The Illinois Department of Healthcare and Family Services (HFS) is proposing a change in the methods and standards for setting payment rates for the Department of Human Services’ Division of Substance Use Prevention and Recovery providers.

The proposed change is effective for dates of service July 1, 2022 and after. The proposed change provides for an increase in the Medicaid reimbursement rates for outpatient substance use disorder services. The reimbursement rates in effect on June 30, 2022 will increase by 47% effective July 1, 2022.

This proposed change will result in an annual increase in Medicaid liability of $19.4 million for services provided through fee-for-service or through managed care organizations. The proposed change is subject to approval by the federal Centers for Medicare and Medicaid Services and may be modified or revised during the approval process.

Any interested party may submit questions or comments concerning these proposed changes in reimbursement methods and standards. All questions or comments must be submitted in writing within thirty (30) days of the publication date of this notice and addressed to:

Bureau of Program and Policy Coordination

Division of Medical Programs Healthcare and Family Services

201 South Grand Avenue East Springfield, IL 62763-0001

E-mail address: HFS.bpra@illinois.gov

This notice may be viewed at the DHS local offices (except Cook County). In Cook County, the notice and clarification may be reviewed at the Office of the Director, Illinois Department of Healthcare and Family Services, 401 South Clinton Street, 1st Floor, Chicago, Illinois. Comments received regarding this notice shall be published on the HFS web site at https://www.illinois.gov/hfs/info/legal/PublicNotices/Pages/default.aspx This notice is being provided in accordance with federal requirements found at 42 CFR 447.205.

 

Link to Notice: SPA220025SUPRRateIncreasePublicNotice.pdf (illinois.gov)

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