MedicaidReimbursementMedium impact
Hospice Annual Rate Changes Effective October 1, 2022
Illinois Medicaid - HFS·IL · Palliative Care·Provider Notice
Effective date
Oct 1, 2022
We identified it
Jun 20, 2026
Summary
Illinois Medicaid updated hospice reimbursement rates for federal fiscal year 2023, effective October 1, 2022. Hospice providers must use specific Value Codes (61 for home care, G8 for inpatient care) with correct CBSA geographic identifiers on claims to ensure proper payment processing.
Action Required
Effective October 1, 2022: Billing team must update hospice claims 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). Verify CBSA codes are right justified to the left of dollar/cents delimiter and only use one Value Code per claim type to avoid rejections.