MedicaidBilling CodesHigh impact
Chapter K-200, Handbook for Hospice Agencies Hospice Billing Changes Regarding Service Line Date and Occurrence Code Requirements Effective with Dates of Service on and after August 1, 2019
Illinois Medicaid - HFS·IL · Palliative Care·Provider Notice
Effective date
Aug 1, 2019
We identified it
Jun 20, 2026
Summary
Illinois Medicaid hospice agencies must now report service line dates on all hospice services and include Occurrence Code 55 (Date of Death) on claims with Service Intensity Add-on (SIA) charges. These changes help calculate proper Routine Home Care payment rates and identify eligible SIA payment days.
Action Required
Before August 1, 2019: Hospice billing teams must update billing systems to require service line dates on all hospice services (Revenue Codes 0651, 0652, 0655, 0656, 0657, 0658, 055X, 056X) and include Occurrence Code 55 with Date of Death on all claims containing SIA charges. For consecutive service dates, combine days on one line; for non-consecutive dates, use separate service lines. Claims missing these requirements will have SIA charges ignored or generate error codes K19/K20.