Agencies
Services
Long Term Care
Nursing facilities receive a per diem (a single comprehensive payment per day per resident). The per diem is specific to each facility and is the sum of three separately calculated components – nursing, support and capital.
Support and capital rates are set based on information provided by facilities through cost reports submitted to the Department. The nursing component is a function of the health care needs of the facility’s residents, as measured by the Minimum Data Set (MDS) completed by each facility. The MDS-based reimbursement methodology goes into effect January 1, 2007.
MDS Rules
2026
- CNA Quarterly Notification Memo SFY27, Quarter 2 (pdf)
- Nursing Facility CNA Incentive Payments by Payor for July 1, 2026- Updated 9/1/26 (xlsx)
- October 1, 2026 Estimated Quarterly Quality Incentive Payment Calculation-Updated 08/21/2026 (xlsx)
- July 1, 2026 Estimated Quarterly Quality Incentive Payment Calculation- Updated 07/10/2026 (xlsx)
- Medicaid Rate List for Nursing Facilities, County Nursing Facilities, and SMHRFs Effective July 1, 2026- Updated 07/27/2026 (xlsx)
- Staffing Add-on and Medicaid Utilization Report for July 1, 2026- Updated 07/31/2026 (xlsx)
- Nursing Facility CNA Incentive Payments by Payor for April 1, 2026, Updated 07/27/2026 (xlsx)
- CNA Quarterly Notification Memo FY27, Quarter 1 (pdf)
- April 1, 2026 Estimated Quarterly Quality Incentive Payment Calculation- Updated 05/26/2026 (xlxs)
- Medicaid Rate List for Nursing Facilities, County Nursing Facilities, and SMHRFs Effective April 1, 2026- Updated 03/30/2026 (xlsx)
- Staffing Add-on and Medicaid Utilization Report for April 1, 2026- Updated 03/30/26 (xlsx)
- Nursing Facility CNA Incentive Payments by Payor for January 1, 2026 (xlsx)
- Medicaid Rate List for Nursing Facilities, County Nursing Facilities, and SMHRFs Effective January 1, 2026 (pdf) (xlsx)
- Staffing Add-on and Medicaid Utilization Report for January 1, 2026 (pdf) (xlsx)
- CNA Quarterly Notification Memo FY26, Quarter 3 (pdf)
- Nursing Facility Estimated Quality Incentive Payments Listing for January 2026 (pdf) (xlsx)
- Provider Assessment Rates for Calendar Year 2026 (pdf)
Nursing Facility Estimated Quality Incentive Payments Listing for April 2026
Archived Medicaid Rate Lists
Nursing Home Payment Update
Implementation of 2022 Nursing Home Payment Reforms
- Summary of Initial Participation in Illinois' Nursing Facility CNA Pay Scale Subsidy Program: July-September 2022 (pptx)
- CNA Pay Scale Enrollment Form for October 1, 2022 (pdf)
- Final Provider Assessment Rates for the Quarter Beginning July 1, 2022 (pdf)
- Estimated Provider Assessment Rates for the Quarter Beginning July 1, 2022 (pdf)
- Quality Incentive Payment Listing
- Overview of Illinois' new nursing facility CNA pay-scale subsidy (June 2022) (pdf)
- Rate Reform Methodology FAQs (September 30, 2022) (pdf)
- LTC Exchange Site Quick Guide (pdf)
- CNA Pay Scale Enrollment Form for July 1, 2022 (pdf)
- CNA Pay Scale Enrollment Form for August 1, 2022 (pdf)
Supporting Documents for Nursing Facility Rates
- Staffing Per Diem Scale Effective October 1, 2024 (pdf)
- July 25, 2022 Nursing Facility Reimbursement Overview Webinar Slides
- July 25, 2022 Nursing Faiclity Reimbursement Overview Webinar Recording
- Medicaid Utilization Percent
- PDPM Weights
- STRIVE Targets
- Staffing Per Diem Scale
- Staffing Incentive Calculation
- Quality Incentive Calculation Chart
- CNA Wage Pass Through Calculation Chart