CIL Fee-for-Service: Some Stats

by Michele Martin on December 18, 2015

Over the next several weeks, we will be doing a series of posts featuring material drawn from the CIL-Net self-study manual, Establishing and Managing Fees for Service in Centers for Independent Living.

This week, we’re sharing some stats on the types of services CILs are currently selling and the customers who are buying those services. These can help you start to think about what services you might be able to sell and to whom you could sell them.

Services CILs are Currently Offering

ADA Consultations (36.5%)
Nursing Home Transition Services (34.4%)
Employment Services (33.3%)
Personal Care Services (28.1%)
Other (24%)
Skills Training (22.9%)
Benefits Counseling (22.9%)
Case Management (21.9%)
Access Design (19.8%)
Home Modifications (18.8%)
Durable Medical Equipment Services/Sales (15.6%)
Youth Transition Services (13.5%)
Assistive Technology Assessments (12.5%)
Financial Management Services (8.3%)
Wellness Training (8.3%)
Mental Health Peer Specialist (4.2%)

“Other” services included waiver supports coordination, sign language interpreter referral, ASL interpreting services, travel training, Braille production, fitness classes, assistive technology training, Ticket to Work program, Section 504 surveys, veterans services, ADA classes, day habilitation and in-home personal care and respite, telecommunication access equipment distribution, financial accounting for another non-profit, transportation, options counseling, personal assistant training, adult day services, adaptive equipment sales, mobility training, personal adjustment training, technical assistance on disability rights and programs, sensitivity awareness training, management consulting, leadership training, peer mentoring, utility assistance, selling school curriculum, amplified phone program, and vehicle modification.

Customers of Fee-for-Service Offerings

Vocational Rehabilitation (46.9%)
Medicaid (33.3%)
Businesses (32.3%)
Individuals (28.1%)
County Government (25%)
State Department of Health (19.8%)
Local Government (19.8%)
Other (18.8%)
Managed Care Organizations (16.7%)
Veterans Affairs (13.5%)
School Districts (12.5%)
Social Security (11.5%)
Community Development Block Grant Program (11.5%)
State Department of Labor (7.3%)
State Housing Agency (7.3%)
State Department of Mental Health (6.3%)
Maternal and Child Health Services (4.2%)
State Department of Education (4.2%)
State Department of Community and Economic Development (3.1%)
Disability Insurance Company (1%)

“Other” includes hospitals, colleges, Developmental Disabilities regional center, State CHOICE Program, higher education institutions and programs, State Board of Elections, Housing Authority, Area Agency on Aging, State DD agency, Service Employees International Union, ADA Center, private pay, Department of Health & Senior Services, foundations purchasing equipment for patients, State Department of Transportation, other start-up nonprofits, and State Telecommunications Access Corporation.

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