MedicaidBilling CodesHigh impact
Reimbursement and Billing for Services Effective April 1, 2019
Illinois Medicaid - HFS·IL · General Practice·Provider Notice
Effective date
Apr 1, 2019
We identified it
Jun 20, 2026
Summary
Effective April 1, 2019, MC/DD facilities must use new revenue codes (0191, 0192, 0193) for exceptional care services with new tiered reimbursement rates ranging from $326-$735 per day. Revenue Code 0190 is no longer allowed for exceptional care after April 1, 2019.
Action Required
Immediately: MC/DD billing teams must update billing systems to use Revenue Code 0191 for Tier 1 services ($326/day for feeding tube care), Revenue Code 0192 for Tier 2 services ($546/day for tracheostomy without ventilator), and Revenue Code 0193 for Tier 3 services ($735/day for tracheostomy with ventilator). Stop using Revenue Code 0190 for exceptional care services. Ensure all claims use Taxonomy Code 3140N1450X or claims will be rejected. Maintain signed, dated documentation in medical records supporting exceptional care qualifications.