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MedicaidReimbursementLow impact

Nursing Facility Rates Effective July 1, 2019

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

Summary

Illinois Department of Healthcare and Family Services implemented rate increases for Nursing Facility and Specialized Mental Health Rehabilitation Facility providers effective July 1, 2019. The increases include updating the Support component rate base year ($170M annually) and adding $4.55 per diem to the Nursing component rate ($70M annually).

Action Required

Action needed
No immediate action required for most practices. This policy only affects providers billing for Nursing Facility (NF) or Specialized Mental Health Rehabilitation Facility (SMHRF) services in Illinois. Claims are being automatically repriced by the state system, with vouchers generated in January.