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Illinois Administrative Code, Title 89, Part 686 — Provider Requirements, Type Services, and Rates of Payment (Home Services Program: Personal Assistant, Homemaker, and EVV)

Illinoisprimary-regulationIllinois Department of Human Services (DHS), Division of Rehabilitation Services — Home Services Program (HSP)

What this rule requires your agency to do

  • 1If requested by the customer, the prospective PA must give permission and information for the customer to request a conviction background check from the Illinois State Police (Section 686.10).(Illinois Administrative Code, Title 89, Part 686 — Provider Requirements, Type Services, and Rates of Payment (Home Services Program: Personal Assistant, Homemaker, and EVV))
  • 2To be employed by a customer as a Personal Assistant, an individual must meet the Home Services Program requirements including minimum age criteria (a minor 14–16 not employed during school hours with a valid employment certificate under the Child Labor Law and a legally responsible adult 21+ to supervise; or 16+ enrolled in school and not employed during school hours; or 17+ not enrolled in school) (Section 686.10).(Illinois Administrative Code, Title 89, Part 686 — Provider Requirements, Type Services, and Rates of Payment (Home Services Program: Personal Assistant, Homemaker, and EVV))
  • 3The prospective PA must be able to communicate with the customer, and be able to follow directions, to the satisfaction of the customer and the counselor (Section 686.10).(Illinois Administrative Code, Title 89, Part 686 — Provider Requirements, Type Services, and Rates of Payment (Home Services Program: Personal Assistant, Homemaker, and EVV))
  • 4The prospective PA must provide the customer at least two written or verbal recommendations from present or former employers, the recommendation of a Center for Independent Living (CIL), or, if never employed, references from at least two non-relatives (Section 686.10).(Illinois Administrative Code, Title 89, Part 686 — Provider Requirements, Type Services, and Rates of Payment (Home Services Program: Personal Assistant, Homemaker, and EVV))
  • 5Each supervisor and homemaker must participate in in-service training of not less than 12 hours each year, and the provider must retain orientation/training attendance records (instructor, date, time, title of each program) and job-performance evaluations (annual, plus a probationary evaluation within the first six months of employment) (Section 686.200).(Illinois Administrative Code, Title 89, Part 686 — Provider Requirements, Type Services, and Rates of Payment (Home Services Program: Personal Assistant, Homemaker, and EVV))
  • 6The prospective PA must have previous experience and/or training adequate and consistent with the specific tasks required for the safe and adequate care of the customer (Section 686.10).(Illinois Administrative Code, Title 89, Part 686 — Provider Requirements, Type Services, and Rates of Payment (Home Services Program: Personal Assistant, Homemaker, and EVV))
  • 7A Homemaker Service Provider must be in compliance with all Medicaid provider requirements of HFS and DHS and have an approved Homemaker Agreement before providing Homemaker Services under HSP (Section 686.200).(Illinois Administrative Code, Title 89, Part 686 — Provider Requirements, Type Services, and Rates of Payment (Home Services Program: Personal Assistant, Homemaker, and EVV))
  • 8In-home agency providers must comply with Electronic Visit Verification (EVV) requirements for HSP services, capturing the required Cures Act data elements (service type, individual receiving service, date, location, provider, and check-in/check-out times) (Sections 686.1620 and 686.1630).(Illinois Administrative Code, Title 89, Part 686 — Provider Requirements, Type Services, and Rates of Payment (Home Services Program: Personal Assistant, Homemaker, and EVV))

Applies to: Personal Assistants (individual providers employed directly by the customer), Homemaker Service Provider agencies and their homemakers/supervisors, and in-home agency providers subject to EVV, serving HSP customers.

Governs the qualifications, training, supervision, and payment of Personal Assistants and Homemaker agencies in the Illinois Home Services Program (the state's Medicaid personal-care/HCBS program for persons with disabilities). Sets PA eligibility/age/reference requirements, homemaker-agency in-service training minimums, annual performance review, and Electronic Visit Verification (EVV) requirements.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.