MedicaidReimbursementHigh impact
Rate Change Effective October 1, 2011
Illinois Medicaid - HFS·IL · Palliative Care·Provider Notice
Effective date
Oct 1, 2011
We identified it
Jun 21, 2026
Summary
Illinois Medicaid hospice reimbursement rates have been updated for federal fiscal year 2012, effective October 1, 2011. Hospice providers must use specific Value Codes (61 for home care services, G8 for inpatient services) with the appropriate Core-Based Statistical Area (CBSA) codes on claims to ensure proper payment based on geographic location.
Action Required
Immediately: Billing team must update hospice claims to include Value Code 61 with appropriate CBSA for Routine Home Care (Revenue Code 651) and Continuous Home Care (Revenue Code 652) services. Use Value Code G8 with CBSA for Inpatient Respite Care (Revenue Code 655) and General Inpatient Care (Revenue Code 656). Ensure only one Value Code 61 and one Value Code G8 per claim to prevent rejections. Update billing system with new rate tables from the department's website for claims with dates of service from October 1, 2011 through September 30, 2012.