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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 County Owned or Operated Long Term Care Providers

The Department of Healthcare and Family Services (HFS) proposes to change the methods and standards by which nursing facilities that are owned or operated by a county government are reimbursed. These changes are being made in order to meet federal Medicaid requirements. These changes will be e ffective with dates of service on or after November 1, 2006.

The alternative reimbursement rate for county-owned or -operated nursing facilities will no longer be optional. With the proposed change, all county owned nursing facilities will be reimbursed using a single reimbursement methodology. With the single reimbursement methodology, the consideration of local government costs in excess of the nursing facility's rate shall be discontinued. In addition, the department will no longer use exceptional care rates for government owned nursing facilities.

These changes will have minimal effect on Medicaid liability.

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. 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 local offices (except in Cook County) operated by the Department of Human Services. 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.