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MedicaidReimbursementMedium impact

Nursing Facility Rate Changes Affecting Hospice Patient Room and Board Payment

Illinois Medicaid - HFS·IL · Palliative Care·Provider Notice
Effective date
Jul 1, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois Medicaid has received federal approval for nursing facility rate changes that affect hospice patient room and board payments, with rates revised effective July 1, 2019. The Department will automatically process payment adjustments for hospices - no rebilling is required.

Action Required

Action needed
No immediate action required: Illinois Medicaid will automatically process payment adjustments for hospice room and board claims affected by nursing facility rate changes. Monitor remittance advice for Process Type 22C or 22D with Reason Code 3569 and message 'Hospice Adj for LTC Rate Changes' to track adjustments.