MedicaidReimbursementMedium impact
Hospice Annual Rate Changes Effective October 1, 2025
Illinois Medicaid - HFS·IL · Palliative Care·Provider Notice
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Summary
Illinois Medicaid hospice payment rates have been updated for federal fiscal year 2026, effective October 1, 2025. Hospice providers must use specific Value Codes (61 for home care, G8 for inpatient care) with appropriate CBSA identifiers on claims, and can only report one of each code type per claim or the claim will reject.
Action Required
Immediately: Hospice billing teams must update claims submission procedures to include Value Code 61 with CBSA for routine home care (Revenue Code 0651) and continuous home care (Revenue Code 0652), and Value Code G8 with CBSA for inpatient respite care (Revenue Code 0655) and general inpatient care (Revenue Code 0656). Ensure only one Value Code 61 and one Value Code G8 are reported per claim to prevent rejections. If billing a CBSA not on the Illinois website table, contact hospice billing consultant at 877-782-5565 before submitting claims.