MedicaidReimbursementMedium impact
Nursing Facility Ventilator Rates
Illinois Medicaid - HFS·IL · Critical Care, Pulmonology, Geriatrics·Provider Notice
Effective date
Jan 1, 2014
We identified it
Jun 20, 2026
Summary
Illinois HFS is increasing the ventilator add-on rate for nursing facilities from $174 to $208 for supplies and services, effective January 1, 2014. This resolves a dispute over ventilator care reimbursement under the new RUGs methodology. Nursing facilities must continue to submit Form HFS 106 for ventilator-dependent residents and meet specific clinical requirements.
Action Required
Immediately: Long-term care facilities must update ventilator add-on billing rates from $174 to $208 for Medicaid residents requiring ventilator services. Continue submitting Form HFS 106 within 5 days of any ventilator status changes (admission, placement, discharge, removal, or death) via fax to 217-557-5061. Ensure proper MDS Section S (S0600) coding and maintain clinical documentation for ventilator weaning processes.