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Elizabeth M. Whitehorn, Director

Proposed Changes In Methods And Standards

State of Illinois Healthcare and Family Services

Notice of Public Hearing Regarding Proposed Changes in Methods and Standards for Establishing Medical Assistance Payment Rates for Long Term Care Services

The Illinois Department of Healthcare and Family Services will hold a public hearing regarding proposed changes in methods and standards for setting certain payment rates for nursing facility services. The proposed changes are being made pursuant to Public Act 96-0743, which requires: 1) a quarterly calculation of the nursing component of the reimbursement rate computed under the Minimum Data Set (MDS) methodology, and 2) a separate per diem rate for the reimbursement of care for persons on ventilators. The proposed rate for ventilator care will be $150 plus the average geographical area rate for staff time tied to ventilator care, and the average geographical rate for the support and capital rate components.

The hearing will be held on September 28, 2009, at 1:30 p.m., in the 1st floor conference room of the Prescott E. Bloom Building located at 201 South Grand Avenue East, Springfield, Illinois. At that hearing, the department will present the proposed changes and allow interested parties an opportunity to provide written or oral comments.

The proposed change in reimbursement to nursing facilities is estimated to have a minimal fiscal impact.

All comments not presented at the hearing 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 62763-0002

E-mail address:HFS.bpra@Illinois.gov

Interested persons may review these proposed changes on the Internet 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.

Public Act 096-0743 (pdf)