Clarification on Ligas and PUNS forms

[Guest guest]

Clear explanation of who needs to fill out what forms – thank you Ficker

Terrill for asking the question and sharing the reply from Rita Hoskin at DHS.

From: Hoskin, Reta [mailto:RETA.HOSKIN@...]

Sent: Thursday, October 13, 2011 11:48 AM

Terrill; Casey,

Subject: RE: LIGAS

, the form contained in the e-mail below was developed by the Ligas

Plaintiffs (specifically Equip for Equality, I believe) as a mechanism for

individuals to inform us that they wished to be a member of the class and seek

community services.

If someone wants to submit the form to us, that is fine. (It would be helpful

if he or she would include the SSN and/or RIN of the individual seeking

services.) But please note:

1. This form is not necessary for individuals in the community who are

enrolled in PUNS. If they are currently active on the PUNS database, and they

meet the Ligas criteria, we have included them in the class member listing.

2. For persons who are residing in ICFs/DD, this form is one of three

documents the Parties have agreed to accept as affirmative statements that the

individual wants to move from the ICF/DD to community services. [The other two

forms are the DDPAS 10 Form and Waiver Form IL-1238. Both available on our

website.]

More information about our outreach to potential class members will be available

in the draft implementation plan. The draft plan was shared with the Plaintiffs

and Interveners on 9/15/11. They submitted their initial comments, as

requested, by 10/3/11. We are now working to incorporate those comments as

appropriate. It is our hope a revised draft will be made available for comment

by organizations such as yours on or by 10/24/11.

From: IPADDUnite [mailto:IPADDUnite ] On Behalf

Of ELLEN BRONFELD

Sent: Wednesday, October 12, 2011 6:50 AM

IPADDUnite

Subject: LIGAS

Besides making sure that the PUNS is updated to reflect the desire for community

residential supports, it would be wise to also have completed the form to which

Grace refers, , " Request for Community Based Services or Placement in a Community

Based Setting "

Here it is for cut and paste or you can request the form your PAS Agency. I

believe it is probably a good idea to return the form to both your PAS Agency

and to DHS/DDD.

Ellen

REQUEST FOR COMMUNITY-BASED SERVICES OR PLACEMENT IN A COMMUNITY-BASED SETTING

Illinois Department of Human Services

Division of Developmental Disabilities

c/o Mr. Brent Stratton

Office of Illinois Attorney General

100 W. Randolph St., 12th Floor

Chicago, IL 60601

This request is on behalf of _________________________________________, an adult

with a developmental disability, who currently lives:

_____ at home OR at __________________________________________________________

(an Intermediate Care Facility for the Developmentally Disabled).

This is a request for Community-Based Services or placement in a Community-Based

Setting under the Illinois Home and Community-Based Services Waiver for Adults

with Developmental Disabilities.

I understand that, by completing this form, I am NOT getting myself/my family

member on a waiting list for services or placement.

I understand that, in order to be placed on a waiting list, I need to enroll

myself/my family member on PUNS.

I understand that I can get more information about PUNS by calling

1-888-DD-PLANS (or 1-866-376-8446 (TTY)) or by going to

http://www.dd.illinois.gov/SignUp.cfm.

I understand that this request is NOT a request for a determination of

eligibility for services or placement. Eligibility determinations are completed

upon selection from PUNS.

Signature: ________________________________________________

Printed Name: ________________________________________________

Address: ________________________________________________

________________________________________________

Phone: ________________________________________________

Date: ________________________________________________

Relationship to person requesting services: ___ Self ___ Guardian

___ Family member ___ Other

Ellen Garber Bronfeld

egskb@...