MedicaidReimbursementMedium impact
Bed Reserve Policy Clarification
Illinois Medicaid - HFS·IL · Geriatrics·Provider Notice
Effective date
Jul 1, 2003
We identified it
Jun 21, 2026
Summary
Effective July 1, 2003, Illinois Medicaid no longer reimburses nursing facilities for bed reserve during resident hospitalizations, though facilities must still hold beds for up to 10 days. Reimbursement continues for therapeutic home visits if facility occupancy is at least 93%.
Action Required
Long-term care billing teams must stop billing Illinois Medicaid for bed reserve days during resident hospitalizations. Continue completing Form DPA 2234 with appropriate codes from provider handbook. For therapeutic home visits, only bill if facility maintains 93% occupancy, with maximum 7 consecutive or 10 non-consecutive days per month.