Date: August 12, 2022
To: Long Term Care Facilities - Nursing Facilities (NF)
Re: Fiscal Year 2023 Long Term Care Provider Assessment – Report Clarifications
Through discussions with nursing facilities' representatives, the Illinois Department of Healthcare and Family Services (HFS) has become aware of limitations in certain nursing facility provider accounting systems that prevent a timely and efficient separation of Medicaid managed care days into the newly required reporting categories on the monthly assessment reports. This notice provides clarifying instructions for the compilation of monthly assessment reports for providers experiencing these limitations in system reporting.
Until nursing facility provider accounting systems are modified to segregate paid days into the newly required reporting categories, the following accommodations should be made by providers to appropriately report and file the required monthly assessment reports:
- Providers who are unable to separate Medicare-Medicaid Alignment Initiative (MMAI) paid days between Medicaid primary payer and Medicare primary payer days will need to create system reports to identify the Medicare days so they can be reported separately and therefore not included in the taxable days.
- Providers who are unable to separate Medicaid primary payer days between the two Medicaid managed care options, MMAI and the HealthChoice Illinois MLTSS plan, must report all Medicaid managed care days in the column 3 – "Medicaid MLTSS" reporting category and include a note indicating the inability to separate the days.
In addition to the above, please note that the column 2 – "Medicaid" reporting category must only include Medicaid fee-for-service days paid by HFS.
Questions regarding this notice may be directed to the Bureau of Long Term Care at 1-844-528-8444.
Kelly Cunningham, Administrator
Division of Medical Programs