MedicaidReimbursementHigh impact
Annual Rate Changes Effective October 1, 2019
Illinois Medicaid - HFS·IL · Palliative Care·Provider Notice
Effective date
Oct 1, 2019
We identified it
Jun 20, 2026
Summary
Illinois Medicaid hospice rates are being updated for federal fiscal year 2020, with revised payment rates for all types of hospice care services. Hospice providers must use specific Value Codes (61 and G8) with appropriate CBSA codes on claims to identify service locations.
Action Required
By October 1, 2019: Hospice billing teams must update claims to include Value Code 61 with appropriate CBSA for routine home care (Revenue Code 0651) and continuous home care (Revenue Code 0652) services, and Value Code G8 with appropriate CBSA for inpatient respite care (Revenue Code 0655) and general inpatient care (Revenue Code 0656). CBSA must be right justified to the left of dollar/cents delimiter. Claims with multiple Value Codes 61 or G8 will be rejected.