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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 non-institutional 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. These changes are being made in order to assure that reimbursement for services rendered by these classes of providers are consistent with the State’s fiscal year 2008 budget while maintaining access to necessary medical services. Effective October 1, 2007, HFS proposes:

To increase reimbursement for certain services provided under the home- and community-based services waiver for persons with developmental disabilities. These services are reimbursed through the Department of Human Services. Rates for services for which a patient contribution is required (e.g., residential services) will be increased by 2.0%; all other rates will be increased by 2.5%. It is estimated that these changes will result in an increase in expenditures of $11.7 million during the remainder of the current State fiscal year.

 

To increase reimbursement by 3.0% for developmental therapy, counseling, social work, and case coordination services provided through the Early Intervention Program. These services are reimbursed through the Department of Human Services. It is estimated that these changes will result in an increase in expenditures of $1.3 million during the remainder of the current State fiscal year.

 

To increase reimbursement by 3.0% for physical therapy, occupational therapy, and speech therapy/pathology, and audiology services provided to children. It is estimated that these changes will result in an increase in expenditures of $3.4 million during the remainder of the current State fiscal year.

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.