Public Accountability Report Public Accountability Report

2025 Community Care Program
Mission Statement To provide a cost-effective and accessible system of home and community-based services that provides alternatives to delay or prevent nursing home placement.
Program Goals and Objectives
  1. The IDoA will maintain the Community Care Program (CCP) as an alternative to nursing home placement.
    1. The CCP will maintain costs at 33% or below of nursing home facility geriatric client costs by the end of the year.
    2. The CCP aims to maintain existing Adult Day Services for eligible CCP participants and as respite to family caregivers.
  2. The IDoA will ensure that potential clients of the CCP can have the opportunity to have face-to-face screening interviews with a certified case manager.
    Source of Funds General Revenue Fund, Commitment to Human Services Fund Statutory Authority 20 ILCS 105
    Fiscal Year 2026 Target/Projected Fiscal Year 2025 Actual Fiscal Year 2025 Target/Projected Fiscal Year 2024 Actual Fiscal Year 2023 Actual
    Input Indicators
    Total expenditures - all sources (in thousands) $ 1,695,183.1 $ 1,510,710.5 $ 1,536,207.5 $ 1,328,136.5 $ 1,194,924.4
    Total expenditures - state appropriated funds (in thousands) $ 1,695,183.1 $ 1,510,710.5 $ 1,536,207.5 $ 1,328,136.5 $ 1,194,924.4
    Average monthly full-time equivalents 72.0 67.0 73.0 60.0 56.0
    Output Indicators
    CCP average monthly caseload 70,440 67,944 68,062 65,678 64,355
    Number of initial assessments 32,531 31,378 30,611 29,539 29,317
    Total assessments conducted 266,587 257,147 234,349 225,335 242,088
    In-home service hours provided 47,806,661 45,967,943 42,094,058 41,716,828 39,436,148
    Adult Day Services hours 1,124,178 1,080,940 1,074,979 1,035,113 995,538
    Number of pre-screens 115,901 111,794 109,515 105,679 103,008
    Number of seniors receiving a pre-screen who become participants 4,404 4,107 3,975 3,836 3,288
    Outcome Indicators
    Percentage increase in Adult Day Services hours 4.00% 3.84% 5.00% 3.85% 5.10%
    CCP caseload cost vs. nursing home facility geriatric caseload cost 34.00% 32.15% 32.97% 31.26% 30.90%
    Percentage of seniors who become CCP participants after a Choices for Care Assessment 3.80% 3.70% 3.60% 3.60% 3.20%
    Percentage of seniors receiving CCP services after an initial assessment 60.80% 60.50% 57.20% 56.10% 55.30%
    Efficiency/Cost-Effectiveness Indicators
    Average monthly savings, federal/state (in dollars) $ 3,873.82 $ 3,846.93 $ 3,665.35 $ 3,619.62 $ 3,266.56
    Average monthly Medicaid nursing home cost (in dollars) $ 5,873.84 $ 5,669.73 $ 5,467.83 $ 5,265.32 $ 4,730.43
    CCP average monthly cost of care per person (in dollars) $ 2,000.02 $ 1,822.80 $ 1,802.48 $ 1,645.70 $ 1,463.87

    Looking for more information?