The Illinois Department of Healthcare and Family Services (HFS) has posted for public comment the proposed changes to the rates for Intermediate Care Facilities (ICFs) licensed under the ID/DD Community Care Act and Medically Complex for the Developmentally Disabled (MC/DD) facilities licensed under the MC/DD Act.

The Public Notice is here.

The HFS Public Notices page is here.

The Public Notice lays out the proposed changes pursuant to Public Act 103-0008:

  • $2.50 per hour wage increase for all direct support professionals (DSPs)/aides and other frontline personnel not subject to the U.S. Department of Labor Bureau of Labor Statistics’ wage increases.
  • At least 50% or $1.25 of the wage increase must be provided as a direct increase to all base DSP/aide wages.
  • The other 50% or $1.25 may be used flexibly for base wage increases to the rate methodology for DSPs/aides.
  • Wage increases sufficient to provide wages for non-executive direct care staff, excluding DSPs/aides, to the U.S. Department of Labor Bureau of Labor Statistics’ average wage.

Additional notes for ICFs and MC/DD facilities:

  • Pursuant to Public Act 103-0102, any reimbursement increases applied to the base rate to providers licensed as ICFs under the ID/DD Community Care Act must also be applied in an equivalent manner to each tier of exceptional care per diem rates for MC/DD facilities.
  • Effective January 1, 2024, the exceptional care per diem rates (tiers) for MC/DD facilities shall be increased 6% over the amount in effective June 16, 2023, except that Tier 3 ventilator reimbursement rates for MC/DD facilities licensed under the MC/DD Act will be increased to $1,000 per day.

Interested parties may submit comments on the proposed changes to HFS until October 20, 2023, as follows:

Bureau of Program and Policy Coordination
Division of Medical Programs
Healthcare and Family Services
201 South Grand Avenue East
Springfield, IL 62763-0001

The information contained herein should not be considered a substitute for the appropriate official statutes, rules, regulations, or the advice of legal counsel. 

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