendations for improving HCBS services.
HFS also has a form to collect feedback from families, caregivers and other stakeholders. You can download the HFS feedback form and email it to HFS.HCBSWaiver@illinois.gov no later than June 4, 2021.
A note that DSCC’s and HFS’s ideas for improvement are simply suggestions at this time.
Home Care Families: Share Your PPE Concerns
DSCC provides dedicated email address for families to submit concerns about personal protective equipment
The University of Illinois at Chicago’s Division of Specialized Care for Children (DSCC) team is working hard to make sure our participants’ needs are met during the COVID-19 pandemic.
For families in the Home Care Program, access to personal protective equipment (PPE) is extremely important for their children with medical complexity.
Nursing agencies are responsible for providing PPE supplies for nurses working in the home.
If you have concerns about the PPE supplies provided for your home nurses, please let us know.
We’ve created a new email address for Home Care families to submit these concerns at DSCCPPEConcerns@uic.edu. Our staff will follow up on any reported issues.
Please continue communicating with your DSCC Care Coordinator to discuss any additional issues you experience. We are here to support your family and will work with you to find solutions and the right resources.
We also encourage you to check our COVID-19 Resource Directory often for the latest health information, education guidance and learning tools, financial assistance and parenting/caregiving support.
Important Updates for Home Care Families
DSCC is partnering with HFS to focus on families’ concerns and find solutions to pandemic-related challenges.
The University of Illinois at Chicago’s Division of Specialized Care for Children (DSCC) takes pride in our partnership with the participants and families we serve.
Some Home Care parent partners have let us know about recent concerns affecting their children and families. We are working with the Department of Healthcare and Family Services (HFS) to address these concerns.
DSCC’s leadership would like to share the following updates with our Home Care families:
School in the fall
This school year will likely be a very different experience for our participants. With the first day fast approaching, we want you to know that DSCC and HFS are partnering to discuss ways to ensure your family is supported.
The decisions for how schools will operate this fall is up to individual school districts across the state.
We know many schools have yet to comprehensively address how they will handle services for children with individualized education programs (IEPs). Please communicate closely with your school district.
Also, let your DSCC Care Coordinator know if there are ways we can help support you and your child. Our staff can attend school meetings and work with your child’s IEP team to make sure their needs are met.
In a recent notice from HFS, the agency states it will ensure your child receives adequate nursing hours if the way nursing hours are provided in the school setting changes. Some individuals already have this difference written into their 2352. DSCC is working to get this information to HFS for changes to be made.
If your child’s difference in nursing hours from school is not clearly stated in your 2352 allocation, please notify your Care Coordinator so we can work to have HFS review your needs further.
DSCC encourages you to discuss any concerns about your child’s school-related needs with your pediatrician. Your child’s medical team can help weigh the pros and cons of in-person versus remote learning, if applicable.
Personal Protective Equipment (PPE)
Nursing agencies are responsible for providing PPE supplies for nurses working in your home, as always.
With the COVID-19 pandemic creating an increased demand for PPE, HFS has approved an additional $16 per day payment to nursing agencies on the days a nurse is working in the home. The nursing agencies across the state have received guidance on how to bill for this additional payment (a fairly simple process).
DSCC has been communicating regularly with home nursing agencies about the availability of PPE supplies. To date, availability has not been a problem. If you have concerns about the PPE supplies provided for your home nurses, please let DSCC know.
Your Home Medical Equipment company handles providing PPE supplies for your family. You will need an order from your child’s provider for these supplies.
HFS received approval for several additional elements to be provided for your child, as needed, as part of Appendix K. Appendix K is an emergency coverage document for individuals receiving services through a Medicaid waiver. Please see a copy of the approved Appendix K document.
A few elements included are:
- Approval of nurse overtime for nurses working in the home setting at a rate of time and a half (for medically fragile, technology-dependent (MFTD) waiver participants only)
- Parents who are licensed nurses may be paid caregivers (for MFTD waiver participants and Nursing and Personal Care Services (NPCS) non-waiver participants)
- Respite hours are increased to 672 per year with respite provided at an increased rate (for MFTD waiver participants only)
Our DSCC team is here to support our Home Care participants and families. We will continue to work closely with HFS to focus on your concerns and find solutions.
We are all facing new challenges as a result of the COVID-19 pandemic. Please continue to communicate with your DSCC Care Coordinator or feel free to contact our administrative team to discuss any additional concerns you may have.
DSCC Helps 4-Year-Old Come Home
Great teamwork helped Phalynn Graham celebrate her first Christmas outside the hospital.
Christmas 2018 was an unforgettable celebration for Phalynn Graham and her family.
It was the first holiday that the 4-year-old was able to spend at home, outside of hospital walls.
Up until this winter, Phalynn had spent her entire life at Ranken Jordan Pediatric Bridge Hospital near St. Louis.
Her homecoming was the result of persistence and teamwork between Ranken Jordan staff, the Graham family, Phalynn’s medical team and her care coordination team from the University of Illinois at Chicago’s Division of Specialized Care for Children (DSCC).
Phalynn was born two months premature, and her lungs were not fully developed. She required constant use of a ventilator to breathe.
Phalynn was soon enrolled in the Home Care Program. DSCC operates the Home Care Program on behalf of the Illinois Department of Healthcare and Family Services.
The Home Care Program partners with families to help them care for children that need shift nursing care at home. The program helps these children live at home with community supports.
Initially, Phalynn’s medical conditions were not stable enough for her to go home. Then, her family needed to find in-home nursing that met Phalynn’s healthcare needs and accommodated her mom, Shay’s, schedule. As KSDK News reported, Shay has lupus and undergoes dialysis three days a week.
Phalynn’s DSCC care coordination team at our St. Clair Regional Office worked to help the Graham family in any way possible. Their efforts included:
- Following up with available nursing agencies
- Following up monthly with the Grahams
- Participating in care conference meetings regarding Phalynn’s care needs
- Collaborating with Ranken Jordan staff
- Working with the medical equipment company to ensure Phalynn’s needs could be met at home
With in-home nursing in place, Phalynn was discharged from Ranken Jordan on Dec. 20, just in time for Christmas. KSDK News was there to cover her homecoming.
“It was great,” Shay said, noting they had spent four Christmases in the hospital. “It went well and she got real tired opening her gifts.”
Shay said she is thankful for all of the support her family has received, including from DSCC.
“Everybody has been amazing. Everyone that we’ve come into contact with has been good people to me and Phalynn,” she said.
Our St. Clair Home Care team is ecstatic that Phalynn and her family experienced their first Christmas at home together. They will continue to support the Grahams as they adjust to their new home life.
You can read more about Phalynn’s journey and watch the KSDK News story at https://www.ksdk.com/article/life/heartwarming/4-year-old-girl-goes-home-for-the-first-time-in-her-life/63-5131ec97-8c16-4b94-8a11-a0399822d410.
DSCC Family Writes Book About Their Journey
“A powerful true story about trusting your instincts, holding onto hope and never, ever giving up.”
After her son, Nixon, was diagnosed with a rare, fatal disease, Kristin Skenderi started blogging and sending her family and friends regular email updates about his condition.
“I wanted Nixon one day to know what he went through,” Kristin recalled.
Her blog posts, emails and journal entries were the early drafts of what was to become a book detailing the Skenderi family’s experiences treating Nixon’s disease and the lessons they’ve learned. “Holding Hope in Our Hands,” was published in September and launched last month.
“I put myself in front of the computer and it took me three years,” Kristin said of the writing process. “It’s a powerful true story about trusting your instincts, holding onto hope and never, ever giving up.”
Nixon was born without an enzyme that helps the brain develop, Kristin explained. At just a few months old, he was diagnosed with Gaucher Disease Type 2, which hindered his breathing, swallowing and neurological development and enlarged many of his organs. Doctors said he likely wouldn’t live past 3 years old.
Kristin said the devastating news put her in survival mode and she began a quest to research every treatment option available. Nixon later received a stem cell transplant and has also benefited from acupuncture, equestrian therapy and hyperbaric oxygen therapy to reduce or stave off some of the effects of his disease, Kristin said.
On Nov. 1, Nixon turned 4 during a trip to Disneyworld through the Make-A-Wish Program. It was the first birthday he was able to spend outside of the hospital.
Kristin’s book details each step of their journey to help Nixon progress to where he is today. She credits the University of Illinois at Chicago’s Division of Specialized Care for Children (DSCC) with providing the support her family needed so she could have time to research treatment and therapy options for Nixon and write about their experiences.
Nixon is enrolled in the Home Care Program, which DSCC operates on behalf of the Illinois Department of Healthcare and Family Services. The Home Care Program allows youth who require skilled in-home nursing to remain in their family home rather than a hospital or skilled nursing facility.
“The things (DSCC) can offer and help us with – it’s been huge,” Kristin said.
DSCC arranged for the installation of new electrical outlets in the Skenderi’s home to handle Nixon’s medical equipment. DSCC also covered the cost for an exterminator as well as a wheelchair ramp for the family’s home.
“It’s amazing that there’s a resource out there for families like us,” Kristin said. “Because those things were taken care of by (their Care Coordinator) Beth, I didn’t have to worry about it and it gave me more time and effort to work on trying to find solutions for Nixon.”
You can learn more about Nixon and his family’s journey on their Facebook page.
“If this book helps the average, regular person look at life a little bit differently, or I can find that one family who was ever put in a situation like ours and give them courage to fight a little harder, then this book was 100 percent worth it,” Kristin said.
Congratulations, Skenderi family!
DSCC Teen’s Princess Dream Comes True
News story captures Trinity’s special send-off to Disney World.
Trinity Alston always wanted to be a princess. Thanks to Make-A-Wish, she and her family recently traveled to “The Most Magical Place on Earth” to make her dream come true.
Trinity, 15, has a structural defect in her brain called Chiari malformation, which causes brain tissue to extend into her spinal canal. She is quadriplegic and non-verbal and uses a computer to speak with her family and caretakers.
Rockford’s 23 WIFR news station covered the community’s special send-off for Trinity, including a motorcycle escort, before she and her relatives boarded a plane to Disney World in April.
For nearly 10 years, Trinity and her family have received support through the Home Care Program, operated by the University of Illinois at Chicago’s Division of Specialized Care for Children on behalf of the Illinois Department of Healthcare and Family Services.
We are thrilled to see Trinity receive the royal treatment she deserves!