MedicaidReimbursementHigh impact
Hospice Annual Rate Changes Effective October 1, 2023
Illinois Medicaid - HFS·IL · Palliative Care·Provider Notice
Effective date
Oct 1, 2023
We identified it
Jun 20, 2026
Summary
Illinois updated Medicaid hospice reimbursement rates effective October 1, 2023, based on new federal Medicare rates. Hospice providers must use specific Value Codes (61 for home care, G8 for inpatient care) with correct CBSA geographic identifiers on claims or they will be rejected.
Action Required
Immediately: Hospice billing teams must update claims submission processes to include Value Code 61 with appropriate 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). CBSA must be right-justified to the left of the dollar/cents delimiter. Only use one Value Code 61 or G8 per claim as multiple codes will cause rejection. Contact Illinois Department billing consultant at 877-782-5565 if billing a CBSA not on their website table.