MedicaidReimbursementHigh impact
Annual Rate Changes Effective October 1, 2017
Illinois Medicaid - HFS·IL · Palliative Care·Provider Notice
Effective date
Oct 1, 2017
We identified it
Jun 20, 2026
Summary
Illinois Medicaid updated hospice payment rates effective October 1, 2017, based on new Medicare rates. Hospice providers must use specific Value Codes (61 for home care, G8 for inpatient care) with correct CBSA geographic identifiers on claims to ensure proper payment.
Action Required
Immediately: Hospice billing team 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). Use Value Code G8 with 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 Code 61 or G8 entries will be rejected.