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Provider Notice Issued 01/12/2022

Date:    January 12, 2022                                                                                

To:      Long Term Care Facilities – Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), Medically Complex for the Developmentally Disabled Facilities (MC/DD), Developmental Training Providers

Re:      ICF/IID and MC/DD Rate Changes Effective July 1, 2021 and January 1, 2022

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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 received federal approval to implement the rate increases specified in PA 102-0016

July 1, 2021 rates have been entered into the State's payment system and the Department has systematically repriced claims that were paid at lower rates. Vouchers for the payment adjustments were created on December 18, 2021 and have been paid. All newly submitted claims are being priced using the updated rates. 

January 1, 2022 rates have been entered into the State's payment system. All claims for January and after services should price at the updated rates without needing adjustments. 


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

Information regarding wage rates utilized in the July 1, 2021 and January 1, 2022 rate development can be found on the DHS DDD website: 

IDHS: DD Rate Tables (state.il.us) 


Rates on the HFS Website:

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

https://www2.illinois.gov/hfs/MedicalProviders/MedicaidReimbursement/Pages/ICFIIDMCDDProviders.aspx


Download Rate Sheets through MEDI: 

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

  1. 1. Login to MEDI
  2. 2. Select Internet Electronic Claims (IEC)
  3. 3. Select Download File(s)
  4. 4. Choose the "Entity" from the drop down box
  5. 5. Select the file you wish to download from the "Available Files" listed
  6. 6. Enter a "Local Directory Location" (a folder created on your computer or network) to accept the downloaded file
  7. 7. Click "Download Files" button
  8. 8. Go to your designated directory location
  9. 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. Adm. Code 140.646(d)

Questions may be directed to the Bureau of Long Term Care toll free at 844-528-8444.

 

 

Kelly Cunningham, Administrator

Division of Medical Programs



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Illinois Department of Healthcare and Family Services

JB Pritzker, Governor • Theresa Eagleson, Director