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.
2025
- Capital Rate Updates for January 1, 2025 (pdf)
- Nursing Facility Estimated Quality Incentive Payments Listing for July 2025 (pdf) (xlxs)
- Staffing Add-on and Medicaid Utilization Report for April 1, 2025 (pdf) (xlxs)
- Medicaid Rate List for Nursing Facilities, County Nursing Facilities, and SMHRFs Effective April 1, 2025 (pdf) (xlsx)
- CNA Quarterly Notification Memo FY25, Quarter 4 (pdf)
- Nursing Facility CNA Incentive Payments by Payor for January 1, 2025 (pdf) (xlsx)
- Staffing Add-on and Medicaid Utilization Report for January 1, 2025 (pdf) (xlsx)
- Medicaid Rate List for Nursing Facilities, County Nursing Facilities, and SMHRFs Effective January 1, 2025 (pdf) (xlsx)
- Nursing Facility Estimated Quality Incentive Payments Listing for January 2025 (pdf) (xlsx)
- Nursing Facility Estimated Quality Incentive Payments Listing for April 2025 (pdf) (xlsx)
- Provider Assessment Rates for Calendar Year 2025 (pdf) (xls)
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) (xlsx)
- Estimated Provider Assessment Rates for the Quarter Beginning July 1, 2022 (pdf) (xlsx)
- 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 July 1, 2022 Nursing Facility Rates
- 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