DSCC and State Health Department Partner to Improve In-Home Nursing Options for Families
A new licensure process for nursing agencies will help provide more options for children and adults in need of in-home nursing care
The nationwide nursing shortage has affected many Illinois families in need of in-home shift nursing care for their children with complex medical needs.
There is a constant demand for more in-home nursing care options in all parts of the state, both rural and urban.
The University of Illinois Chicago’s Division of Specialized Care for Children (DSCC) has partnered with the Illinois Department of Public Health (IDPH) to help meet this need and give families more nursing care options.
DSCC worked with IDPH to change how our enrolled nursing agencies are licensed to serve Illinois counties. Nursing agencies can now be licensed to serve all of Illinois instead of only individual counties.
This change should make it easier for nursing agencies to serve more parts of the state.
Before this change, nursing agencies could only operate within their approved service county area. Nursing agencies had to request approval for each county they wanted to serve.
This process made it difficult for nursing agencies to expand coverage to areas in need. Our participants who receive in-home shift nursing through the Home Care Program could only receive services from nursing agencies licensed for their specific county.
Now all nursing agencies who are licensed and enrolled with DSCC in good standing may serve all Home Care participants in any part of the state.
This broader statewide approach to nursing agency licenses will offer more available nursing options to our participant families.
Please note that each nursing agency must decide if it wants to expand its service area to other parts of the state. This decision is based on nursing staff availability.
We are thankful for IDPH’s partnership to help meet this important need for our participants and their families!
Important Clarification on In-Home Supervisory Visits for Home Care Families
UPDATED: In-home nurse agency supervisory visits are still optional for most Home Care Program families
We have an important clarification to share about the status of home nursing agency supervisory visits.
A previous version of this post stated that home nurse agency supervisory visits must now resume in-person without exceptions for all Home Care Program participants. That information is no longer accurate.
We have received clarification from the Illinois Department of Public Health (IDPH). The department’s June 24 notice about required in-person supervisory visits only applies to home health aides (CNAs) providing care in the home. It does not apply to all nurses working in the home.
At this time, in-person supervisory visits are only required when:
- A CNA is providing care in the home.
- The parent/guardian is a licensed nurse and providing care as a paid caregiver in the home.
If your home nursing care does not fall in these categories, in-person supervisory visits are not required and remain optional. (Please note that DSCC still encourages nursing agencies to perform in-home supervisory visits when possible to ensure the health and safety of our participants.)
We apologize for the confusion!
The emergency amendments that suspended in-person supervisory visits during the pandemic are still in place.
If you have questions or additional concerns about the status of in-home supervisory visits, please contact your DSCC Care Coordinator.
Our DSCC Team will continue to prioritize the health of your child and family and work with our state partners to provide guidance and support.
Once again, we regret any confusion and are happy to help answer any questions and address your concerns.
Thank you for your understanding.
COVID-19 Guidance for Medically Fragile Children
The Illinois Department of Public Health gives recommended guidance for preventing the spread of COVID-19 in medically fragile children.
The Illinois Department of Public Health has provided guidance for how to prevent the spread of the coronavirus disease 2019 (COVID-19) in medically fragile children.
The guidance includes:
- Planning actions for the home healthcare agency during a disease pandemic
- Preventative actions for the introduction of respiratory germs into your home
- Preventative actions for the introduction of respiratory germs within your home
- Preventative actions for vulnerable populations
- Contingency planning
The guidance is available in our COVID-19 resource list and at this direct link to the guidance document.

