If you are interested in learning more about the Money Follows the Person: Pathways to Community Living program for yourself or for another individual, please fill out this form and someone from one of the participating state agencies will contact you. Eligibility for and participation in the program will be determined based on Medicaid and program eligibility and/or after an initial face-to-face meeting. This referral form is only a first step in that process. By submitting this form, you agree to submit this information to the Illinois Department of Healthcare and Family Services (HFS) for use in determining eligibility for the Money Follows the Person: Pathways to Community Living Program.
Please identify if the referral has any of the following:
Intellectual or Developmental Disability
Acquired Brain Injury
HIV / AIDS
Please check all that apply:
Currently receiving Medicaid benefits or eligible for Medicaid
Interested in moving to a community setting