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MedicaidAdministrativeMedium impact

Payment for Ventilator-Dependent Residents

Illinois Medicaid - HFS·IL · Pulmonology, Critical Care, Geriatrics·Provider Notice
Effective date
Oct 1, 2009
We identified it
Jun 21, 2026
Days to comply

Summary

Illinois has implemented a new payment system for ventilator-dependent nursing facility residents that pays based on actual days of service rather than MDS quarterly calculations. Facilities must submit Form HFS 106 within 5 days of any ventilator status changes and will receive enhanced per diem rates ranging from $179.26 to $184.15 depending on geographic area.

Action Required

Action needed
Within 5 days of admission, discharge, death, or ventilator status change: Submit Form HFS 106 to Illinois Department of Healthcare and Family Services via fax to 217-524-7114 or mail to Bureau of Long Term Care. Initial notification required for all ventilator-dependent residents as of October 1, 2009. Ensure all staff have documented annual ventilator care training. Incomplete forms or forms without physician orders will be returned.