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MedicaidReimbursementMedium impact

Supportive Living Program Personal Needs Allowance (PNA) and Room and Board Amounts for 2025

Illinois Medicaid - HFS·IL · Geriatrics·Provider Notice
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Effective January 1, 2025, Illinois Supportive Living Program providers will see changes to Personal Needs Allowance (increasing to $120/month) and Room and Board amounts (decreasing for both single and double occupancy apartments). Medicaid reimbursement rates for supportive living services must be at least 54.75% of the average nursing facility per diem rate to help offset the Room and Board decreases.

Action Required

Action needed
By January 1, 2025: Billing teams at Supportive Living Program facilities must update billing systems to reflect new Personal Needs Allowance of $120/month and reduced Room and Board amounts ($847 for single occupancy, $605 for double occupancy). Verify that Medicaid reimbursement rates are updated to at least 54.75% of nursing facility per diem rates for your geographic area.