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MedicaidReimbursementLow impact

Rate Increases Effective July 1, 2022, per Public Act 102-0699

Illinois Medicaid - HFS·IL · Psychiatry·Provider Notice
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois Medicaid is increasing rates for Specialized Mental Health Rehabilitation Facilities (SMHRFs) by 5% effective July 1, 2022. Single occupancy room add-ons increase from $10 to $15 per day, and a new $10 per day add-on is added for double occupancy rooms.

Action Required

Action needed
No immediate action required for billing teams unless your practice bills for SMHRF services. The 5% rate increase and single occupancy room add-on changes are implemented automatically. Claims with revenue code 0120 for double occupancy rooms will be adjusted systematically once programming is complete.