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MedicaidReimbursementMedium impact

Rate Changes Effective October 1, 2008

Illinois Medicaid - HFS·IL · Palliative Care·Provider Notice
Effective date
Oct 1, 2008
We identified it
Jun 21, 2026
Days to comply

Summary

Medicaid hospice reimbursement rates have been updated for federal fiscal year 2009, effective October 1, 2008 through September 30, 2009. Hospice providers must use specific Value Codes (61 for home care, G8 for inpatient care) with the appropriate CBSA geographic identifiers on claims to ensure proper payment based on service location.

Action Required

Action needed
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 CBSA is right justified to the left of dollar/cents delimiter. If patient resided in multiple CBSAs during billing period, report the last CBSA. Claims with multiple Value Code 61 or G8 entries will be rejected.