Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 145 - PERMANENT SUPPORTIVE HOUSING AND BRIDGE SUBSIDY MODEL FOR PERSONS WITH MENTAL ILLNESSES › Subpart A - GENERAL PROVISIONS › Section 145.20 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
Adult - An individual who is 18 years of age or older or a
				  person who is emancipated pursuant to the Emancipation of Mature Minors Act
				  [750 ILCS
				  30 ].
Agency - The local DHS or State contracted Service Provider.
				  An "Agency" may also be referred to as "Provider."
Annual Income Re-examination Review - The annual review of
				  the tenant's annual income to determine continued eligibility for rent payments
				  under the PSH models. The annual re-examination is completed to determine the
				  Housing Assistance Payment Contract by calculating applicant's rent share/30%
				  of income toward their rent.
Area Median Income or AMI - The federal Department of Housing
				  and Urban Development's (HUD) calculation of income limits for eligibility in a
				  variety of housing programs.
Bridge Subsidy - Payment by DHS-DMH of a portion of the rent
				  for a PSH unit through the Bridge Subsidy model of PSH until the tenant is able
				  to secure a permanent housing subsidy through a local, State or federal
				  program.
Case Management Services - Assessment, planning, coordination
				  and advocacy services for clients who need multiple services and require
				  assistance in gaining access to and in using mental health, social, vocational,
				  educational, housing, public income entitlements and other community services
				  to assist the client in the community. Case management activities may also
				  include identifying and investigating available resources, explaining options
				  to the client and linking the client with necessary resources.
Code - The Mental Health and Developmental Disabilities Code
				  [405 ILCS
				  5 ].
Care Manager - A staff member of a State-contracted Service
				  Provider who is assigned to monitor and/or provide support services to a tenant
				  residing in a DHS-DMH Permanent Supportive Housing and/or Bridge Subsidized
				  unit.
Community Vendor - A DHS contracted entity.
Confidentiality Act - The Mental Health and Developmental
				  Disabilities Confidentiality Act [740 ILCS 110 ].
Consumer - An adult with a diagnosis of mental illness as
				  defined in 59 Ill. Adm. Code 132 and/or other disability contributing to
				  eligibility for long-term care. For the purpose of this Part, all consumers who
				  are living in a unit supported in whole or in part with DHS-DMH funding may
				  also be referenced as "tenants".
DCFS or Illinois Department of Children and Family Services -
				  The State child welfare agency responsible for: protecting children who are
				  reported to be abused or neglected and to increase their families' capacity to
				  safely care for them; providing for the well-being of children in care;
				  providing appropriate, permanent families as quickly as possible for those
				  children who cannot safely return home; supporting early intervention and child
				  abuse prevention activities and working in partnerships with communities to
				  fulfill this mission.
Department or IDHS or DHS or The Illinois Department of Human
				  Services - The State agency responsible for providing a wide variety of safety
				  net services to Illinois residents in poverty who are facing other economic
				  challenges or who have any of a variety of disabilities or health
				  challenges.
DHS-DMH or DMH or The Illinois Department of Human
				  Services-Division of Mental Health - A program division of DHS that, as the
				  State Mental Health Authority pursuant to Department of Human Services (Mental
				  Health and Developmental Disabilities) Law [20 ILCS 1710
				  ], is responsible for assuring that children, adolescents and adults throughout
				  Illinois have the availability of and access to public-funded mental health
				  services.
Employee - Any person who provides direct services or
				  supports to a tenant of Permanent Supportive Housing at the direction of a DHS
				  contracted vendor. This includes staff on the agency payroll, contractors,
				  interns and volunteers, regardless of number of hours or schedules worked or
				  volunteered.
Engagement Services -
Home-based or community-based
				  visits that assist the individual with maintaining
their
housing, and providing other wrap-around support, including linkage to
				  mental health or substance use recovery support services. Such engagement
				  services shall align with Medicaid-covered tenancy support services, and
				  Medicaid community-based mental health and substance use treatment services,
				  including case management, to ensure alignment with any existing or future
				  Illinois Medicaid benefits, waivers or State plan amendments that include these
				  services, and to maximize any potential federal Medicaid matching dollars that
				  may be available to support engagement services
[405 ILCS
				  125/3 ]
Fair Market Rent or FMR - Maximum rental amounts payable in
				  specific geographical areas established by HUD.
Family Support Program (FSP) - Formerly known as the
				  Individual Care Grant program, this program of the Illinois Department of
				  Healthcare and Family Services (HFS) provides access to intensive mental health
				  services and supports to youth with a severe emotional disturbance. The goal of
				  the FSP is to support eligible youth and their families by strengthening family
				  stability, improving clinical outcomes, and promoting community-based
				  services.
HIPAA - The Health Insurance Portability and Accountability
				  Act (42 U.S.C.
				  1320 et seq.) (45 CFR 160 and
				  164 (2013)).
Homeless - An individual or family meeting
the
				  definition used by the U.S. Department of Health and Human Services, Health
				  Resources and Services Administration in Section 330(h)(5)(A) of the Public
				  Health Services Act (42
				  U.S.C. 254(b)). A homeless
				  individual
under this definition
is an individual who lacks
				  housing (without regard to whether the individual is a member of a family),
				  including an individual whose primary residence during the night is a
				  supervised public or private facility that provides temporary living
				  accommodations, and an individual who is a resident in transitional housing.
				  This includes individuals who are doubled up with other households
[405 ILCS
				  125/3 ].
Housing Assistance Payment Contract or HAP Contract - A
				  contract executed between the Subsidy Administration or PSH Provider and the
				  leasing agent (landlord or property management entity).
Housing Dwelling - A house rented according to the same Fair
				  Market Rate as an apartment located in the same geographical area. This type of
				  PSH is applicable in rural areas.
Housing Quality Standards or HQS - HUD's specifications and
				  guidance that outline inspection standards for all PSH units that fall under
				  this Part.
HUD - The U.S. Department of Housing and Urban
				  Development.
Individual at High Risk of Overdose -
A person with a
				  substance use disorder who is homeless (or will be homeless upon hospital
				  discharge or correctional facility release) who has:
had
three or more hospital inpatient or
				  inpatient
withdrawal management or community-based withdrawal
				  management stays
for a substance use disorder within the most recent
				  12-month period;
had
three or more stays in a State or county
				  correctional facility in the State of Illinois within the most recent 12-month
				  period; or
been incarcerated in a State or county correctional facility
				  in Illinois for the most recent 12 consecutive months;
or
had
one or more drug overdoses in the last 12
				  months
[405 ILCS 125/3 ].
Individual at High Risk of Unnecessary Institutionalization -
A person who has a serious mental illness who is homeless (or will be
				  homeless upon hospital discharge or correctional facility release) and who
				  has:
had
three or more psychiatric inpatient hospital
				  admissions within the most recent 12-month period;
had
three or more stays in a State or county
				  correctional facility in the State of Illinois within the most recent 12-month
				  period; or
been incarcerated in a State or county correctional facility
				  in Illinois for the most recent 12 consecutive months;
or
had
a disability determination due to a serious
				  mental illness and has been incarcerated in a State or county correctional
				  facility in Illinois
within
the most recent 12 consecutive
				  months
[405 ILCS 125/3 ].
Landlord Property Management Entity - The owner of one or
				  more units/apartments receiving or approved to receive rental payments from
				  DHS-DMH, inclusive of private market and not-for-profit housing
				  providers.
Long Term Care Facility or LTC Facility - A facility
				  designated as a nursing home under the Nursing Home Care Act [210 ILCS
				  45 ].
Open Round - The point in time when DHS-DMH allows
				  applications to be submitted for consideration of a Bridge Subsidy, excluding a
				  court order, lawsuit or settlement.
Permanent Supportive Housing or PSH - A self-contained
				  (inclusive of kitchen and bathroom facilities) unit that is decent, safe and
				  affordable community-based housing. The tenant has rights of privacy and
				  access; holds a lease, sublease, or occupancy agreement; and has full rights of
				  tenancy under State and local landlord and tenant laws. Any services or
				  supports received are voluntary, flexible and designed to meet the tenants'
				  needs and preferences.
Provider - The local DHS or State contracted Service
				  Provider. A Provider may also be referred to as "Agency."
PSH Provider - The DHS-DMH contracted entities responsible
				  for conducting income verifications, unit inspections, development of HAP
				  contracts or other agreements with landlords, and ongoing rental payments in
				  accordance with Section
				  145.70 through a model of PSH
				  other than the Bridge Subsidy model.
Rental Assistance - The DHS-DMH subsidized rental amount paid
				  to a landlord for a unit occupied and leased by a tenant eligible and approved
				  for a DHS-DMH Bridge Subsidy or PSH program utilizing a similar model of
				  housing assistance.
Rental Payments - Any payments made to a landlord in
				  accordance with a lease agreement for a housing unit in which an individual or
				  family receiving services from a Provider is residing, whether the executed
				  lease is between the landlord and the Provider (leasing) or between the
				  landlord and the tenant (rental assistance).
Service Provider - An entity contracted by DHS or the State
				  to provide publicly-funded support services to residents of Permanent
				  Supportive Housing.
Serious Mental Illness -
Meeting both the diagnostic
				  and functioning criteria consistent with the definition of Serious Mental
				  Illness in the most current edition of the Illinois Department of Human
				  Services/Division of Mental Health Community Mental Health Provider
				  Manual
[405 ILCS 125/3 ].
Site - Any building, under one continuous roof, in which a
				  tenant receiving DHS-DMH Bridge rental assistance lives. This includes houses,
				  apartment buildings, duplexes and other living arrangements owned, leased or
				  managed by a rental agent, management company, property owner, landlord or
				  development entity.
Subsidy Administrator or Subsidy Administration or SA - The
				  DHS-DMH contracted entities responsible for conducting income verifications,
				  unit inspections, development of HAP contracts with the landlord, and ongoing
				  subsidized rental payments in accordance with Section
				  145.70 through the Bridge
				  Subsidy model.
Substance Use Disorder -
As defined in Section 1-10
				  of the Substance Use Disorder Act
[20 ILCS 301
				  ].
Tenant - For the purpose of this Part, the words "tenant" and
				  "consumer" are interchangeable. The tenant must be a consumer of a DHS or State
				  contracted Service Provider and be in one of the priority populations defined
				  in Section 145.110(g).
Transition Assistance Funds or TAF - A one-time allocation,
				  as determined by DHS-DMH, for the specific purpose of paying security deposits
				  and utility connections (but not for arrearages) and to assist the tenant in
				  purchasing basic allowable household needs. Transition Assistance Funds used
				  for the purchase of obtaining allowable household goods are handled by the Care
				  Manager (see Section 145.200).
Unit - A rental apartment (efficiency, studio, one bedroom or
				  multiple bedroom apartments) or housing dwelling that receives DHS-DMH funded
				  rental payments. Housing intended as transitional or temporary housing does not
				  qualify as a PSH Bridge unit.