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Elizabeth M. Whitehorn, Director

Proposed Changes In Methods And Standards

State of Illinois Healthcare and Family Services

Proposed Changes in Methods and Standards for Establishing Medical Assistance Payment Rates for Certain Services

The Department of Healthcare and Family Services (HFS) proposes to change the methods and standards by which certain services are reimbursed under the Illinois Medical Assistance Program, pursuant to Public Act 095-0707.  These changes are being made in order to assure that reimbursement for services is consistent with the State’s fiscal year 2008 budget while maintaining access to necessary medical services. 

Long Term Care Services Effective March 1, 2008:

  • Increasing the socio-developmental component of the reimbursement rate for institutions for mental diseases by 253%. This will result in an average increase of $7.88 in the per diem rate.  Implementation of this change will increase spending by approximately $13.2 million on an annual basis and $4.4 million for services provided during State fiscal year 2008.

  • Increasing the ICFs/MR reimbursement rates for intermediate care facilities for the developmentally disabled (ICFs/DD) and long term care facilities for under age 22 (SNFs/Ped) by 2.2%.  Implementation of this change will increase spending by approximately $7.8 million on an annual basis and $2.6 million for services provided during State fiscal year 2008.

  • Rates for developmental training for persons residing in ICFs/MR including ICFs/DD and SNFs/Ped and for persons with a developmental disability residing in nursing facilities will be increased by 2.5%. Implementation of this change will increase spending by approximately $1.9 million on an annual basis and $0.6 million for services provided during State fiscal year 2008.

Time, place and manner in which interested persons may comment on the proposed changes

Any interested party may submit comments, data, views, or arguments concerning these proposed changes. All comments must be in writing and should be addressed to:

Bureau of Program and Reimbursement Analysis
Division of Medical Programs
Healthcare and Family Services
201 South Grand Avenue East
Springfield, Illinois 62763-0001
E-mail address: hfs.webmaster@illinois.gov

Interested persons may review these proposed changes on the Internet at HFS Public Notices. Local access to the Internet is available through any local public library. In addition, this material may be viewed at the DHS local offices (except in Cook County). In Cook County, the changes may be reviewed at the Office of the Director, Healthcare and Family Services, 100 West Randolph Street, Chicago, Illinois. The changes may be reviewed at all offices Monday through Friday from 8:30 a.m. until 5 p.m. This notice is being provided in accordance with federal requirements found at 42 CFR 447.205.