MedicaidReimbursementHigh impact
Annual Rate Changes Effective October 1, 2012
Illinois Medicaid - HFS·IL · Palliative Care·Provider Notice
Effective date
Oct 1, 2012
We identified it
Jun 20, 2026
Summary
Illinois Medicaid hospice payment rates have been updated for federal fiscal year 2013, effective October 1, 2012. Hospice providers must use specific Value Codes (61 for home care, G8 for inpatient care) with appropriate CBSA codes on claims to ensure proper geographic-based payment calculations.
Action Required
Immediately: Billing team must update hospice claims to include Value Code 61 with appropriate CBSA for Routine Home Care (Revenue Code 651) and Continuous Home Care (Revenue Code 652) services. Use Value Code G8 with CBSA for Inpatient Respite Care (Revenue Code 655) and General Inpatient Care (Revenue Code 656). Ensure only one Value Code 61 and one Value Code G8 per claim to prevent rejections. Update billing system with new rate components from the Illinois CBSA Codes and Wage Indices table.