Provider Notice issued 07/08/2024

This notice informs Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IIDs), Medically Complex for the Developmentally Disabled Facilities (MC/DDs), and associated Developmental Training providers that the Department of Healthcare and Family Services (HFS) has received federal approval to implement the rate increases specified in Public Act 103-0588.

The rate increases are effective as of January 1,2024, and do the following:

 ·Increases MC/DD exceptional care per diem rates by 6%.
 ·Any reimbursement increases applied to the base rate to providers licensed under the ID/DD Community Care Act are also applied in an equivalent manner to      each tier of exceptional care per diem rates for MC/DDs.
 ·Further increased the MC/DD exceptional care rate for Tier 3 to $1,000.00.
 ·Implements a $2.50 per hour wage increase for all direct support personnel and all other frontline personnel who are not subject to the Bureau of Labor Statistics' average wage increases and who work in residential and community day services settings. At least $1.25 of those funds are to be provided as a direct increase to all aide base wages, with the remaining $1.25 to be used flexibly for base wage increases to the rate methodology for aides.
 ·Implements an increase sufficient to provide wages for all residential non-executive direct care staff, excluding aides, at the federal Bureau of Labor Statistics’ average wage.

January 1, 2024, rates have been entered into the State’s payment system. The Department will systematically reprice claims that were paid at lower rates. Vouchers for the payment adjustments will be generated and sent to the Comptroller at the end of August. Providers should expect payment of adjustments in late August or early September. All new claims are being priced using the updated rates.

Rate Development on Department of Human Services (DHS) Website:

Information regarding wage rates utilized in the January 1, 2024, rate development can be found on the DHS Division of Developmental Disabilities (DDD) website:

Rates on the HFS Website:

Provider specific per diem rates for ICF/IID and MC/DD providers can be found on the HFS website under Medicaid Reimbursements. In addition to the per diem rates, files are included for day training rates. Following is the link to the specific ICF/IID and MC/DD webpage:

Download Rate Sheets through the Medical Electronic Data Interchange (MEDI):

Individual providers can download rates sheets through the MEDI portal using the following instructions:

1.    Login to MEDI
2.    Select Internet Electronic Claims (IEC)
3.    Select Download File(s)
4.    Choose the “Entity” from the drop down box
5.    Select the file you wish to download from the “Available Files” listed
6.    Enter a “Local Directory Location” (a folder created on your computer or network) to accept the downloaded file
7.    Click “Download Files” button
8.    Go to your designated directory location
9.    Open the downloaded file (recommended program is WordPad)

Please note that the rate increases and subsequent payment adjustments include developmental training service rates, as well. The payment adjustments for these services will need to be passed on to the appropriate developmental training agency within 10 days as specified in administrative rule at 89 Ill. Admin. Code 140.646(d).

Questions regarding this notice can be directed to the Bureau of Long Term Care at HFS.LTC@illinois.gov or 1-844-528-8444.

Kelly Cunningham, Administrator 
Division of Medical Programs