MedicaidCoverageMedium impact
Hospice Coverage in Managed Care Plans
Illinois Medicaid - HFS·IL · Palliative Care·Provider Notice
Effective date
Sep 20, 2018
We identified it
Jun 20, 2026
Summary
Illinois Medicaid affirms that hospice benefits are available under all HealthChoice Illinois managed care plans with the same coverage and reimbursement rates as fee-for-service Medicaid. This includes routine home care, continuous home care, inpatient respite care, and the high/low rate structure for the first 60 days versus day 61 forward.
Action Required
Illinois providers: Verify billing system recognizes HealthChoice Illinois managed care plans accept hospice claims at Medicaid fee-for-service rates. Ensure claims for hospice routine home care use the high/low rate structure (higher rate first 60 days, lower rate day 61+) and service intensity add-on for last 7 days of life. Direct managed care plan claim questions to individual plans using Department's Care Coordination webpage contact information.