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Provider Notice Issued 07/14/2021

​Date: July 14, 2021

To: Long Term Care Nursing Home Providers

 Re: Fiscal Year 2022 Long Term Care Provider Assessment


Pursuant to Public Act 96-1530, long term care providers are to be assessed an amount equal to $6.07 times the number of occupied bed days due and payable each month. An "occupied bed day" is defined as the sum of all beds multiplied by the number of days during the month on which each bed was occupied by a resident, other than a resident for whom Medicare Part A is the primary payer. By law, this assessment cannot be billed or passed on to any resident of a nursing home.


The department has established due dates for providers to file monthly assessment reports and make assessment payments for the reporting periods of April 2021 through March 2022 for assessment periods July 2021 through June 2022. Providers will be notified of any assessment deadline extensions via the website, and are encouraged to sign up for e-mail notifications regarding extensions of future due dates at


As a reminder, a resident whose care is covered by the Medicare Medicaid Alignment Initiative (MMAI), Medicare Part A is considered the primary payer to the extent Medicare Part A would have been the primary payer in the absence of the demonstration. Enrollment of residents into MMAI are not expected to increase the tax burden on any nursing facility as these beds are counted as Medicare beds, and will not be charged the $6.07 assessment per day.


The purpose of this notice is to provide information on the reporting and payment requirements for fiscal year 2022. Please read the enclosed material carefully and be advised that links in this notice have been updated.  The packet should include the following material: 

1.     Long Term Care Provider Monthly Assessment Report and Instructions Twelve Long Term Care Provider Monthly Assessment Reports (Monthly Assessment Report) for the reporting periods of April 2021 through March 2022 are enclosed. Instructions for completing the report are also enclosed. Additional copies of the report can be found at . 


In addition, the Department has developed the electronic submission for the Monthly Assessment Report which can be accessed through the HFS MEDI website at


The Monthly Assessment Report must be submitted electronically or postmarked on or before the due date to be considered as received on time. A copy of the report must accompany the payment and must be postmarked on or before the due date for the payment to be considered as received on time.


Failure to pay the monthly assessment on or before the due date will result in the assessment of a 5% penalty. In addition, failure to file the Monthly Assessment Report will result in an additional penalty equal to 25% of the monthly assessment due. 


2.     Chart of Important Dates

The chart identifies all the critical due dates for the fiscal year 2022 Long Term Care Provider Assessment Program and should be posted for easy reference.

Please note that this assessment is in addition to the Nursing Home License Fee required under Public Aid Code 305 ILCS 5/5.


If you have any questions regarding the fiscal year 2021 Long Term Care Provider Assessment, please contact the Bureau of Hospital and Provider Services, Assessment Unit, at (217) 524-7110, or via e-mail at


Kathleen Staley, Bureau Chief

Bureau of Rate Development and Analysis




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Illinois Department of Healthcare and Family Services

JB Pritzker, Governor • Theresa Eagleson, Director