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Illinois Medicaid - HFSMedicaid · Reimbursement · Provider Notice · IL · General PracticeMedium impact

ICF/IID and MC/DD Rate Changes Effective January 1, 2024

Act
by Aug 31, 2024
Effective date
Jan 1, 2024
Identified
Jun 20, 2026

Summary

Illinois Medicaid implemented rate increases for ICF/IID and MC/DD facilities effective January 1, 2024, including 6% increases to MC/DD exceptional care per diem rates and wage increases for direct care staff. Claims paid at lower rates will be systematically repriced with payment adjustments expected in late August/early September 2024.

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What to do

by Aug 31, 2024 · 5 steps
01Billing teams at ICF/IID and MC/DD facilities should verify that new rates are being applied to current claims and monitor for payment adjustment vouchers from the state.
02Download updated rate sheets from the HFS website or MEDI portal to confirm proper reimbursement rates.
03Developmental training providers must pass payment adjustments to appropriate agencies within 10 days per administrative rule 89 Ill.
04Admin.
05Code 140.646(d).

Original notice

ICF/IID and MC/DD Rate Changes Effective January 1, 2024
hfs.illinois.gov · Always check the source before changing claims.
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