Skip to main content
  • 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 Cook Central Office, 36 South Wabash Avenue, Chicago, will close 02/03/2025.  The new Cook Central Office will open at 115 South LaSalle, Chicago, for in-person service on 02/10/2025.  
  • ​UPDATE (1/21/2025): The State Disbursement Unit (SDU) has processed all payments impacted by the outage and is back to normal operation. To verify payments, please log into the SDU parent portal or contact the SDU Customer Service Call Center at 877.225.7077.  For SDU business hours, click here.
Elizabeth M. Whitehorn, Director

In-Home Shift Hourly Nursing Services

HFS System Issue:

Home Health Claims with dates of service on or after 07/01/14 are temporarily placed on hold. At this time, the Department is requesting providers who bill for In-Home Shift Hourly Nursing Services do not submit claims to the Department for dates of service on or after July 1, 2014.

Problem:

As the 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

Rates for In-Home Shift nursing services, LPN or RN are subject to a 2.7% reduction. Providers who bill for In-Home Shift Hourly Nursing Services are asked to hold these claims to avoid overpayments and to allow for programming changes.

Providers Impacted:

Home Health Agencies and Home Nursing Agencies

Procedure Codes Impacted:

Problem Begin Date:

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

Problem Fix Date:

To be announced.

Resolution for Impacted Claims:

Providers will receive a remittance advice reporting the D04 error code – Suspended for Department Review – for those claims already billed to the Department and placed on hold. Please do not re-bill those services, as claims will be released once programming has been completed. Providers will receive another notice regarding how to properly bill these services. Please continue to access this site for updated announcements.