MedicaidReimbursementLow impact
ICF/IID and MC/DD Rate Changes Effective January 1, 2025
Illinois Medicaid - HFS·IL·Claims & Billing
Effective date
Jan 1, 2025
We identified it
Jun 16, 2026
Summary
Illinois Medicaid has implemented rate increases for ICF/IID and MC/DD facilities effective January 1, 2025, including $1.00 per hour wage increases for direct support personnel. The state will automatically reprice previously paid claims at lower rates with payment adjustments coming in late March or early April 2026.
Action Required
No immediate action required for most billing teams. This policy affects specialized long-term care facilities (ICF/IID and MC/DD) only. If your practice provides services to these facilities, monitor for automatic claim repricing and payment adjustments expected in late March or April 2026.