MedicaidAdministrativeMedium impact
Clarification of the Requirements for the Nursing Facility Enhanced Care Rate for Ventilator Services
Illinois Medicaid - HFS·IL · Pulmonology, Critical Care·Provider Notice
Effective date
Jul 1, 2016
We identified it
Jun 20, 2026
Summary
Illinois Department of Healthcare and Family Services clarified requirements for nursing facilities to receive enhanced care rates for ventilator services, including specific ventilator definitions that exclude CPAP/BiPAP devices and detailed form submission procedures. The policy establishes that Form HFS 106 must be submitted within 5 business days with required physician orders and respiratory therapist evaluations.
Action Required
Nursing facilities must ensure Form HFS 106 submissions include complete demographic information, physician order sheets, and RRT evaluations within 5 business days of requested effective dates. Submit all forms via secure email to HFS.DMP.BLTC@illinois.gov with subject line 'Ventilator Notification'. Ensure proper MDS coding for ventilator services and maintain documentation of weaning processes when applicable.