MedicaidReimbursementHigh impact
Rate Changes Effective October 1, 2009
Illinois Medicaid - HFS·IL · Palliative Care·Provider Notice
Effective date
Oct 1, 2009
We identified it
Jun 21, 2026
Summary
Illinois Medicaid updated hospice reimbursement rates effective October 1, 2009, based on Medicare's annual rate adjustment for federal fiscal year 2010. Hospice providers must use specific Value Codes (61 for home care, G8 for inpatient care) with correct CBSA geographic identifiers on claims to ensure proper payment.
Action Required
Immediately: Hospice billing teams must update claims to include Value Code 61 with appropriate CBSA for Routine Home Care (Revenue Code 651) and Continuous Home Care (Revenue Code 652), and 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. Contact Illinois billing consultant at 1-877-782-5565 if billing CBSAs not on the department's website table.