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MedicaidReimbursementMedium impact

Quality of Life Enhancement Add-on Payment for Single Occupancy Rooms

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

Summary

Illinois Medicaid is providing a $10 per day add-on payment for single occupancy rooms at Specialized Mental Health Rehabilitation Facilities (SMHRFs) effective July 1, 2019. Facilities must use Revenue Code 0110 to receive this quality of life enhancement payment for rooms licensed for single occupancy only.

Action Required

Action needed
Immediately: SMHRF billing teams must ensure all single occupancy room claims use Revenue Code 0110 to receive the $10 per day add-on payment. Verify rooms are licensed by Illinois Department of Public Health for single occupancy before billing. Do not use this code for multiple occupancy rooms or leave of absence days as they are not eligible for the add-on payment.