MedicaidReimbursementHigh impact
Annual Rate Changes Effective October 1, 2013
Illinois Medicaid - HFS·IL · Palliative Care·Provider Notice
Effective date
Oct 1, 2013
We identified it
Jun 20, 2026
Summary
Illinois Medicaid updated hospice reimbursement rates for federal fiscal year 2014, effective October 1, 2013. Hospice providers must use specific Value Codes (61 and G8) with appropriate CBSA identifiers on claims to ensure proper payment based on geographic location where services are provided.
Action Required
Immediately for claims with dates of service from October 1, 2013: Billing team must update hospice claims to include Value Code 61 with appropriate CBSA for home care services (Revenue Codes 651, 652) and Value Code G8 with appropriate CBSA for inpatient care services (Revenue Codes 655, 656). CBSA must be right justified to the left of dollar/cents delimiter. If patient resided in multiple CBSAs, use the last CBSA. Only one Value Code 61 or G8 per claim or claim will reject. Contact billing consultant at 1-877-782-5565 for CBSAs not on department website.