Public Accountability Report Public Accountability Report

2025 Developmental Disabilities - Community and State-Operated Services
Mission Statement We believe in opportunities for those we serve so they can maximize control over their life choices to achieve personal success. The Division of Developmental Disabilities (DDD) supports individuals with developmental disabilities (DD) to attain their wants, needs, and dreams through being competitively employed, making decisions, contributing to the community, ensuring health and safety, and having relationships with family and friends. 
Program Goals and Objectives
  1. Provide comprehensive service and supports to individuals with DD and their families to encourage active participation in life choices at home, at work, and in recreational activities in their communities. 
    1. By June 30, 2026, identify individuals living in State-Operated Developmental Centers (SODCs) who would be more appropriately served in community settings and offer them the option of community residential alternatives, thereby reducing the statewide SODC census to 1,535. 
    2. By June 30, 2026, increase the number of individuals in the Medicaid waiver from 26,253 to 26,883. 
  2. Improve, on an ongoing basis, the quality of services and supports provided.
    1. By June 30, 2026, maintain statewide staffing ratios at SODCs of at least 2.94:1.
Source of Funds General Revenue Fund, Mental Health Fund, Special Olympics Illinois and Special Children’s Charities Fund, Community Developmental Disability Services Medicaid Trust Fund, State Coronavirus Urgent Remediation Emergency Fund, Care Provider Fund for Persons with a Developmental Disability, Autism Awareness Fund, Special Olympics Illinois Fund Statutory Authority 20 ILCS 1705, 405 ILCS 5, 210 ILCS 47, 210 ILCS 135
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) $ 3,031,210.5 $ 2,789,798.6 $ 2,990,950.3 $ 2,590,256.4 $ 2,234,180.1
Total expenditures - state appropriated funds (in thousands) $ 3,031,210.5 $ 2,789,798.6 $ 2,990,950.3 $ 2,590,256.4 $ 2,234,180.1
Average monthly full-time equivalents 4,522.0 4,523.0 4,164.0 4,494.6 4,164.6
Output Indicators
Number of individuals served in DD waiver program 26,883 26,253 26,229 25,629 25,185
Number of individuals with DD served in Intermediate Care Facilities for individuals with DD (ICFs/DD) 3,985 3,812 3,990 4,015 4,162
Number of individuals served in SODCs 1,535 1,552 1,538 1,591 1,588
Number of individuals receiving a DD service that do not qualify for Medicaid matching funds 3,045 2,983 2,723 2,673 2,774
Outcome Indicators
Percentage reduction in the number of individuals living in SODCs 1.00% 0.32% 3.33% 0.00% 1.00%
Percentage of service plans reviewed for individuals with DD that address all identified needs 97.00% 96.41% 96.00% 94.75% 87.26%
Percentage of customers' plans that address all health and safety risk factors identified by the assessment 97.00% 96.27% N/A N/A N/A
Percentage reduction of individuals served in ICFs/DD 1.28% 0.75% 1.44% 3.53% 2.20%
SODC staff to resident ratio (#:1) 2.9 2.8 2.8 2.5 2.5

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