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Medicaid Provider Alert: Provider revalidation has begun and those not completing the process risk disenrollment.  Check your account now to learn when your revalidation is due. More information here.

The Aurora Regional Office for Child Support Services, 2711 New York Street, Suite 203, will be temporarily closed. It is scheduled to re-open January 28, 2026. For in-person service, visit our Joliet office at 16 West Cass Street, 4th Floor. 

Elizabeth M. Whitehorn, Director

Home Health Claims

HFS System Issue:

Home Health Claims with dates of service on or after 07/01/14 will be temporarily held while programming changes are made.

Problem:

As a result of a change in statute, rates for certain home health services are increasing effective 07/01/14. The fee schedule can be viewed at:

http://www.illinois.gov/hfs/MedicalProviders/MedicaidReimbursement/Pages/HHFeeSchedule.aspx

To avoid underpayments to providers, a hold has been placed on all Home Health Services claims to allow for programming changes. In addition, as of July 1, 2014, the SMART Act 2.7% reimbursement rate reduction no longer applies to: intermittent home health visits, and to hourly shift services provided by a CNA.

Providers Impacted:

Home Health Agencies, Home Nursing Agencies, Certified Health Departments

Procedure Codes Impacted:

G0151, G0152, G0153, G0154, and G0156

Problem Begin Date:

Claims with dates of service on or after 07/01/14

Problem Fix Date:

To be announced.

Resolution for Impacted Claims:

Claims will be released for payment once the programming changes have been completed. Please continue to access this site for updated announcements.