Skip to main content

Possible online services disruption due to Internet related outage

A worldwide technology outage is causing disruption to some State of Illinois online systems.  We are aware of this issue and are diligently working on restoration.

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.