MedicaidReimbursementHigh impact
Rate Changes Effective October 1, 2010
Illinois Medicaid - HFS·IL · Palliative Care·Provider Notice
Effective date
Oct 1, 2010
We identified it
Jun 21, 2026
Summary
Medicaid hospice payment rates have been updated for federal fiscal year 2011, effective October 1, 2010. Hospice providers must use specific Value Codes (61 for home care, G8 for inpatient care) with appropriate CBSA identifiers on claims to ensure correct geographic-based payment calculations.
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. Contact billing consultant at 1-877-782-5565 if CBSA not found in department database.