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MedicaidReimbursementMedium impact

ICF/IID and MC/DD Rate Changes Effective January 1, 2023

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois HFS implemented rate increases for ICF/IID and MC/DD facilities effective January 1, 2023, including $1.00/hour wage increases for direct support staff. The updated rates were entered into the payment system on July 14, 2023, with automatic repricing of previously paid claims and payment adjustments expected by end of August.

Action Required

Action needed
By end of August 2023: ICF/IID and MC/DD providers should expect automatic payment adjustments for claims paid at lower rates between January 1 and July 14, 2023. No action required as the Department will systematically reprice claims automatically. Developmental training agencies must pass payment adjustments to appropriate training providers within 10 days per 89 Ill. Admin. Code 140.646(d). Contact Bureau of Long Term Care at 844-528-8444 with questions.