MedicaidReimbursementHigh impact
Rate Increase for Home Health Services
Illinois Medicaid - HFS·IL · Physical Therapy, Occupational Therapy, Speech Therapy·Provider Notice
Effective date
Oct 1, 2019
We identified it
Jun 20, 2026
Summary
Illinois Medicaid significantly increased reimbursement rates for home health services, with intermittent skilled nursing, home health aide, and therapy visits increasing from $72.00 to $111.00 effective October 1, 2019, and in-home shift nursing rates increasing in November 2019. The Department will automatically reprocess claims that were paid at the lower rates due to system delays.
Action Required
Immediately: Billing team should verify that Illinois Medicaid home health claims are processing at the updated rates ($111.00 for intermittent skilled nursing, home health aide, and therapy visits; increased RN rates to $45.00, LPN rates to $37.50, and CNA rates to $25.00 for shift nursing). Monitor for automatic reprocessing of claims that may have been paid at lower rates. Contact Bureau of Professional and Ancillary Services at 877-782-5565 with questions.