December 2022


Thank you for another great year of celebrating Supportive Living. We appreciate all you do to ensure our seniors and individuals with disabilities have a safe place to live, laugh, and thrive.  

You should have received your 2023 AALC membership dues invoices.  If you have any questions, please do not hesitate to reach out to me at


We wish you the best of everything this holiday season and thank you for your continued support of AALC and our various activities.

Happy Holidays!

Policy Update

SNAP Update

Recognizing that the federal legislation protecting existing authorized SLP communities to serve as SNAP meal service providers to eligible SLP residents was set to expire at the end of December, AALC has been working tirelessly, and in good faith, with the Illinois Departments of Healthcare and Family Services (HFS) and Human Services (DHS) and Illinois’ United States congressional delegation to identify potential short and long-term solutions to this issue. AALC continues to believe there are multiple paths that the government can take to preserve these important SNAP benefits for the more than 10,000 seniors and disabled individuals. For example, DHS in early November submitted a waiver to USDA requesting a continuation of the current waiver. Given the uncertainty surrounding the waiver request, HFS obtained approval to implement a temporary rate increase of $6.15 using appendix K. This rate increase will begin January 1, 2023 and is expected to help make sure SLP residents continue to have access to healthy meals. To learn more, click here

While the Provider Notice indicates that effective January 1, 2023, SLP providers will no longer be authorized SNAP retailers and will no longer be able to access the SNAP benefits of the SLP participants, SNAP authorization of SLPs will continue until such time that FNS serves notices of withdrawal. However, some SLP residents this week have begun receiving Notices of Decision from DHS terminating SNAP eligibility as of January 1, 2023. 

  • Upon receiving notice of withdrawal from FNS, SLPs have 10 days to seek administrative review. 
  • Upon receiving notice of decision regarding the termination of benefits, SLP residents have 90 days to request an administrative hearing with the DHS.


The recent waiver request and the temporary rate increase underscores the State’s commitment to protect the Supportive Living program. AALC is grateful for the work of its state and federal partners to minimize disruption to meal services for SLP residents this holiday season and beyond. AALC looks forward to continuing to work with DHS, HFS, and the Illinois Congressional delegation to find a long-term solution.

SLP Rates Expected to Decrease on January 1

Reminder! Despite the temporary rate increase for SLP providers recently announced by HFS, we anticipate that in most regions the SLP Medicaid rates will decline on January 1, 2023 when the staffing incentive floor ends and then through 2023 as the transition from RUG-IV to PDPM continues. To view the rate analysis, click here.

SLP Rule Changes - Feedback Needed

If you have comments on the proposed rule, send them to Please submit comments by no later than Friday, December 23 at 12pm. 


Published in the IL Register (Volume 46 Issue 50) on Friday, December 9th and beginning on page 19321, this rule filing proposes to include, but is not limited to:

  • Additional clarifications, updates to definitions, and provides guidance based on questions, concerns or non-compliance issues that have been identified over the years; and
  • New or updated language to meet the “Community Settings” requirements of the federal CMS rule for Home and Community Based Services (HCBS) waivers Final Rule Insert Rule. These changes are required to be in compliance with the Illinois Statewide Transition Plan | HFS (


NOTE: Section 146.215 related to SLP provider participation and Sections 146.225 and 146.650 related to the rate reimbursement have been excluded from this filing. The intent is to continue to develop language related to these sections without holding up the comprehensive rule changes which are required to be compliant with the Statewide Transition Plan. The Department understands and appreciates the need to continue to develop quality performance measures that further align with the new nursing home rate reform. The exclusion of 146.225 and 146.650 in this rule filing will allow time to develop language and strategies to align these initiatives without impacting this comprehensive rule as it works its way through the adoption process.


SLP Resident ID Report Due - Deadline is January 10! 

Per the 89 IL Admi Code Section 146.265 (f) (1), the SLP Resident ID Report is due to the Department monthly. During the public health emergency, providers were not required to submit this report monthly but beginning in January, 2023, HFS is requesting that providers resume submission of this report. The due date for reporting is the 10th day of the month. The report should reflect all changes from the previous month, including admissions, discharges, and conversions to Medicaid. This report is not associated with payment and does not replace the need for transactions to be entered in MEDI.


Please submit the Monthly Resident ID Report to 


If you need the report template and/or password, have questions about the reporting process, or want to request an extension, please contact


Double Occupancy Notice - Reports Due Dec. 16!

Urgent! Action is required If you have Medicaid residents sharing an apartment.  Please do not forget to submit the required report to Raymond Horn at by close of business tomorrow. You should have received the report template and password from HFS.  If you have questions, please contact The information contained in the report will be used for a system programming update related to the room and board changes in January. 

HFS Staff Announcements

Kelsey Lock is the new Manager of Policy & Rules for the Bureau of Long Term Care. Kelsey has been with the Bureau for several years as the Regional Supervisor of the Lincoln Region, so some of you may already know her. She’ll continue to wear both hats for the foreseeable future. Her contact information is


Janene Brickey, who served previously as the Manager of Policy & Rules, has accepted a Deputy Administrator position with HFS overseeing Long Term Care and Mental Health.


Preparing for the End of the Public Health Emergency 

Help prepare Medicaid customers for the end of the Public Health Emergency (PHE) by accessing a Messaging Toolkit on the HFS website. Please note the end of the PHE has not been announced yet. The federal government will provide states with a 60-day notice. HFS is being proactive and trying to prepare customers. After the PHE ends, Medicaid eligibility redeterminations will resume. For redeterminations to go smoothly, HFS will need to have a customer’s current mailing address. Phase 1 of customer messaging focuses on this topic. Most SLP residents likely have a current address on file with HFS, but just in case, use this information.  

AALC encourages you to use the toolkit resources to remind SLP Medicaid residents/families to update their address. The toolkit includes handouts, flyers, etc. If a resident is unable to update their address on their own and does not have family/friends to assist, please have someone from your team help. 

Cost Reports

Access 2022 Cost Reports by clicking here

View October SL Rates

Legislative Update

The 102nd General Assembly is scheduled to reconvene January 4th in a five-day lame-duck session.  Watch for legislators to finalize legislation from the veto session, including a healthcare omnibus package, as well as consideration of the newly filed gun reform legislation.  The 103rd General Assembly will be sworn into office on Wednesday, January 11.  Biographies for the new members of the 103rd General Assembly are here.  All six constitutional officers will be sworn into office on Monday, January 9, 2023.  AALC is continuing to work to advance and protect the Supportive Living Program. AALC's top priorities are to make the temporary rate increase intended to offset any loss of SNAP permanent, work with HFS to implement quality payments, and secure additional resources to assist with memory care expansion. High construction and labor costs exacerbated by the pandemic have stalled development of new construction for SLP memory care.

2022 has been a very successful legislative season and we are looking forward to another year of effective advocacy on behalf of our members!

COVID-19 and Infection Prevention and Control Updates and Q&A Webinars for Long-Term Care and Congregate Residential Settings 

January and February 2023 Schedule

Description: The Illinois Department of Public Health (IDPH) is hosting a bi-monthly webinar to provide COVID-19 updates, general infection prevention and control information, topics related to prevention of healthcare-associated infections (HAI) updates, and answer questions from long-term care and congregate residential settings.

Target audience: Infection prevention and control staff (e.g., infection preventionists, directors of nursing, environmental services directors, administrators) at long-term care facilities and congregate residential settings; local health departments; IDPH regional health officers; long-term care association partners

Continued Education: Will be offered. It will only be for the live presentation. Please ensure when registering that your name and email are correctly spelled. To receive the continued education, you must complete a training survey, which will be provided with the link to the recording.



  • January 6, 2023 - 1 PM to 2 PM: Facility Assessment and Infection Risk Assessment in Long Term Care Part 2. Click here to register 

  • January 27, 2023 - 1 PM to 2 PM: Environmental Cleaning, Disinfection, and Monitoring*. Click here to register. *We highly recommend facilities encourage anyone involved in environmental services to attend this presentation


  • February 10, 2023 - 1 PM to 2 PM: How to Perform a Root Cause Analysis (RCA). Click here to register.

  • February 24, 2023 - 1 PM to 2 PM: Outbreak Detection and Control (repurpose 2-day training). Click here to register.

The webinar attendance is limited so if you cannot register or get in, email:

We want to hear from you! Please share what you want to learn about with us! AALC strives to provide relevant and timely training and education to our members. 

Send ideas to:

Sponsored by

Check out our Centenarian & Best of Our Abilities Winners

Centenarian Winner

Name: Helen Frank

Community: Victory Centre of Bartlett

Age: 101 & 7 months

Born: 05/12/1921

Helen is living life to her fullest potential. She joins exercise class regularly, plays bingo and with instruction from an art teacher from Arts in Bartlett, is now an artist. Helen had 2 public art exhibits after her 100th birthday and one more since she turned 101 years young!

Congratulations Helen!

Best of Our Abilities Winner

Name: Lisa Barker

Community: Mary Bryant Home for the Blind & Visually Impaired

Lisa volunteered for the "Our Caps Your Cause" fundraiser put on by the Prarie Farm Dairy products and the Springfield Noon Lions Club. Her work helped the club raise $5,000 which went toward sending vision and hearing impaired children to summer camp, and helped fund scholarships for students going into medical fields that would help vision and hearing impaired individuals. WOW! Congratulations Lisa!

MEMBERS! If you know of a vendor who might be interested in joining AALC, share their information with us at and we will reach out to them. Are you a vendor member and interested in bringing content to our Supportive Living communities? Let us know and we will feature you in an upcoming newsletter.

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