MedicaidReimbursementMedium impact
Hospice Annual Rate Changes Effective October 1, 2024
Illinois Medicaid - HFS·IL · Palliative Care·Provider Notice
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
Medicaid hospice payment rates have been updated for federal fiscal year 2025, effective October 1, 2024. Hospice providers must use specific CBSA codes with Value Code 61 for home care services and Value Code G8 for inpatient care services to ensure proper geographic-based payment.
Action Required
Immediately: Hospice billing team must update claims to use Value Code 61 with appropriate CBSA codes for routine home care (Revenue Code 0651) and continuous home care (Revenue Code 0652). Use Value Code G8 with CBSA codes for inpatient respite care (Revenue Code 0655) and general inpatient care (Revenue Code 0656). Verify CBSA codes on the Department's website and contact billing consultant at 877-782-5565 if CBSA is not listed. Claims will reject if multiple Value Codes 61 or G8 are reported.