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Elizabeth M. Whitehorn, Director

Provider Notice issued 06/27/03

Payment for Day of Death

​To: ​Providers of Long Term Care
​Date: ​June 27, 2003
​Re: ​Payment for Day of Death

 

 

Beginning July 1, 2003, the department is no longer paying the Medicare co-payment rate for an eligible resident who is in Medicare status on the day of death. Medicare does not reimburse a long term care facility for the day of a resident's death, therefore, the department will no longer pay the Medicare co-payment rate for that day. In accordance with the department's rules, payment will be made at the Medicaid rate for a day of death that occurs in the facility or while the resident is on a payable bed reserve.

 

 

This policy will impact transactions made to the Recipient Data Base after July 1, 2003, regardless of the service month. For example, if a death date of January 1, 2003, is added to the system after July 1, 2003, for a resident who was in Medicare status, the new policy will apply.

Facilities should continue to submit notification of changes in a resident's status in accordance with 89 Illinois Administrative Code 140.513, Notification of Change in Resident Status.

If you have any questions concerning this policy, contact the Bureau of Long Term Care at 217-524-7244.

 

Anne Marie Murphy, Ph.D.

Administrator

Division of Medical Programs