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MedicaidReimbursementMedium impact

Reimbursement Rates effective July 1, 2020

Illinois Medicaid - HFS·IL · Geriatrics, Psychiatry·Provider Notice
Effective date
Jul 1, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois Medicaid is delaying rate calculations for nursing facilities and long-term care providers due to COVID-19 MDS assessment submission delays. Reimbursement rates for July 1, 2020 services will be finalized by August 1, 2020, and providers are recommended to delay billing for July services until August to avoid claim repricing.

Action Required

Action needed
By July 15, 2020: Submit all MDS assessments for quarter ending March 31, 2020. Until August 1, 2020: Delay billing for July 2020 services to nursing facilities, SLP providers, and SMHRF facilities to avoid claim repricing when new rates are finalized. This applies to both direct billing to the Department and managed care plans.