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Provider Notice Issued 02/08/2023

Date:   February 8, 2023

To:       Enrolled Long Term Care Facilities:  Nursing Facilities (NF), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), Supportive Living Program (SLP), Medically Complex for the Developmentally Disabled Facilities (MC/DD), and provisionally licensed Specialized Mental Health Rehabilitation Facilities (SMHRF)     

Re:       2022 Long Term Care (LTC) Cost Report Due Date/Cut-Off Date


This notice informs Long Term Care (LTC) providers that Healthcare and Family Services (HFS) is allowing one extra month for the filing of the Illinois Medicaid LTC cost report. This is in addition to any other approved extensions that may be granted.

This change in the due date/cut-off date for the 2022 LTC cost reports is a result of potential delays caused by the ongoing public health emergency that is affecting various healthcare organizations throughout the State of Illinois. 2022 LTC cost reports that are filed by May 01, 2023 (instead of March 31, 2023) will still meet the qualifications of 89 Illinois Administrative Code Section 140.560 and be considered filed timely for rate setting purposes if the 2022 cost reports are used to set provider reimbursement rates. This extra month will also allow more time for LTC providers to comply with the new ownership reporting required under Article 5B-5 of the Public Aid Code [305 ILCS 5/5B-5].

Additional extension requests still need to be submitted within the three-month period after the facility's year end, if providers need another month in addition to the extra month allowed by HFS. For example, the extra month will make the December 31, 2022, cost reports due May 01, 2023. With an approved extension request submitted timely, the due date would be May 31, 2023.

The 2022 LTC cost report files are available to download from the HFS Cost Reports webpage.
Upon completion of the 2022 LTC cost report file, send by email or CD to A signed paper copy must be sent in also to:

Bureau of Health Finance
Illinois Department of Healthcare and Family Services
201 South Grand Avenue East
Springfield, Illinois  62763

Questions regarding this notice may be directed to the Bureau of Health Finance at
217-524-4489, or to

Kelly Cunningham, Administrator
Division of Medical Programs


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Illinois Department of Healthcare and Family Services

JB Pritzker, Governor • Theresa Eagleson, Director

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