Provider Notice issued 05/03/2023

This notice provides a reminder of the procedures that the Department of Healthcare and Family Services (HFS) will follow for long term care (LTC) facility cost reports that are considered incomplete when submitted.

The 2022 LTC cost report form has some important updates related to information that is being required to be collected. The updated forms and instructions were published on the HFS web site on July 22, 2022.

These items will be reviewed for completeness. If these sections are not fully completed, the facility will be notified by letter that their cost report is incomplete. This letter will give the facility 30 days to complete the cost report. After the 30-day period has passed, if the facility has failed to provide the missing information, HFS will have their Medicaid payments withheld. HFS will remove the payment hold once the missing information has been submitted and the cost report is considered complete.

Below is a summary of the 2022 cost report updates.

Ownership Listing Pages

These two pages require the names of all individual owners (persons, not entities), their percentage of ownership, and the City and State of residence. The cumulative percentage of ownership reported at the individual level is to equal 100%.

Page 2 Census detail

Additional census detail is requested for patient days. Please ensure that the days are entered as requested by the form. It is understood that some providers may not have the level of detail required for the Medicare-Medicaid Alignment Initiative (MMAI) days. Please provide what you have available in your records for these census days.

Page 19, Section III - Net Inpatient Revenue Detailed by Payer Source

This section has been updated to match the patient day payment source categories on page 2 of the cost report. This updated section requires the “Inpatient Care Revenue” reported on line 3 of page 19 to be detailed by payer source. The total amount reported in this section should agree with the amount reported on line 3 of this schedule.

Page 22, Questions 2 through 4

The questions related to the association dues have been updated and expanded for HFS to obtain better information. Please provide the information requested by each question for these expenses.

Upon completion of the 2022 LTC cost report file, send the file by email or CD to

HFS.HealthFinance@illinois.gov. A signed paper copy must be sent in also to:

Bureau of Health Finance

Illinois Department of Healthcare and Family Services

201 South Grand Avenue East

Springfield, Illinois  62763

Questions regarding this notice may be directed to the Bureau of Health Finance at

217-524-4489, or to HFS.HealthFinance@illinois.gov

Kelly Cunningham, Administrator

Division of Medical Programs