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MedicaidReimbursementLow impact

Payment Change for Therapeutic Leaves of Absence

Illinois Medicaid - HFS·IL · Psychiatry·Provider Notice
Effective date
Jul 27, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois updated payment rates for therapeutic leaves of absence at Specialized Mental Health Rehabilitation Facilities. Payment remains at 75% of Medicaid rate but now uses July 27, 2018 rates (June 30, 2018 rate + 4%) for services on/after July 27, 2018.

Action Required

Action needed
No action required for most billing teams - this policy only affects Specialized Mental Health Rehabilitation Facilities (SMHRFs) licensed under Illinois law for therapeutic leave billing at 75% Medicaid rates.